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  • Personal Details
  • Employer Details
  • Salary and Disbursement Account Details
  • Account Statement
  • Summary
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Front View


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Back View


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Next of Kin Information

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Front View

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Back View

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Salary Account
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VALIDATING...
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Click on the button below to automatically generate your bank statement using your mobile or internet banking details.

Generate Account Statement

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Summary

Personal Details

Title
BVN
First Name
Middle Name
Last Name
Gender
Phone Number
Date of Birth
Email
Marital Status
No of Dependants
Level of Education
Introduced Via
Referral Code
State of Residence
Local Govt of Residence
Residential Address
Social Media Option
Social Media Handle

Next of Kin

Full Name
Phone Number
Email
Relationship

Employment Details

Employer Name
Employment Date
Net Monthly Income
Other Monthly Loan Repayments
Loan Amount
Loan Tenure
Official Email
Employer Address

Salary and Disbursement Account Details

Bank Name
Account Type
Account Number

By clicking on the submit button