Loan Application – Mooncredit & Investment Services Ltd

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First Name *

Middle Name *

Last Name *

Date of Birth *

Marital Status *

Phone *

NIN *

Gender *

Email *

Address *

Address Line 1

City

State / Province / Region

Note: Address must have a landmark

Upload Passport Photograph *

Click or drag a file to this area to upload.

Next of Kin Section

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Next of Kin Name: *

Phone number

Address *

Address Line 1

City

State / Province / Region

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Phone Number *

Number of Dependents *

Bank Name

Account Number

Business Information

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Business name *

Business Type *

Popular name at business location *

Occupation

Business Address: *

Address Line 1

City

State / Province / Region

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Business Number

Shop Type

Financial Information

Purpose of Loan *

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Loan Amount Requested (in Figure): N *

Average Monthly Income (NGN) *

Preferred Loan Term

Capacity to pay *

Existing Debts: (if any)

Outstanding Debt *

Guarantor Form Section 1

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First Name *

Middle Name *

Last Name *

Date of Birth *

Gender *

Phone Number

Residential Address *

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Occupation

Email address *

Office Address *

Address Line 1

City

State / Province / Region

Note: Add nearrest Bus-stop

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Next of Kin *

Relationship *

Guarantor Form Section 2

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First Name *

Middle Name *

Last Name *

Date of Birth *

Gender *

Phone Number

Residential Address *

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Occupation

Email address *

Office Address *

Address Line 1

City

State / Province / Region

Note: Add nearrest Bus-stop

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Next of Kin *

Relationship *

Checkboxes *

Terms and Conditions

DECLARATION OF APPLICANT

1. I hereby declare that the information provided above is true and accurate to the best of my knowledge. I authorize Mooncredit Investments & Services LTD (McISL) to verify the information provided and to obtain additional information as necessary to process my loan application. I hereby agreed that, in addition to any other security or rights which you may have, you may at any time without notice to see off any indebtedness or liability committed with McISL.

2. I also agree that McISL should take possession of any asset [vehicle, landed property and home appliance] used as collaterals to the McISL.

3. I hereby consent that I am affirm that McISL is authorized to conduct credit check and other necessary routing check on me as directed by the Central Bank of Nigeria and may at any point reject or disapprove my application as I understand that submitting this application does not guarantee approval of the loan, and approval is subject to credit approval criteria.

4. Any item found in my possession should be taken by McISL or its assignee without recourse to any legal proceedings.

5. That McISL should go ahead and sell the collected item in other to liquidate my facility with McISL. Attached is a photocopy of my identification card and passport for further processing.