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Land Loan Application

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Personal Information
First Name*
Family Name*
Father’s name Mother’s full maiden name
Date of birth
Place of birth Nationality
Register number
Register Place Marital status
Education Spouse’s full maiden name
No. of children
Age of children
No. of dependants
Home Address
Bldg. name Floor no
Street City
Home Phone*
Mobile Number*
Apartment is
Banking Relationships
Name of Bank Name of Bank 2
Branch Branch 2
Type of Account Type of Account 2
Type of Loan Remaining Amount
Monthly Loan Payment
Current Loan Bank
Current Loan Branch
Employment Status Company/Employer Name
Company/Employer Phone number
Employer’s Bank/Branch
Time spent at company (years)
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