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Personal Loan Application Form

Fields that are marked with * are required.
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*
Spouse’s full maiden name
No. of children
Age of children
No. of dependants
Home Address
Bldg. name Floor no
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)
Personal Loan
Down Payment
How did you know about the loan
Repayment period Loan Amount
Monthly income
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No.1 on the list of banks. BDL Authorization No. 11/438 dated 21.09.2006. Designed and developed by Borninteractive