BASIC LOAN FORM

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Date:Account Number:Loan Type– Select –Seasonal LoanVacation LoanEducation LoanPay Day LoanLoan Within SharesHire Purchase LoanReady Request LoanRegular LoanQuick Access LoanPartner Line LoanChristmas LoanMember Name:TRN:Date of Birth:Home Address:Contact Number:Email Address:Name of Employer:Occupation/ Title:Length of Employment:Address of Employer:Employment Status:Employer Telephone Number: Name of Reference:Reference Address:Reference Contact #:Period Known:Applicant / Member Signature:Date:ID NumberID TYPE– Select –Electoral/National IDDrivers LicensePassportUpload Identification cardSelect ID Amount Borrowed:Current Loan Balance:Total Loan Amount:Repayment Terms:Share Balance:Total Deposit Balance:Submit Form