Zedvance Finance Loan Application Form
Zedvance Finance Loan Application Form
177A, Ligali Ayorinde Street, Victoria SELECT LOAN TYPE AFFIX PASSPORT
Island, Lagos.
Tel: 07001001000
PHOTOGRAPH HERE
BVN 0 0 1 2 3 4 5 6 7 8 9
SIGNATURE
PERSONAL INFORMATION
TITLE
Mr Miss Mrs FIRST NAME LAST NAME
GENDER
Male Female MARITAL STATUS
Single Married Widowed Divorced
LEVEL OF
EDUCATION
Primary Secondary Graduate Post Graduate STATE OF ORIGIN
MEANS OF IDENTIFICATION: Driver’s License Int’l Passport National Id Voters Card Others
IDENTIFICATION NO: DATE OF BIRTH D D / M M / Y Y
CONTACT DETAILS
MOBILE NO 0 8 1 2 3 4 5 6 7 8 9 PERSONAL EMAIL
HOME ADDRESS
BUILDING
DESCRIPTION
PREVIOUS
ADDRESS
BUILDING
DESCRIPTION
ACCOMMODATION TYPE
Owner Rented REFEREE NAME
NO OF
DEPENDENCIES
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EMPLOYMENT DETAILS
STATUS
Employed Self Employed OCCUPATION DESIGNATION
OFFICE ADDRESS
EMPLOYMENT TYPE
Full Time Contract
LOAN DETAILS
LOAN AMOUNT N 2 0 0 0 0 0 0 TENOR months LOAN PURPOSE
REPAYMENT MODE
Remita Cheques ANY EXISTING LOAN?
Yes No REPAYMENT (IF YES)
HOME ADDRESS
EMPLOYER
OTHER INFO
ACCOUNT OFFICER
ATTESTATION
I hereby confirm that I am applying for the above credit facility and certify that all the information provided by me above and attached hereto is true, correct
and complete. I authorize you to make any enquiries you may consider necessary and appropriate for the purpose of evaluating this application
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