Loan Application

Loan Type

Applicant Personal Information

First Name

Middle Name

Last Name

NRC Number

Date of Birth

Phone Number

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Employment Details

Employing Ministry

Department / Division

Employee Number

Employment Status

Employment Details

Employer Name

Employment Type

Length of Employment

Business Details

Business Name

Business Registration Number

Nature of Business

Years in Operation

Order Details

Vendor / Buyer Contact Details

Vendor / Buyer Name

Order Value

Expected Delivery Date

Expected Payment Date

Supplier Details (if different from applicant)

Cost of Fulfilling Order

Margin / Profit Estimate

Loan Request Details

Loan Purpose (short description)

Loan Amount Requested

ZMW

Preferred Repayment Period (Tenure)

Financial & Banking Details

Bank Name

Bank Account Number

Monthly Income

Monthly Revenue

Security / Guarantee Information

Type of Security Offered (if applicable)

Short Description of Security

Supporting Document Uploads

NRC Copy

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Latest 3 Months Bank Statements

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Latest 3 Payslips

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Signed Pre-Approval Form

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Face ID / Photo Upload

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Supporting Document Uploads

NRC Copy

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Proof of Income

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Employer MOU (if applicable)

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Security Documents (if applicable)

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Face ID / Photo Upload

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Supporting Document Uploads

NRC Copy

Choose File

Proof of Income

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Employer MOU (if applicable)

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Security Documents (if applicable)

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Face ID / Photo Upload

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Supporting Document Uploads

Business Registration Certificate

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NRC Copy (Director / Owner)

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Financial Statements or Bank Statements

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Security Documents

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Supporting Document Uploads

Business Registration Certificate

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NRC Copy (Director / Owner)

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Financial Statements or Bank Statements

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Confirmed Purchase Order / Contract

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Security Documents

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Supporting Document Uploads

Business Registration Certificate

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NRC Copy (Director / Owner)

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Financial Statements or Bank Statements

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Invoices for Discounting

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Supporting Contract / Proof of Work

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Security Documents

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Supporting Document Uploads

Business Registration Certificate

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NRC Copy (Director / Owner)

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Financial Statements or Bank Statements

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Supporting Documentation for Financing Need

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Security Documents

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I confirm that the information provided is accurate and complete

I understand that submission does not guarantee loan approval

I consent to internal assessment and verification of the information provided