BG QUICK CASH LOAN

Balogun Gambari Microfinance Bank Ltd.

No. 1 Ojagboro, Ilorin,Kwara State - Tel: +234(0)7087868386, +234(0)8166252204
Email: info@balogungambarimfb.com - Website: www.balogungambarimfb.com

ACCOUNT OPENING | LOAN APPLICATION | LOAN AGREEMENT FORM

Please do not pay cash to any Staff or Agent of Balogun Gambari MFB LTD

PERSONAL DETAILS

Surname

First Name

Other Name

Home Address

L.G.A

State of Origin

Nationality

Id card Type

ID Card Number

Issued Date(ID CARD)

Expiry Date(ID CARD)

Title

Marital Status

BVN

Phone Number (1)

Phone Number (2)

Date of Birth

Email Address

Number of Children

Next Of Kin Name

Next Of Kin Phone Number

Next Of Kin Relationship

Next Of Kin Address

LOAN DETAILS

Loan Type

Loan Tenure

Monthly Net Pay (N)

Eligible Amount (N)

Loan Amount (N)

Amount in Words

Loan Purpose

Monthly Installment (N)

Salary Account Number

Bank Name

EMPLOYER'S DETAILS

Date of Employment

Grade Level

Office Email Address

Office Address

MDA

Department

Staff ID Number

IPPIS Number

My Account Officer

Back