GET A LOAN – First Liberian Microfinance, Inc

Loan Application Form, Micro & SME

Name

First

Last

Home Address:

Business Name:

Sector:

what business is all about

Business Address:

Years in Business:

Activities:

Number of Sales points:

Selected Value: 0

Phone Number(s):

Date of Birth

Amount Requested:

Currency

Requested Maturity:

Number of Months

How much can you easily pay per month?

Contact Address:

Currency

Marital Status:

No. of dependents:

Name of Spouse:

First

Last

Contact Number:

NAME OF BANK

LOAN RECEIVED

GUARANTOR NAME

First

Last

First guarantor Name

GUARANTOR ADDRESS

First Guarantor Address

CONTACT NO

First Guarantor Number

SOURC OF INCOME

First Guarantor source of income

GUARANTOR NAME

First

Last

Second Guarantor Name

GUARANTOR ADDRESS

second Guarantor Address

CONTACT NO

Second Guarantor Number

SOURC OF INCOME

Second Guarantor Source of Income

Family Name:

Character References (Name and Phone Number):

Contact Number

Character References (Name and Phone Number):

Place of worship

Character References (Name and Phone Number):

Applicant Signature and Date

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Loan Application Form, Micro & SME Download

Loan Application Form, Salary Backed Loan

Name

First

Last

Home Address

Phone Number(s)

Name of Employer:

Office Address

Email:

to: Individual/Institution Name

Position:

Net Salary:

Amount Requested:

USD/ LRD In Words

Bank:

A/C Title:

A/C Number:

Requested Maturity:

How many months to pay back

Salary Payment Date:

Mode of Payment

Are you indebted?

If yes, monthly installment:

LRD/USD

Individual/Institution Indebted to:

Marital Status:

Number of dependents:

Name of Spouse

First

Last

If Married

Contact Number

Character References

Family Name

Character References

Office Address

Character References

Community

Character References

Religion

Character References

Checkboxes

I Agree

I certify that the information provided above was personally provided by me, and is true and correct to the best of my knowledge. I am also aware of the criteria and requirements of the loan that I am applying for.

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Loan Application Form, Salary Backed Loan Download

Get a Quote!

+1-(334) 899-1293

707 Midland Exd St Ashford, Alabama(AL), 36312

Loan Application Form, Micro & SME

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Loan Application Form, Salary Backed Loan

Download form Here

Licensed by the Central Bank of Liberia

info@firstliberianmfi.com

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