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Home / Templates/ Banking/ Microfinance Loan Application and Agreement

Microfinance Loan Application and Agreement

Brings together the personal, banking, employment and reference details of someone applying for a small loan. It also lays out the amount, fees and repayment plan, and captures the signatures that make the agreement binding.

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Application introduction

Applicant name

Personal details

Name

First Name

Last Name

Gender

Male Female

Other gender (please specify)

Date of birth

Maiden surname

Country of birth

Number of dependants

National ID number

Residency

I live in the country No, I live in another country

Current citizenship

Email

Mobile number

Home phone

Passport number

Passport expiry date

Passport issuing country

Bank name

Account holder name

Branch name

Account number

Branch code

Account type

Address details

Current address Previous address

House number

House number

Street name

Street name

Town or city

Town or city

Country

Country

Years at current address

Years at previous address

Postal address

Employer name

Employer phone

District and payroll area code

Employee number

Profession

Date joined

Employment end date

Employment details

No image

Current net salary per payslip

Years with current employer

Years with previous employer

Street name

Same as physical address

Town or city

Town or city

Country

Country

Next of kin or personal reference details

Next of kin Personal reference

First name

Relationship

Surname

Employer

Maiden surname

Profession

National ID number

Work phone

Date of birth

Mobile number

Street name

Town or city

Country

Next of kin or personal reference details

Next of kin Personal reference

Other

First name

Relationship

Surname

Employer

Maiden surname

Profession

National ID number

Work phone

Date of birth

Mobile number

Street name

Town or city

Country

No image

Loan details

Loan type

Personal loan Business loan Education loan Emergency loan

Purpose of the loan

Existing loan amount

New loan amount requested

50% of salary

Approved loan amount

Loan insurance fee (one-time upfront 3% of loan amount)

Application fee (one-time upfront US$200)

Arrangement fee (one-time upfront 2.5% of loan amount)

Total cash disbursed after upfront fees

Interest rate

Repayment terms

Loan term (number of installments)

Monthly repayment (includes 0.25% service fee on loan amount)

Loan agreement

No image

Borrower declaration

Borrower's full name

Name

Borrower signature

Sign here

Place of signing

Signature

Sign here

Signature

Sign here

Date

Date

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