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Last Name
Method of Transfer
Cash
Bank Transfer
Transfer Using Credit Union Account
Top Up Amount
Mobile Number
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BANK TRANSFER
First Name
Middle Name
Last Name
Name of Bank
Branch
Account Number
Account Type
Chequing Account
Savings Account
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MOBILE TOP UP
First Name
Last Name
Method of Transfer
Cash
Bank Transfer
Transfer Using Credit Union Account
Top Up Amount
Mobile Number
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Close Modal
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BANK TRANSFER
First Name
Middle Name
Last Name
Name of Bank
Branch
Account Number
Account Type
Chequing Account
Savings Account
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Line Of Credit
Section 1 | Personal Information
Date
Account Number
First Name
Middle Name
Last Name
National ID
Age
Select Parish
St. Andrew
Christ Church
St. George
St. James
St. John
St. Joseph
St. Lucy
St. Micheal
St. Peter
St. Phillip
St. Thomas
Address
Telephone Home
Mobile
Email
Employer
Occupation
Length of Employment
Section 2 | Loan Request
Loan Amount Requested
Loan interest rate is 18% per anum
Repayment Period
Years
Months
Repayment Frequency
Monthly
Weekly
Amount to payback monthly/weekly
Section 3 | Loan Agreement
Date
Application Signature
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Co-Applicant Signature
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LINE OF CREDITS
REQUIREMNTS
Required Shares/ Savings for each limit
Two recent payslips and/or Job letter
LOC Maximum $8000.00
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