Ray Financial Services

Loan Application Form

Personal Details

Title

First name

Middle name

Surname

Maiden name

Date of birth

Gender

Means of identification

Identification Number:

E-mail

Mobile No.

Residential address

Home address

Land Mark/Nearest Bus Stop

City

State

Zip Code

Country

Time at current address

Residential status

Previous address if resident at current address for less than 3 years

Time at previous address

Loan details

Loan amount required

Loan tenure (Months)

Affordable monthly repayment

Loan Product

HOW WOULD YOU LIKE TO RECEIVE YOUR FUNDS

Purpose of loan

Employment Details

Employment status

Current employer

Office Address

Land Mark/Nearest Bus Stop

City

State

Position/Job title at workplace

Date employed (DD/MM/YYYY)

If present employment is less than 1 year

Previous Employer

Previous employment Address

Number of months in previous employment

How many jobs have you had in the last 5 years

Current Net monthly income

Current pay date (DD/MM/YYYY)

Next Of Kin

First name

Surname

Relationship

Home address

Mobile number