Kopashon Loan Application

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*PASSPORTAllowed File Types: jpg,jpeg,png,pdf

*NYSC ID CARDAllowed File Types: jpg,jpeg,png,pdf

*CALL-UP LETTERAllowed File Types: jpg,jpeg,png,pdf

*FULL NAME

0/30

Surname First

*NYSC CALL-UP NUMBER

0/20

Must be 20 alphanumeric

*BATCH DETAILS

*PHONE NUMBER/SIf more than one, put space between (0803 0905)

*EMAIL ADDRESS

*SEX

Male Female

*DATE OF BIRTHOctober 2, 2020

*RELIGION

Christianity Islamic Traditional

*STATE OF ORIGIN

0/15

LAGOS

*HOME ADDRESS

0/50

*PLACE OF PRIMARY ASSIGNMENT

0/50

*ADDRESS OF PRIMARY ASSIGNMENT

0/70

*LOCAL GOVERNMENT AREA

0/50

*EMPLOYER PHONE NUMBER

CUSTOMER BANK DETAILS

ACCOUNT NUMBER

*ACCOUNT NAME

*BANK NAME

*BVN

LOAN DETAILS

*LOAN AMOUNT

*PURPOSE OF LOAN

*TENORState your duration of repayment (1,2,3,4,5,6)

*REPAYMENT MODE

Monthly Quarterly Bullet

NEXT OF KIN DETAILS (This should be a mature individual)

*NEXT OF KIN NAMESurname First

*NEXT OF KIN PHONE NUMBER/SIf more than one, put space between (0803 0905)

*NEXT OF KIN HOME ADDRESS

0/50

*NEXT OF KIN OFFICE/BUSINESS ADDRESS

0/50

*RELATIONSHIP WITH NEXT OF KIN

0/12

CUSTOMER'S AGREEMENT

*CUSTOMER SIGNATURE & DATEAllowed File Types: jpg,jpeg,png,pdf

Fields with (*) are compulsory.

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