E-Loan Application Form

    Personal Information

    Note: Your Account Number is the six digit number found after " / " e.g. No. B01C012 / 001234

    Branch:

    Title:



    Note: The following documents are necessary to have the application processed.

    • Two (2) Valid forms of Government Issued Identification

    • Recent Job Letter stating Salary, Position and Length of Tenure (No more than Three (3) Months Old)

    • Recent Payslip (No more than One (1) Month Old)

    • Utility Bill (No more than Two (2) Months from Bill Date)
      - WASA & T&TEC
      - TSTT, Digicel Play (Landline)
      - Or Bank Statement

    ID #1 Type:

    ID #2 Type:




    Employment Information

    Duration of Employment:

    Monthly Income:



    Note: You are required to provide Two (2) References.

    Reference #1


    Reference #2



    Financial Obligations

    Mortgage

    Banks

    Other Bank

    Other Bank

    Credit Unions

    Other Credit Union

    Other Credit Union

    Department Stores

    Other Department Store

    Other Department Store


    Declaration

    I/We hereby authorize you to obtain further information on my/our credit and employment history and such source is hereby authorized to disclose any Credit Bureau and together credit grantors and information about my/our credit history. I/we agree to indemnify you jointly and severally against any and all claims in damages or otherwise arising from disclosure on your part. Once a credit report is generated you would be charged a fee of $100.00
    If the loan is granted, I hereby agree to comply with all the terms, bye-laws, and regulations of the society, now in force or which may hereafter be adopted. The statements herein are made for the purpose of obtaining the loan and are true and correct to the best of my knowledge and belief.