LOAN APPLICATION

Application Date:	Account Number:

1. Particulars of Borrower(s) - Individual & Firm
Name & Personal Id or Name of Firm & Incorporation No:
Address & Email Id [Individual/Firm]
Director Name /ID [if Firm]
Nationality/DOB/Age [Individual/Director]
Borrower's Annual Income / Loan Required:
Contact Nos. [Individual / Firm]:	HP:	Business:	Home:

2. Particulars of Surety(ies) - Individual & Firm
Name & Personal Id or Name of Firm & Incorporation No:
Address & Email Id [Individual/Firm]
Director Name /ID [if Firm]	-
Nationality/DOB/Age [Individual/Director]
Surety's Annual Income / Loan Required:
Contact Nos. [Individual / Firm]:	HP:	Business:	Home:

3. Other Details
a) Type of Loan: for
b) Details of Security[if any]:

4. Declaration
I/We* declare that, at the time of this loan application, I/we am/are not bankrupt under the Bankruptcy Act (CAP. 20) and the above information given by me/us* are true to the best of my/our* knowledge.

Borrower(s)

Surety(ies)