Loan Application | Coastline Microfinance Bank

Title

Name

First

Middle

Last

Loan Type

Name of Business

Type of Agric Product

Occupation

BVN

Layout

Email

Phone

Gender

Photo Passport

Click or drag a file to this area to upload.

Upload Passport

Signature

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Upload Signature

Date / Time

Identification Type

Identification number

Upload ID

Click or drag a file to this area to upload.

Residential Address

Address Line 1

City

State / Province / Region

Country

Business Address

Address Line 1

City

State / Province / Region

Country

Group Loans

Name of Group Leader

First

Last

Layout

Declaration

By Submitting this Loan Application form, you are hereby requesting that Coastline Microfinance Bank Ltd should process the above loan information in your name. and that you completed this loan application form without thereby state that you shall abide by the bank’s rules and regulations as regards Processing and Disbursement of Loan Facility.