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Loan Application Form
Name
*
*
Address
*
*
State/Province/Region of Residence
*
State of Origin
*
Gender
*
Gender
Female
Gender
Male
Date of Birth
*
Email Address
*
BVN
*
NIN
*
Phone number
*
Type of loan
*
Type of loan
A
Cash loan
Type of loan
B
Device financing
Loan Tenure
*
Upload your salary account statement (3-6 months)
*
Click to choose a file or drag here
Accepts .jpg, .jpeg, .png, .pdf, .doc, .docx files
Size limit: 10 MB
Upload your utility bill
*
Click to choose a file or drag here
Accepts .jpg, .jpeg, .png, .pdf, .doc, .docx files
Size limit: 10 MB
Upload a valid means of identification
*
Click to choose a file or drag here
Accepts .jpg, .jpeg, .png, .pdf, .doc, .docx files
Size limit: 10 MB
Upload passport photo
*
Ensure to upload a clear head-shot photo with no distractions in the background.
Click to choose a file or drag here
Accepts .jpg, .jpeg, .png, .heic files
Size limit: 10 MB
Do you have an account with CashConnect?
*
Do you have an account with CashConnect?
A
Yes
Do you have an account with CashConnect?
B
No
Next of Kin
Name
*
*
Address
*
*
*
Phone number
*
Next
