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Personal Short-Term Financing Request
Emerald Crest Capital offers small short-term personal facilities for emergency needs
Section 1- Applicant Information
Full Name
*
Phone Number
*
Email Address
*
National I.D number
*
County of Residence
*
Employment Status
*
Employment Status
A
Employed
B
Self-Employed
C
Business owner
D
Other
If other, please specify
Section 2- Financing Request
Amount Requested
*
Amount Requested
A
Kshs 3,000
B
Kshs 4,000
C
Kshs 5,000
D
Kshs 8,000
E
Kshs 10,000
F
Kshs 15,000
G
Kshs 20,000
H
Kshs 25,000
I
Kshs 30,000
J
Kshs 40,000
K
Kshs 50,000
Purpose of Loan
*
Expected Repayment Period
*
Expected Repayment Period
A
14 days
B
30 Days
Section 3- Income Information
Monthly Income Range
*
Monthly Income Range
A
Below Kshs 30,000
B
Kshs 30,000- Kshs 70,000
C
Kshs 70,000- Kshs 150,000
D
Above Kshs 150,000
Source of Income
*
Source of Income
A
Employment (Salary)
B
Business Income
C
Casual/Contract Work
D
Agriculture
E
Freelance/Online Work
F
Other
If other, please specify
Section 4- Declaration
I confirm that the information provided is accurate and understand that all applications are subject to internal review
*
I confirm that the information provided is accurate and understand that all applications are subject to internal review
Yes, Confirmed
Submit