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Personal Short-Term Financing Application

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

*

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

Source of Income

*

If other, please specify

*

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

If other, please specify

Guarantor Details

Full Name

*

Mobile Number

*

Email Address (optional)

*Please note that we reserve the right to contact said guarantor for verification and awareness.

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

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