Loan Application Form

Please fill out the following information accurately and completely to facilitate the processing of your loan application.

Type of loan *

Desired Loan Amount (Tshs) *

TZS

Annual Income *

TZS

Loan will be used for *Buy HouseOtherBusiness CapitalHome ImprovementEducationInvestment

Contact Information

Prefix

First Name *

Middle Name *

Last Name *

Date of birth *

Year

Month

Day

Marital Status: *SingleMarriedOther

Email Address *

Phone number *

Street Address *

Apartment, suite, house no. *

City *

Country *

How long have you lived in your given address? *0-1 Years1-2 Years3-4 Years5+ Years

Gross monthly income Tshs. *

TZS

Monthly rent/mortgage Tshs *

TZS

Comments *

Bank Details