LBP Microfinance Plc.

Online Request

For the applicant (borrower)

Application Quick loans or loan installment

Date: 2024-12-03

The amount you want to borrow *

$

.00

Services *

Date of loan *

Project loans *

Full Name *

Date of Birth : *

Gender *

Status *

Address *

Day live *

Phone Number *

Phone home *

Hours that could be relevant *

Nation ID card / passport *

Email *

village chief *

Company Name / Shop ( career 1) *

Business Type *

Salary *

Payroll *

Address *

Phone Number *

Sector *

Job categories *

Position *

Standings *

Amount of employees *

Working hours or business *

Website *

Company Name / Shop (career2)

Business Type

Salary

Payroll

Address

Phone Number

Sector

Job categories

Position

Standings

Amount of employees

Working hours or business

Website

Bank name

Account name

Account number

Other lending institute

The bonus to be paid monthly at a different institute

Mentor

Cell Phone Number

* In case of feeding themselves

The name of the partner in business

Contact

Company name

Phone Number

Some family members at home together ()people

children ()people

Name

Are

Phone home

Age

Occupation

Agree / disagree

Relatives who do not live together

Name

Are

Phone Number

Age

Occupation

Address

Closest friends

Name

Are

Phone Number

Age

Occupation

Address

The name of the shop, which plans to buy material

Address

* Security Code