Home Loans Application - First National Bank Ghana
[Pages:12]Home Loans Application Form
First National Bank Ghana Limited, a subsidiary of FirstRand Group, South Africa.
Home Loans Application Form
Please complete in BLOCK LETTERS and "" or "x" where applicable The application will have to be fully completed before it will be processed
Branch
Loan Application Ref. No.
AFFIX PASSPORT PHOTOGRAPH
HERE
AFFIX PASSPORT PHOTOGRAPH
HERE
APPLICANT PERSONAL INFORMATION
Title
Surname
Maiden Name (if applicable)
Marital Status (Please select as appropriate) Single
Gender Female
Male
Place of Birth
Mother's Maiden Name
Mobile No.
First Name
Other Names
Married
Other (Please specify) Date of Birth
D DMM Y Y Y Y
Nationality
Alternative Tel No.
Email Address Dependants (children aged below) 21
Number
Ages
Profession/Occupation
Tax Identification Number (TIN)
Current Residential Address (please tick where applicable)
Home Owner
Tenant
Living with parents
Others
Please specify
Duration of current residential status
years
Current Residential Address House No.
Street Name
City
Region
County
Current Postal Address
GhanaPost Digital Address
Previous Residential Address (If you have been at your current address for less than three years)
City
Proof of Address Type
Do you own a house?
Yes
House No. Region
No
Street Name
County
1 of 11
Description of the house
Location
Vendor Details Name
Address Telephone Number
Addresses and description of prosperity to be purchased or refinances Description of the property
Location
National ID Card
VALID MEANS OF IDENTIFICATION National Driver's Licence
Other ID
ID 1
Country of Issue
Issue Date D D M M Y Y Y Y
ID 2
Country of Issue
Issue Date D D M M Y Y Y Y
Passport
Voter's ID
D No. Expiry Date D D M M Y Y Y Y
D No. Expiry Date D D M M Y Y Y Y
EMPLOYMENT DETAILS
Employed Other (Please specify)
Self Employed
Unemployed
Retired
Length of period with From current Employer
D DMM Y Y Y Y
Salary/Expected Income
Staff ID No.
Position/Rank
Student
Employment Type
Permanent
Contract
Part Time
Consultant
2 of 11
Employer's Name
Employer's Address City/Town Metropolitan Munincipal & DistrictAssembly
Region
Country
Nature of Business
Mobile No.
Employer's Email Address
Please provide details of Previous employment if period spent at current job is less than 3 years
Length of period with previous From: DDD MMM Y YY YYYYY Employer
To: DDD MMM Y YYYYY Y
Salary/Expected Income
Second employment
Staff ID No. Employment Type
Permanent
Contract
Position/Rank Part TimeC
Consultant
Employer's Name Employer's Address City/Town Metropolitan Munincipal & District Assembly Nature of Business
Region
Country
Employer's Email Address
Mobile No.
ALTERNATE CONTACT PERSONS
(Someone Above 18 Years We Can Contact In Case You Are Not Reachable)
First Alternate Contact Person
Title
Surname
Maiden Name
(if applicable)
Gender
Female
Male
TTeelleepphhoonnee NNoo..M Email Address Residential Address
HHoouusseeNNoo. .S
First Name Other Names
Relationship
obMileoNboile. No.
treSettreNeat mNaeme
Metropolitan Munincipal & DistrictAssembly
Country
3 of 11
Region
Second Alternate Contact Person
Title
Surname
Maiden Name
(if applicable)
Gender
Female
TTeelelepphhoonneeNNoo..M
Male
First Name
Other Names
Relationship
obMileobNiole. No.
Email Address Residential Address HHoouusseeNNoo. .S
treSetrteNetaNmaeme
Metropolitan Munincipal & District Assembly Region
Country
ACCOUNTS HELD WITH FIRST NATIONAL BANK GHANA AND ACCOUNTS ELSEWHERE
S/N
Bank
1 2 3
Branch
Account Number
INICNOCMOME,EE,XEPXEPNESNESSE,SA,SASSESTESTASNADNDLILAIBAIBLIILTIITEISES Please complete the tables below as thoroughly as possible
Currency Type
GHSU
SD
GBPE
UR
MMONOTNHTLHYLYININCOCOMMEME BBaassiiccR OOvveertime BBoonnusI CCoommmissionn DDiivviidends IInntteerest RReennt OOtthheersO
MOONNTHTHLYLEYXEPXEPNESNESSES CaesnhtC MMoorrttggaaggee Innssuurance TTaaxxesT AAlliimmonyR OOvveerdraftL TTeerrm Loann Otthhers
TTOOTTAALLAASSSSEETTSS Caasshh SSaavviinnggss Shareess T Billss Real EEssttaattee Life IInnssuurraanncceeG LanddO Otherrss
TTOOTTAALLLLIIAABBIILLIITTIIEESS MMoorrttggaaggee CCaarrLLooaannss SSttaafffLLooaanns s CCrreeddititCCaardrds OOvveerrddrraaftft Guuaarraannteteeess OtthheerrLLooaannss OOtthheerrss
Total
Total
Total
Total
4 of 11
CO-APPLICANT
TitleS Maiden Name
(if applicable)
Surname
Relationship between applicant and co-applicant
Marital Status (Please tick as appropriate)
Single
Gender
Female
Male
Place of Birth
First Name Other Names
Married
Other (Please Specify) Date of Birth DDD MMM Y YYYYY Y Y
Mothers Maiden Name
Nationality
Mobile No.
Alternative Tel. No.
Email Address House No.S
Dependants (children aged below 21)
Number
Ages
treet Name
Profession/Occupation
Current Residential Status (please tick where applicable)
Home Owner
Tenant
Living with parents
Others
Duration of current residential status
years
Current Residential Address
House No.
Street Name
Please specify
City Current Postal Address
RegionC
Coouuntry
Ghana Post Digital Address
Previous Residential Address
(if you have been at your current address for less than three years)
City
House No.
Street Name
Region
Proof of Address Type
DDoo yyoouu oowwnn aa hhoouussee? Yes Yes No
No
DesDcreipsctiroipntoiofnthoef thhoeuhseouse
Country LocatLiooncation
NNaattiioonnaall IIDD CCaarrdd
National DrivNeart'sioLnicael nDsreiver's Licence Passport
VoPtaesrs'spoIDrt
Voter's ID 5 of 11
OOtthheerrIIDD
IIDD11
Country of IssueCountry of Issue
IIssssuuee DDaattee DDDD MMMM YYYYY Y Y Y
IIDD 22
Country of IssueCountry of Issue
IIssssuueeDDaattee
DD MM YYY Y D DMM Y Y Y Y
Employed
SSeelflfEEmmpploloyyeedd
Unemployed
IDDNNoo..
ExpirEyxpDiaryteDateDD DMDM M YMYYY Y YY Y
DIDNNoo. .
ExpirEyxpDiaryteDateDD
MM YYYY D DMM Y Y
Y
Y
ReRteirteirdedS
Stutuddeennt t
OOtthheerrs(P(Pleleaasseessppeeccififyy))
LELeemnnpggltothhyeoorffppeeriroioddwwitihthcurreFnrot m
From: DD MM D DMM Y Y
YYY YY
Y
current Employer
To: DD MM YYY Y
To
D DMM Y Y Y Y
Staffff IIDDNNoo..
SInaclaormSIyna/eclEaoxrmpy/eeEcxtpedected PPoosistitoionn/R/Ranankk
EEmmppllooyyeedd Other (Please specify) Other (Please specify)
SSeelflfEEmmpploloyyeedd
UUnneemmppllooyyeedd
ReRteirteirdedS
Stutuddeenntt
Length of period with current From: DDD DMMMM YYYYY Y YY Employer
Salary/Expected Income
Staff ID No. Employment Type
PePremramnaennetnt
CCoonntrtarcatct
Position/Rank PaPrtaTrtimTieme
ConsultCaonnt sultant
Employer's Name
Employer's Address City/Town Metropolitan Munincipal & District Assembly
Region
Country
Nature of Business
Mobile No.
Employer's Email Address
Please provide details of Previous employment if period spent at current job is less than 3 years
Length of period with previous FFrroomm: DDD DMMM M YYYYY Y YY Employer
ToTo: DDD DMM M YYYYY Y YY
Salary/Expected Income
Second employment
Staff ID No. Employment Type Employer's Name
PePremrmanaennetnt
CCoonntrtarcatct
Position/Rank ParPt aTrimt TeimeC
Coonnssuullttaanntt 6 of 11
Employer's Address City/Town Metropolitan Munincipal & District Assembly Nature of Business
Employer's Email Address
First Alternate Contact Person
Title
Surname
Maiden Name
(if applicable)
Gender
Female
Male
TTeelleepphhoonnee NNoo..M Email Address
Residential Address HHoouusseeNNoo. .S
Metropolitan Munincipal & District Assembly
Region
Second Alternate Contact Person
Title
Surname
Maiden Name
(if applicable)
Gender
Female
TTeelleepphhoonneeNNoo..M
Male
Email Address Residential Address HHouosueseNoN. o.S
Metropolitan Munincipal & DistrictAssembly Region
Region
Country
Mobile No.
First Name Other Names
Relationship MobiloebNileo.No.
treSetrteNetaNmaeme
Country
First Name
Other Names Relationship
MobiloebNiloe.No.
trSetereteNt aNmamee
Country
7 of 11
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