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

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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

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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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