PERSONAL UNSECURED LOAN APPLICATION FORM

PERSONAL UNSECURED LOAN APPLICATION FORM

Submit Form

Customer Personal Details

Date:

//

First Name:

Surname:

Gender: Marital Status:

O Female

O Male

O Married

O O Defacto

Divorced

O O O Living Apart

Single

Never Married

O Widowed

Number of children attending school:

Middle Name:

O O O O O Salutation: Miss Mr

Mrs

Ms

Dr

Date of Birth:

//

BSP Salary Account Number:

FNPF Number:

Number of Dependants:

Loan Details

Purpose of Loan:

Loan Term:

months

Loan Amount: $

O O Loan Type: Top-up

New

Existing Credit Card Limit:

$

Relative Details (someone not living with you)

Full Name: Address: Employer:

Relationship: City:

Country: Phone Contact:

Customer Address Details

Your Postal Address:

Postal Address:

Residential Status:

O Resident

Your Residential Address:

O Non Resident

Residential Address:

Years at address:

City: Country:

City: Country: Mobile Phone:

Please complete the next page...

BSP883

Page 1 of 2

Version: 1.0.1 (20/10/2015)

Employment Details

Current Employment:

O Current

Employment:

Contract

Name of Employer:

Job Title:

O O Full Time

Part Time

O Temporary

O Other _______________________

Start Date:

Business Address:

/

/

End Date: Work Phone:

/

/

Income and Expenses

Income

Gross Salary:

$

Annual Rent Received:

$

Other Regular Annual Income:

$

Monthly Net Income (Take Home Pay):

$

Monthly Repayments (including fees) Housing Loan: $

Car Loan: $

Unsecured Loans & Master Card:

$

Hire Purchase, CU Loan, Rent & Others:

$

Insurance: $

Maintenance: $

Assets and Liabilities

Liabilities Mortgage Loan Owed: Overdrafts/Banks Personal Loans owed: Credit Card Amount owed: Hire Purchase Amount owed: Any Other liabilities:

BSP $ $ $ $ $

Other Institutions $ $ $ $ $

Other Banks $ $ $ $ $

Assets

Vehicle (Est Market Value):

$

Real Estate Property (Est Market Value): $

Deposits & Investments ( Balance):

$

Life Assurance / Super Annuation (Surrender Value):

$

Personal Effects & House Hold items(Est Market Value):

$

Any Other: $

Guarantor

Are you currently acting as a guarantor for any loans:

O O Yes

No If Yes, details:

Thank you. Press `Submit Form' to complete this application process

BSP883

Page 2 of 2

Version: 1.0.1 (20/10/2015)

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download