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)
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