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Personal Information

Please provide your accurate personal details as they appear on your Ghana Card.

Title * Gender * First Name * Middle Name Last Name / Surname * Date of Birth * Ghana Card Number * Marital Status *

Primary Phone Number * Additional Phone Number Third Phone Number Number of Children If married, provide spouse name and contact number

Provide your current residential details.

House Number GPS Address House Number, GPS Address and Nearest Landmark * Home Type * Years at Current Residence

Tell us about your work, income and business activity.

Customer Type * Occupation * Monthly Net Salary / Income (GHS) * Place of Work and Location *

Name and Actual Location of Your Church Pastor's Name Pastor's Contact

Provide a reliable guarantor and next of kin contact.

Guarantor's Full Name * Guarantor's Contact Details * Guarantor's House GPS Address * Guarantor's Occupation * Name of Guarantor's Employer

Next of Kin Name * Contact of Next of Kin * Relationship to Next of Kin

Provide your loan request and upload supporting documents.

Amount Requested (GHS) * Preferred Repayment Period * Purpose of Loan * Preferred Disbursement Channel MoMo / Bank Account Number Reference Code

Accepted files: PDF, JPG, JPEG, PNG. Maximum 3MB per file and 10MB total upload size.

Valid ID / Ghana Card Front * Ghana Card Back * Passport Picture Other Documents

I confirm the information provided is true and complete. Terms and conditions apply.