Loan Application Form (#3)ΔSIlver Kuun Loan Application FormSilver kuun Cooperative Society Ltd. Personal loan is intended offer loans to eligible member who have immediate need for funds.The monthly repayment schedule is for maximum 30days.SurnameFirst NameOther NamesE-mail of ApplicantPhone Number of AppliicantAlternative Phone Number of AppliicantMarital Stautus Married SingleGender Female MaleOccupationAddress of Applicant AddressCityStateCountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)ReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabweDate of Birth of Applicant BVNApplying as Sole Proprietor Partnership Corporation IndividualPassport PhotographChoose File Mode of Identification National I.D Card International Passport Voters Card Drivers LicenseIdentification NumberUpload Identification Document(e.g. National I.D Card, International Passport, Voters Card, Drivers License)Choose File Next of Kin NameNext of Kin Phone NumberNext of kin Address Does the borrower have an up to date assets and liabilities statement? Yes NoUpload StatementChoose File Next of Kin NameNext of Kin Phone NumberLender Name Financing was forLoan Reason Construction Asset Purchase Refinancing OtherProject Gross ValueBusiness Information/Employment InformationName of Employer/BusinessOffice Tel. NoAnnual IncomeRegistered Business Business Address/Office AddressBrief Description Of Customer BusinessLoan Type Personal Vehicle Finance Business Loan School Fees Advance Instant Loans Other(Specify) Loan AmountLoan Amount in WordsLoan DurationRepayment Method: Post Dated Cheques Bank Standing Order Personal TransferDetails of Collateral:Collateral PresentedReferrer's DetailsFirst NameLast NamePhone/MobileDeclaration The loan is secured by the application form and the term and conditions attached burden. The acceptance of your applications for a loan shall be at the directions of Silver Kuun Cooperative society and we shall not be mandated to state reasons to you should your application not be accepted. If we accept your application you will be daily informed. I declare that I am at least 21years of age or above. I confirm that all the details given in this application are true and complete. I further authorize Silver Kuun Cooperative to conduct any enquiry it requires necessary for the purpose of evaluating this application form. I agree that the information herein are true and correctSubmit Application Form
