CREDIT INVESTMENT FUND plc.
The best Solution to your money problems
Reg. No: RC.BDA.2006B.14
PERSONAL LOAN APPLICATION FORM PERSONAL LOAN APPLICATION FORM Branch office__________________________________ Branch Manager_______________________________ Application reference___________________________ Please complete this form in block letters and return it to the Account Officer in your local branch. PERSONAL INFORMATION Title Surname First name Middle name
P. O. Box 876 Bamenda, Tel: 33 03 52 67
Tel/Fax: 33 05 10 30
Region of origin MARITAL STATUS: Single Married
Division of origin Separated Divorced Widowed
Sex Date of birth
NUMBER OF DEPENDENTS Children/ relatives you are financially responsible for Monthly average expenses Residential Address (not P.O Box address) Is residence: Owned Years Time of current address Number of cars previously own Home phone Nature of investment: Property Months Rented
Highest educational level Total monthly debt payment
Other
Years Months
Time of current address Postal address Mobile Shares/Stock Cash deposit Total value E-mail
International passport Driving License (CIF requirements for application of 1 million frs cfa and above. If applicant does not own an international passport or driving license, please provide recent photograph) Name of spouse Spouse’s length of employment Spouse’s place of employment Annual income of spouse EMPLOYMENT INFORMATION Job title Employment classification: jnr. Staff Contract Industry snr. Staff Manager Executive
m a n e n
Employment status: Permanent Occupation Business address
Name of current Employer Office Phone
Date of employment Number of years to retirement After –tax annual income TOTAL OTHER PAYMENTS Month Payments January April July October
Age of business in years (if self employed) Expected terminal benefits Basic monthly salary
Month February May August November
Payments
Month March June September December Date salary is paid
Payment
Loan deductions (if any) currently: Taken out of salary Name of employers (If less than three years of current employment) Number of employers in the last 5 years BANKING DETAILS
Number of years of total work experience Day Month
> 5 years
Year
CIF branch where Account is domiciled (See below if account is currently in another bank)
<6 months
Date account was opened
7-24 months 25-60 months
Length of account relationship (in months) Account own: Current Saving Term deposit Account number
Other Banks (please attach a photocopy of bank statement from another bank if any for last 6 months) S/N Name of other bank Type of Account (e.g. current, Duration at bank Turnover (Total savings, deposits) over last 6 months) 1 2 3 4 LOANS OUTSTANDING S/N Type of loan (e.g. share loan, staff loan overdraft ) 1 2 3 DETAILS OF LOAN REQUEST LOAN TYPE: Asset finance Amount required Share Purchase Contribution Quarterly borrowing against share Tenor in months Annuals Home construction Other Home refinance Cash collateral
Amount outstanding Collateral
Expiry date
Propose method of principal payment: Monthly Home Acquisition Land Acquisition
Home Renovation
Amount required
Contribution Quarterly
Tenor in months Annuals Other
Propose method of principal payment: Monthly
I hereby confirm that I am applying for the above credit that all the information provided by me above and attached hereby is true and complete. I authorize you to make any enquiries you consider necessary and appropriate for the purpose of evaluating this application. Application’s signature___________________________________________Date:___________________ Account officer:________________________________________________Signature Date______________
DETAILS OF SHARES, ASSET, HOME OR LAND TO BE AQUIRED (To be completed by the customer) ASSET FINANCE (If the number of items exceeds the number of rows in the table, please list the excess in the space of this page) S/N Type of asset Make Model Expiry Date
HOME LOAN (If the number of homes or land exceeds the number of rows in the table, please list the excess in the space of this page) S/N Location of home or land Invoice value Contractor Expiry Date Name of valuer
SHARE PURCHASING LOAN (If the purchasing shares from more companies than the number of rows in the table, please list the excess in the space of the bottom of this page) S/N Location of home or land Invoice value Contractor Expiry Date Name of valuer
COSUMER LOAN APPLICATION –CUSTOMER COLLATERAL SCHEDULE (This is to be completed by the customer if providing collateral. The Account officer may assist the customer with this section A. Employer inquiry section completed: Yes B. Cash collateral A/C Number Saving Fixed Term deposit Short term deposit CIF Asset Management Investment CIF Market investment CIF Trustees investment Amount No Date Letter
C. SCHEDULE OF SHARES If the number of shares exceeds the space provided below. Simply lost them on a plain sheet of paper and attach to this application S/N Company Name Number of unit Quoted price per unit Total value 1 2 3 4 5 6 7 8 9 10 Total value of share D. Other (please specify) Applicant’s signature ____________________________________Date:_________________________________
TYPE A EMPLOYEE STATUS ENQUIRY FORM –SALARIES PAID THROUGH CIF
Dear Sir of Madam An employee from your organization has requested a consumer loan from the bank. Kindly confirm by signing on the space provided below the following information provided by him/her to enable us promptly process her request. Employee’s Name Employee’s Number Employment classification: Jnr. Staff Date of employment Expected terminal benefit Job position Snr. Staff Mgt exec Date of birth Basic monthly income
After-tax annual income
Loan amount currently deducted at source (monthly)
TOTAL OTHER PAYMENTS Month Payments Month Payments Month Payments January February March April May June July August September October November December Please be assured that confirmation given by you will be treated in strict confidence and without prejudice to your organization Thank you. Yours faithfully Business Manager CIF I hereby confirm that Credit Investment Fund Plc. Is authorized to obtain verification of information provided by me in respect of my consumer loan application.
______________________________ Applicant’s signature To be completed by the applicant’s employer
____________________ Date
A. We confirm that the above information as provided by our employee is accurate: Yes No B. If the application is considered and a loan is granted, we certify as follows: 1. We shall continue to pay his/her salary into his/her account No.______________ with your___________________ 2. No change of bank account will be effected without a written confirmation from CIF of due liquidation of the loan. 3. In the event of his/her separation from the company before the liquidation of the loan, his/her terminal benefit where available will be paid through the same account. This information is given in good faith and without prejudice to the organization. Please note that this does not constitute a guarantee on this loan on the part of the organization. ________________________ Signature ______________________ Designation
_______________________ Date & Official stamp