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PAYDAY LOAN - APPLICATION

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Cash Balance Payday Loan Application

Payday Loan - Applicant Information
Branches
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Name
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Surname
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Date of Birth
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ID
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Cell Phone
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Work Tel
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Home Tel
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Current Address
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City
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Province
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Area Code
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Own
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Rent
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Email Address
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Loan Required
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Employment Information
Current Employer
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Employer Address
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How Long ?
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Phone
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Email
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Employee Number
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City
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Province
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Code
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Position
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Permanent
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Temporary
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Monthly Salary Amount
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Salary Date
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Department
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placement
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Emergency Contact
Name of a person not residing with you
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Address
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City
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Province
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Area Code
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Phone
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Relationship
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Monthly Income and Expenditure
Net Salary
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Transport
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Housing
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Clothing
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Hire Purchase Installments
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Insurance Premiums
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Telephone/Cellphone
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Groceries
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Micro and Other Loans
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Municipal Services (water, lights and rates)
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Marital Maintenance Payments
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Other
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Banking Details
Name Of Bank
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Branch Name
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Branch Code
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Documents Upload
ID Document Upload
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Latest Payslip
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Latest Three Months Bank Statement
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