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Government Loan Forms

Personal Information

Ghana Card Front

Ghana Card Back

Signature

Customer Full Name

GPS ADDRESS

LOCATION

Next Of Kin Details

Next Of Kin Name (18yrs and Above)

Next Of Kin Phone Number

Next Of Kin ( Location )

Head Of Department Details

HOD Full Name

HOD phone Number

Employee ID

Enter Employee Number

Mandate Form

OTP

Mandate Number

State Institution Type

Institution Type

Department

Select Loan Type

Select Loan Term ( Months )

3 6 9 12 18 24 30 36 42 48

Loan

Purpose

Amount

Mode Of Payment

Mode Of Payment

Mobile Money Number (Only For Momo Payment)

Banking Information (Only For Bank Payment)

Name of Bank Account (If any)

Branch

Account Number

Upload Photo

Upload Photo Holding ID

Agent Name

Security Pledge

I confirm that the information provided above is true and I am aware that detection of any false declaration renders my application void.

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