• (876) 816-9942

LOAN APPLICATION


 

Please take the time to complete the loan application, it only takes a few minutes. You can also download the pdf version of the application for completion offline.
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(*) = Required Information

Apply for a Loan

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PERSONAL INFORMATION

Please Enter Title

Please Enter your Surname/Last Name

Please Enter Your First Name

Please Enter Your Middle Name

Spouse Details
___________________________________________________________________________
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Please enter surname

Please enter middle name

Please enter first name

___________________________________________________________________________
Please Enter the number of Dependants

Please enter your current home address

Enter Parish

Please enter proof of address.

Indicate what you will use as proof of address.

Please select No. of Years at Address

Years

Please Enter Mobile Number

Please enter a valid email address

Please enter your previous home address

Please enter years at Address

Eg. 1

Please Enter Your Date Of Birth

(DD/MM/YYYY) Eg 22/12/1990

Please enter nationality

Eg. Jamaican

Please enter a valid NIS number

(Eg 000-000-000)

Please enter a valid Tax Payer Registration Number (TRN)

(Eg 000-000-000)

Please select ID Type you will use

MOST be a picture ID

Please enter a valid Tax Payer Registration Number (TRN)

ID number of the ID Type selected above

EMPLOYMENT INFORMATION

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Name of Individual / Company you work

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Enter phone number

Eg. (876) 000-0000 (ext) Please include extension

Select years

Years

Please specify type of employment contract

Enter spouse's present employer

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Enter phone number

Eg. (876) 000-0000 (ext) Please include extension

Select years

Years

SUMMARY OF MONTHLY INCOME & EXPENDITURE

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What method will you use as proof of income?

________________Please specify ALL your monthly Income ________________
Please enter net pay

Net Pay( after tax)

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Enter Bonus & Commissions

Enter Bonus & Commissions

Enter Other Income

Please Enter your net monthly income

________________Please specify your monthly expenses ________________
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Bank Laon

Leave blank if no bank loan

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Utility Payments

JPS,NWC,Cable,Telephone/Cell

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Please enter total Expenses

Please Enter your net monthly income

LOAN INFORMATION

Please enter the amount of Loan Required

Amount of money you want to borrow Eg 20,000

Please enter the purpose of Loan

Bank Information

Provide us with details on your bank account.
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REFERENCES

Provide us with the contact details for two (2) references
REFERENCE One (1)
Provide us with the contact details for the person you wish to use as a first reference.
(Relative NOT living with you)
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Please Enter Reference Last Name

Full Name

Please Enter Reference Current Address

Please Enter Reference mobile number

(876)000-0000

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Please enter employer Name (of Reference)

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(876)000-0000

REFERENCE Two (2)
. Provide us with the contact details for the person you wish to use as a second reference.
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Full Name

Please Enter Friends Address

Please Enter Friend's Phone Number

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(876)000-0000

Please enter employer Name (of Reference)

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Comment

Any short comment or additional details

By submitting this form you agree with ALL the terms and conditions below.

I hereby certify that I am at least 18 years of age and that all information provided in this Loan application is true, complete and acknowledges that such information will be used by CashBiz Finance to determine the your creditworthiness
I expressly agree that any advances to me are made by CashBiz Finance in reliance on the information disclosed in this Loan Application
I agree to CASHBIZ FINANCE taking such steps as it may deem necessary to verity any of the information given. You are authorized to provide information to credit bureaus and other credit guarantors as permitted by law and send me information about other services.
I agree to pay ALL fees associated with the processing of this loan.
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