Loan Application – Pumumu Financial Services

PUMUMU FINANCIAL SERVICES CC

P.O Box 2893, Walvis Bay
Reg no: CC/2022/10810
E: pumumuinvestment@yandex.com
W: www.pumumufinances.com
C: +264857800043

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Personal Details

Residential address

Address Line 1

City

State / Province / Region

ID Number

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Phone

Banking Details

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Bank Name

Branch

Account type

Account Number

Branch Code

Employment Details

Please fill in Employment details below

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Name of Employer

Employer Postal address

Client Occupation

Employer Physical address

Employer Phone/Mobile

Loan Information

Please fill in the desired loan amount(N$). You can get up to N$ 10 00.00 at 30%

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Amount Desired [Max N$ 10 000]

Months to pay

Selected Value: 0

With effect from Date:

Next of Kin

Please Fill in Your Next Of Kin Details Below

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First Name

I.D or Passport Number

Their Physical Address Home number and street

Last Name

Contact Number:

City/Town

Attachments

Please attach the Legal required documents that are certified or officially stamped below

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Certified ID Copy

Click or drag a file to this area to upload.

Latest PaySlip

Click or drag a file to this area to upload.

3 Months Bank Statement

Click or drag a file to this area to upload.

Proof of Employment

Click or drag a file to this area to upload.

Applicant Disclosure, Consent and Authorization

I authorize prospective Credit Grantors/Lending/Leasing companies to obtain personal and credit information about me from my employer and credit bureau , or credit reporting agency, any person who has or may have any financial dealing with me, or from any references I have provided. This information, as well as that provided by me in the application will be referred to in connection with this lease and any other relationships we may establish form time to time. Any personal and credit information obtained may be disclosed from time to time to other lenders, credit bereaus or other credit reporting agencies.

I hereby agree that the information given is true, accurate and complete as of the date of this application submission

Signature and Date

Sign the form by inserting your name and Date.

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Name

Date / Time

Banking Details

First National Bank
Gold Business Account
Acc. No 64280037241
Branch:
Branch Code