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First Name
Your First Name
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Last Name
Your Last Name
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Date of Birth
Date of birth
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Address
Your Address
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Email
Your E-mail Address
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Year of Business / Employment
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Place of Business
Place of Business
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Phone
Phone
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Bank details
Bank details
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Type of Business
Type of Business
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Job Title
Job Title
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Other information
Other information
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Loan information

Loan Amount
Loan Amount
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Net monthly income
Enter the price
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Accrued benefit
Accrued benefit
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Amount in Words
Amount in Words
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40% of monthly income
Le0.00
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Other Loan (s)
Other Loan (s)
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Loan tenure
Loan tenure
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Other information
Other information
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Proposed repayment terms
Proposed repayment terms
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Official Guarantor’s Details

Job Title
Job Title
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Address
Address
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Institution
Institution
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ID Type
ID Type
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Name
Full Name
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ID No
ID No
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I hereby certify that the information contained in this Loan Application Form is true and I have the capacity to repay the Loan. I understand that this Loan Application may be rejected at any stage should any information contained herein be found to be incorrect and I will be liable for any outstanding amounts plus interest to be paid to JIT Capital Microfinance on demand. I also understand that legal action will be taken if I fail to make payment on the loan as agreed.
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