Qard Hasan (Benevolent Loan) Form
Full Name:
Email Address:
Your WhatsApp Number:
Residential Address:
Employment Status
--Select--
Business Owner
Private Sector Employee
Public Sector Employee
Self-employed
Unemployed
Student
Contact Address (Not a Post Office Box)
List the required items/Services
Indicate the price of each item/Service listed above
Details of Prospective Seller/Service Provider
Desired Period of Repayment:
--Select--
3 Months
6 Months
9 Months
Name, Phone Number, Email & Residential Address of a Reputable Referee 1:
Name, Phone Number, Email & Residential Address of a Reputable Referee 2:
Name, Phone Number, Email & Residential Address of a Reputable Referee 3:
Other Relevant Information to aid Approval:
Enquiry
Please reach us via info@leedsng.com or Whatsapp on +2349073636558.
