Personal Finance/Home Appliances
Full Name:
Email Address:
Your WhatsApp Number:
Residential Address:
Employment Status
--Select--
Business Owner
Private Sector Employee
Public Sector Employee
Business Location/Office Address
List the required items and estimated cost of each item:
Details of Prospective Seller/Service Provider(For Solar, indicate as Leeds NG)
Desired Period of Repayment:
--Select--
6 Months
9 Months
12 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: