Leeds Reference Form

*Please note that family members and relatives of applicant cannot serve as referee to the applicant.

Referee Name:

Email Address:

Your WhatsApp Number:

Residential Address

Age:

Gender:

Select your means of identification

Number on your means of Identification:

Employment Status

Job Designation/Title

Name of Organization

Office Address/Business location

Client Details

Client Name:

Phone:

How long have you known the client

Level of Trust

Knowledge of Business

Ability to Manage Finances

Relationship with client

I fully support application of the client for non-interest finance from LNIF

I warrant that I should be contacted in the case of a default in repayment by the client

I promise to unconditionally pay any outstanding debt if the applicant defaults

Account Name:

Account Number:

Bank Name: