Loan Application Form

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Jebri Al Salem Financial Home Address: Unit 7, Silverfield House, Claymore Drive, Aberdeen Energy Park. Bridge of Don, Aberdeen, AB21 8GD Skype: jealsalfunds Email: [email protected] Loan Application Form (Standard) 1. Name of Applicant: FOR OFFICIAL USE ONLY 2. Full Address: Date of application: 3. Loan Amount In Figure: Loan Amount in Words: 4. Loan Amount Duration: 5. ID-number: File handled by: 6. Place and Country of Birth: Supporting documents: 7. Nationality: 8. Tel/Fax Number: 9. Sex 10. Marital Status Validity Male Female Single Married Separated Divorced widowed Invitation Other Means of transport 11. Date of Birth (Year-Month-Day) 12. Purpose of Funding: Insurance Other 13.Type of Passport: [ International Passport Diplomatic Passport Service Passport Security: Refused [Alien’s Passport rivers License Other travel document (please specify): ……………………………………………………………………………………………………………………….. Granted 14. Passport Number 15. Issued By: 16. Date of Issue 17. Valid Until LTV A 18. If you reside in a country other than your origin, have you permission to travel outside the country? B No Yes C D 19. Current Occupation: D+C 20.Employer Address and Telephone No: Number of entries: 21. Next of Kin: 22. Tel/Fax No.: 1 2 Multiple 23. Address of Next of Kin: 24. Number of Request: 25. Preferred Interest rate: Single entry Two entries Multiple entries 26. Any Outstanding Debts Yes No Amount involved: Purpose of debt: i ..............................................................................................declare hereby that all the information’s given in the Loan Application Form is genuine and this funding firm will not be responsible for any mistakes caused me.

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Transcript of Loan Application Form

Page 1: Loan Application Form

Jebri Al Salem Financial Home Address: Unit 7, Silverfield House, Claymore Drive, Aberdeen Energy Park. Bridge of Don, Aberdeen, AB21 8GD

Skype: jealsalfunds Email: [email protected]

Loan Application Form (Standard)

1. Name of Applicant: FOR OFFICIAL USE ONLY

2. Full Address: Date of application:

3. Loan Amount In Figure:

Loan Amount in Words:

4. Loan Amount Duration: 5. ID-number: File handled by:

6. Place and Country of Birth:

Supporting documents: 7. Nationality: 8. Tel/Fax Number:

9. Sex 10. Marital Status Validity

Male Female Single Married Separated Divorced widowed Invitation

Other

Means of transport

11. Date of Birth (Year-Month-Day) 12. Purpose of Funding: Insurance

Other 13.Type of Passport:

[ International Passport Diplomatic Passport Service Passport Security: Refused

[Alien’s Passport rivers License Other travel document (please specify):

……………………………………………………………………………………………………………………….. Granted 14. Passport Number 15. Issued By:

16. Date of Issue 17. Valid Until LTV

A

18. If you reside in a country other than your origin, have you permission to travel outside the country? B

No Yes C

D

19. Current Occupation: D+C

20.Employer Address and Telephone No:

Number of entries:

21. Next of Kin: 22. Tel/Fax No.: 1 2 Multiple

23. Address of Next of Kin:

24. Number of Request: 25. Preferred Interest rate:

Single entry Two entries Multiple entries

26. Any Outstanding Debts Yes No

Amount involved:

Purpose of debt:

i ..............................................................................................declare hereby that all the information’s given in the Loan Application Form is genuine and this funding firm will not be responsible for any mistakes caused me.