MULTI-PURPOSE LIMITED
Address: 20, Ifekoya Street off Adealu Road, Dopemu Agege Lagos
Branch: Ayeni 1010 Close, Opebi Link Bridge, Ikeja. Lagos.
Tel: 07038880018, 07038448043
LOAN APPLICATION FORM
Please complete this form in block letters
JHCM/LA/ML …………………….
APPLICANT NAME: OLUWALADE MICHAEL………………………………………..
……………………………………………
ADDRESS: ………………………BEHIND SKYWARD INTERNATIONAL ACADEMY…….
……………………….………………………….………………
OCCUPATION: ……………………MONIEPOINT POS MARKETTER AND OPERATOR………….…..
PHONE NO: ………………………09169399336…………..
BUS. OFFICE ADDRESS: …………………………Kelizan Plaza Opposite Medical Junction,
Mararaba………………….………………….…………….
MOTHLY INCOME: 100,000…………………………… SALARY SELF EMPLOY ✓
CASH FLOW:
AMOUNT OF THIS LOAN: ……………………………
N80,000…………………………………………………
ANY PREVIOUS LOAN BEING SERVED? YES / NO✓
AMOUNT OF INSTALLMENT PLAN: N10,000 Monthly…….……………………………………
LOAN DURATION: ………………6…Months…… AGREED INTEREST ON LOAN ….
……………………..
PURPOSE OF LOAN: …………………………Settle POS
Issue………………………………………………………….
NEXT OF KIN’S NAME: ………………………Pastor Olanrewaju
Oluwagbemi……………………………………………………………
ADDRESS OF NEXT OF KIN: ……………………Overcoming Word Assembly,
Mandalla………………………………………………………..
……………………………………… RELATIONSHIP WITH NEXT OF KIN: …………………………
Friend and from the same State
PHONE: …………………………………..
IS YOUR NEXT OF KIN AWARE OF THIS LOAN? YES NO
LOAN AGREEMENT
This Loan Agreement is made this day …………...……….…. Of ……….……… 20………….….
BETWEEN
……………………………………………………………………………….……………………………
of………………………………………………………………………..………………………………..
………………………………………………………………………..………………………………….
(hereinafter referred to as “the Borrower” which expression shall where the content so admits include personal
representative (s), heirs and assigns) of the one part
AND
JOINT HELP (DOPEMU) COOPERATIVE MULTIPURPOSE LTD. Licensed in Lagos State, Nigeria
with its corporate office at 20, Ifekoya Street, Off Adealu Road, Dopemu Agege (hereinafter referred to as
“Cooperative Society” shall where the context admits include it successors in title and assigns) of the other
part.
WHEREAS:
1. The Borrower has applied into the society for a loan facility in the sum of N ………………………..
Amount in Words:
…………………………………………………………………………………..........................................
Account to Credit:
……………………………………………………………………………...............................................
State above
2. The Cooperative Society agree to grant the facility subject to the following terms and conditions
TERMS & CONDITIONS OF THE LOAN
a. Provision of 1 credible guarantor who must be a Joint Help Cooperative Members who shall guarantee
full payment of the sum above and interest of the society on demand from the Borrower.
b. Purchase of loan form of N500/N5,000 to cover all other management and processing
c. Upfront payment of interest
d. Repayment of loan amount approved as stated in the repayment scheduled.
e. Seizure of goods for nonpayment of outstanding loan balance and interest.
f. Auction of seized goods to repay outstanding loan balance and interest
g. A duly signed cheque to cover both principal of the Interest for the time covered for the Loan.
Customer’s Signature: ……………………………….. Date: …………………………………
Name of witness: ………………………………………………………………………………
Witness Signature: …………………………………. Date: ……………..……………………
OFFICIAL PUROSE:
Name & Signature of A/C Officer: …………………………………..………………………….
Loan Committee Remark: ………………………………………………………………………………..
……………………………………………………………………………………………………………
……………………………………………………………………………………………………………
Confirmation of Guarantor by Supervisor: ………………………………………………………
Name & Signature of Supervisor: …………………………………………………………………
President’s Approval ………………………………………………………………………………
