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2025-Loan Application Form

This document is a loan application form that collects essential details from the applicant, including personal information, loan amount, purpose, and repayment sources. It requires the applicant to provide securities and guarantors, along with a declaration of understanding regarding loan repayment. The form also includes sections for official use, loan repayment schedules, and endorsements by loan officers and other officials.

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LAKONY CHARLES
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88 views4 pages

2025-Loan Application Form

This document is a loan application form that collects essential details from the applicant, including personal information, loan amount, purpose, and repayment sources. It requires the applicant to provide securities and guarantors, along with a declaration of understanding regarding loan repayment. The form also includes sections for official use, loan repayment schedules, and endorsements by loan officers and other officials.

Uploaded by

LAKONY CHARLES
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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+256 393 256-268

xellixgs@gmail.com
Pece-Laroo Division

LOAN APPLICATION FORM


No. XGS/025/………..

APPLICANT’S DETAILS

NAME OF APPLICANT: ……………...........................................................................................

RESIDENTIAL ADDRESS: …………….........................................................................................

NIN No. ……………............................................... TEL No. .....................................................

LOAN PROCESSING FEE (20,000/=) (Non-Refundable): PAID NOT PAID

Amount of loan applied for (In figure):


(In words):

The interest rate Charged:


The purpose for which the loan is applied for:

Loan Period: _
Date the loan is required: _
Source(s) of loan repayment:

Average net monthly income:

DETAILS OF THE LOAN SECURITIES (Attach evidence of ownership)


S/N PARTICULAR DESCRIPTION LOCATION VALUED AT
1

4 TOTAL
DETAILS OF GUARANTORS
I/we, understand and accept that the loan applicant be granted a loan and I/we hereby agree
to repay from my/our own source(s) including my/our savings, the total amount of the loan
owned by the applicant if he/she fails to repay the loan granted by the time it is due.
S/N NAME NIN NUMBER SIGN
1

NB:
1. Attach a signed photocopy of your National ID and for the guarantors.
2. Attach a copy of photos of the securities pledged and a sketch map leading to the
securities pledged from a known location.
3. Borrowers to frequently communicate to the loan officer detailing the plans towards the
repayment of the loan.
4. On failing to complete your loan repayment within the agreed period, the remaining
balance will become your new principle and the earlier agreed interest rate applied
monthly (Compound interest will be applied).

DECLARATION

I understand that I have to fully


repay the loan applied for with interest thereon on the date agreed upon. I also authorize the
lender to confiscate my assets pledged as securities for the loan without any hindrance from
me or anyone else to recover any amount of the loan that I will have failed to pay.

Signature of applicant: ……………………………………. Date: ………………………….

FOR OFFICIAL USE ONLY


Date the application was received:
Status of Loan: APPROVED REJECTED

Reason for Rejection (If applicable):

Amount Approved (If applicable):


Amount in Words:
History of applicant’s repayment (If applicable):

Loan Officer’s Recommendation:

Name: Date:
Sign:

Verified by Chief Finance Officer


Name: Date:
Sign:

Approved by Chairperson
Name: Date:
Sign:

WITNESSES
S/No NAME DESIGNATION SIGN
DATE: --------------------------------------------
LOAN REPAYMENT SCHEDULES

APPLICANTS’ NAME AMOUNT INTEREST RATE INTEREST AMOUNT INSTALMENT PAY TOTAL LOAN
BORROWED

DATE DETAILS AMOUNT INTEREST INSTALMENT BALANCE SIGN


BORROWED AMOUNT PAYMENT
LOAN

1ST INSTALMENT

2ND INSTALMENT

3RD INSTALMENT

ENDORSED BY LOAN OFFICER


Name: Date:
Sign:

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