ConsumerFinanceApplicationForm FV112723
ConsumerFinanceApplicationForm FV112723
ConsumerFinanceApplicationForm FV112723
Application Form
REFERENCE NUMBER
Full Name
E-mail Address
Permanent Address
Present Address
Organization
Purpose
Bank
V.MAR/24 page 1 of 3
If the number of guarantors exceed the provided slots, please attach an additional copy of this page
SECTION 6 GUARANTOR DETAILS and complete the following).
Full Name
ID Card No.
Permanent address
Relationship
Signature
Type of Assets Model No. Supplier/ Vendor Value Brand New/ Second Hand
1.
2.
3.
4.
5.
6.
7.
8.
SECTION 8 DECLARATION
D D M M Y Y Y Y
Signature Date Secret Pass phrase
page 2 of 3
V.MAR/24
SECTION 9 REFERRAL DETAILS
COPY 6. Bank Statement for the past 12 months for direct loans only
Other Documents
COPY 9. Documentary evidence to confirm the business existence- for businesses only
1. Funding Amount
2. Purpose
3. Loan Tenure
7. Amount to be Credited
8. Others
D D M M Y Y Y Y
Received Date Approved Date PO issued/ Disbursed Date
D D M M Y Y Y Y D D M M Y Y Y Y D D M M Y Y Y Y
V.MAR/24 page 3 of 3