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Loan Application Form
All questions with * are mandatory
Every Accepted Application incurs NGN 500 fee. no hidden fees
Personal Information
Full Name:
*
Email:
*
Phone Number:
*
BVN Number (Please enter a valid BVN number):
*
Date of Birth:
*
Personal Address (Enter your full house address and PO Box if you have one):
*
Marriage Status:
Single
Married
Divorced
Widowed
Next of Kin Full Name:
*
Next of Kin Phone Number (Please enter a valid 11 digit phone number of Next of King):
*
Selfie Picture (Take with Camera or Upload):
*
Upload Identity document eg Company Identification card, International passport, National ID card or BVN Card (Accepted formats: .jpg, .jpeg, .png, .pdf):
*
Loan Details
Are you a First Time Applicant with ITM Loans
*
(if you are a first time applicaint and you choose No instead of yes your application would be voided immediated and you might have to apply again):
Yes (This is my first time applying)
No (I am a returning customer)
Requested Amount (NGN) (min NGN 20,000 and max NGN 5,000,000) :
*
Loan Circle:
*
1 Month (5% Interest)
2 Months (7.5% Interest)
3 Months (9% Interest)
4 Months (12% Interest)
5 Months (15% Interest)
6 Months (18% Interest)
Purpose of Loan (What will you be using the requested Money for):
*
Collateral Information (If loan > 300,000 NGN):
Choose Your ITM Loan Guarantor( If you have a garantor that works for ITM this is mandatory):
*
Mrs Tope Adeusi (Iya Banke)
Mrs Abosede Aliyu Gadzama
Mr Sunday Oladipo
None of the above
Job Details or your Company Details if self Employed
Occupation or Type of Business:
Company or Business/Shop Name:
*
Company or Business/Shop Address (Enter your full house address):
Company or business Guarantor Full Name (If you have someone at your office or Business that can be your garantor, this is not mandatory but it would help your application):
Company or business Guarantor Phone Number:
Account Details (where loan if approved would be credit)
Bank Name:
*
Account Name (Must match the applicants name or payment would not be made):
*
Account Number:
*
Verify Account Number:
*
Account numbers do not match.
Online Signature by clicking this box you are argeeing to our
Terms and Conditions
we advise you read it well.
I have read, understood and accept all the
Terms and Conditions
& privacy policy contained on this page and I willingly like to proceed with this loan application.
*
Submit Application