Transcription of PERSONAL UNSECURED LOAN APPLICATION FORM
1 BSP883 Page 1 of 2 Version: ( 20/10/2015) PERSONAL UNSECURED loan APPLICATION form Customer PERSONAL Details Date: / / First Name: Middle Name: Surname: Salutation: O Miss O Mr O Mrs O Ms O Dr Gender: O Female O Male Date of Birth: / / Marital Status: O O O Married Living Apart Widowed O O Defacto Single O O Divorced Never Married BSP Salary Account Number: FNPF Number: Number of children attending school: Number of Dependants: loan Details Purpose of loan : loan Type: O Top-up O New loan Term: months loan Amount: $ Existing Credit Card Limit: $ Relative Details (someone not living with you) Full Name: Relationship: Address: City: Country: Employer: Phone Contact: Customer Address Details Your Postal Address: Postal Address: City: Country: Residential Status: O Resident O Non Resident Your Residential Address: Residential Address: City: Country: Years at address.
2 Mobile Phone: Please complete the next Page 2 of 2 Version: (20/10/2015) Employment Details Current Employment: Current Employment: O Contract O Full Time O Part Time O Temporary O Other _____ Name of Employer: Job Title: Start Date: / / End Date: / / Business Address: Work Phone: Income and Expenses Income Monthly Repayments (including fees) Gross Salary: $ Housing loan : $ Annual Rent Received: $ Car loan : $ Other Regular Annual Income: $ UNSECURED Loans & Master Card: $ Monthly Net Income (Take Home Pay): $ Hire Purchase, CU loan , Rent & Others: $ Insurance: $ Maintenance: $ Assets and Liabilities Liabilities BSP Other Institutions Other Banks Mortgage loan Owed: $ $ $ Overdrafts/Banks PERSONAL Loans owed: $ $ $ Credit Card Amount owed: $ $ $ Hire Purchase Amount owed: $ $ $ Any Other liabilities: $ $ $ Assets Vehicle (Est Market Value).
3 $ Life Assurance / Super Annuation (Surrender Value): $ Real Estate Property (Est Market Value): $ PERSONAL Effects & House Hold items(Est Market Value): $ Deposits & Investments ( Balance): $ Any Other: $ Guarantor Are you currently acting as a guarantor for any loans: O Yes O No If Yes, details: Thank you. Press Submit form to complete this APPLICATION process
