Loan Application

Unlock Your Access To QuickLoans

Loan Application Form

Your Email address:

Name:

Address:

Sex :

Male

Female

Date of Birth (DD-MM-YYYY):

Account Name:

Account Number:

Bank Name:

Bank verification number (BVN)

Your Bank account details is the account we would be crediting your Loan amount to

Loan Amount:

Loan Amount :

1 Month

2 Months

3 Months

6 Months

1 Year

Purpose of Loan

Personal Loan

Business Loan

Reason of Loan

The following details will be use to login your Loan wallet

Create Username:

Create Password:

Whatsapp contact (Compulsory):

Phone Number :