Salary Based Loan Application – Microhub Financial Services

Salary Based Loan Application Form

Name of Applicant *

First

Last

Date of Birth

ID Number of Applicant *

Gender of Applicant

Marital Status

Nationality

Country of Residence

Name of Employer / Company *

Job title *

Employer’s address *

Department *

Length of service *

Employer’s Telephone Number *

Extension

Monthly Basic Salary *

Monthly Net Salary *

Email *

Name of Spouse *

First

Last

ID Number of Spouse *

Spouse Place of work and address:

Spouse email address and telephone number

Requested loan amount (USD) *

Loan Term (months) *

Purpose of Loan *

Bank & branch where salary is paid

Account Number

Home Address (including street number, closest cross street, surburb and identifiable landmark)

Home Telephone Number

Mobile Number

Alternative Contact Number (work, spouse or neighbour etc.)

Reference 1 (Name, contact number, address and your relation to the reference)

Reference 2 (Name, contact number, address and your relation to the reference)

How did you know of Microhub Financial Services?

If referred, name of person who referred you

Declaration: *

I declare that the above information is true and correct

Small beginning, giant impact

The Value of
The Customer

"To us, customer centricity is not just a corporate value we have stuck on our wall, but it is a culture we have inculcated in all our staff upon realisation that our clients are at the centre of everything we do."

Tamirira Rusheche

Managing Director,
Microhub Financial Services

Salary Based Loan Application Form

Small beginning, giant impact

The Value ofThe Customer

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The Value of
The Customer