Uganda Offices
Jinja
Mayuge
Kamuli
Bugembe, Jinja-Iganga, Highway
visionbrothersug@gmail.com
+256200 905 703
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1
PERSONAL DETAILS
2
LOAN DETAILS
3
EMPLOYMENT DETAILS
4
NEXT OF KIN DETAILS
5
BUSINESS DETAILS
PERSONAL DETAILS
Title
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Mr.
Mrs.
Ms.
Others (Specify)
Specific Titile
*
First Name
*
Other Names
Sur Name
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Layout
Gender
*
Male
Female
Date of Birth
*
Marital Status
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Married
Single
Co-Habiting
Separated
Divorced
Widow
Widower
Civil Union
Layout
Main Tel Contact
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Valid ID Type
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National ID
Driver's License
Passport
Alternative Phone
ID Number
*
Email Address
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Upload ID
*
Layout
District
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County
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Street
Village/Residence
*
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LOAN DETAILS
Layout
Loan Amount
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Loan Type
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Salary
School Fees
Agriculture
Investment
Personal
Commercial
Business
Home Improvement
Layout
Repayment Period
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Interest Type
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Straight Line
Reducing
Installment
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Collateral(s)
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EMPLOYMENT DETAILS
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Employment Type
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No
Employment Status
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Full Time Employed
Part Time Employed
Contract
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Self Employed
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Student
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Layout
Employment Industry
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Government
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Private
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Number of Years Employed
*
Employer Name
*
Work Phone Number
*
Your Position/Title
*
Monthly Salary
*
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NEXT OF KIN DETAILS & DEPENDANTS
Layout
Next of Kin Name
*
Next of Kin Phone
*
Relationship with Next of Kin
*
Number of Dependants
*
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Layout
Any Business
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-Select-
Yes
No
Business Phone
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Monthly Income
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Business Name
*
Number of Years in Business
*
Year Income
*
Business Type
*
Registrstion Reg No.
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SUBMIT
Street Address
Bugembe, Iganga-Jinja,
Highway, Jinja Uganda
Postal Address
PO Box 901172 Jinja
Eastern Uganda
Contact Our Office Now!
+256200 905 703
