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Zenith Mortgage Loan Application Form
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indicates required fields
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Applicant Name:
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Sex:
Please select one:
Male
Female
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Marital Status:
Please select one:
Single
Married
Divorced
Widowed
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Date of Birth
(dd/mm/yyyy)
NO. of Children:
(1 - 20)
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Qualifications:
(1 - 20)
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Residentail Address:
Home Phone
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GSM No
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Email
No. of Dependants you are financially responsible for
(1 - 20)
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Despriction of Property
Price: (N)
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Address of Property
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Proposed Use:
Please select one:
Residence
Investment
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Loan Amount Applied for:
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Tenor
(years)
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Equity Contribution
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Mode of Principal Repayment
Please select one:
Monthly
Quarterly
Half-Yearly
Yearly
Outstanding Loan
Institution
Value
Tenor
Security
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Are You in:
Please select one:
Paid Employment
Self Employment
Last Emploment
Period of Employment
:
(dd/mm/yy to dd/mm/yy)
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Current Employment
Position:
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Annual Gross Salary
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Extimated Monthly Expenses
*
Extimated Terminal Benefit
Zenith Bank Account Number
Spouse Name
Profession
Place of Employment
Gross Income
I hereby confrim that i am applying for the above Mortgage load and certfy that all the information provided by me above is true and complete and that I stand to be disqualified if found untrue. I hereby confrim that Zenith Bank Plc is authorised to obtain verification of th infromation provided in respect of my Mortgage loan application. And I understand and gree that the completion of this Loan Application Prequalification Form does not automatically guarantee the processing of my loan request or approval of a Mortgage loan by Zenith Bank Plc.
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