Loan Application

Complete the form below to apply for a loan

Personal & Next of Kin Information

Employment & Loan Details

Identification

Review Terms & Submit

Personal & Next of Kin Information

Title

First Name

Last Name

Middle Name

Mother's Maiden Name

Date of Birth

Gender

Marital Status

Email Address

Phone Number

State

Full Address

BVN (Bank Verification Number)

NIN (National ID Number)

Next of Kin Information

Relationship

Title

First Name

Last Name

Middle Name

Email Address

Phone Number

State

Full Address

Employment & Loan Details

Employer

IPPIS Number

Bank

Select...

Account Number

Loan Information

Loan Amount (₦)

Tenor (Months)

Total Interest (₦)

Monthly Repayment (₦)

Total Repayment (₦)

Agent ID (If applicable)

Loan Purpose

Identifications

Passport Photograph

Please take a clear picture of your face

Signature

Carefully draw your signature on the board after clicking the button

Work Id

Please take a clear picture of your work id

I confirm that the information i have provided for this loan is true and correct. I agree to the loan terms and conditions and understand that normal service charges may apply as clearly communicated. I also understand that, where required, the company may reach out to trusted third parties solely to verify my information and properly assess my loan application.

Loan Application

Personal & Next of Kin Information

Next of Kin Information

Employment & Loan Details

Loan Information

Identifications

Passport Photograph

Signature

Work Id

Adrolly Loan Terms and Condition