Loan application
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Full name
Residential Address
Phone number
Email
Occupation
Type of Loan
Student loan
Car loan
Small Business Loan
Micro Business loan
Large Business Loan
Housing loan
Insurance
Registration Token
Annual Income Rate
0$ – $1000
$1,000 – $9,000
$10,000 – $49,000
$50,000 – $99,000
$100,000 – Above
Short Note of Loan Reason:
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