Loan Application Form

  • Complete your loan application in 4 simple steps
1
Personal Details
2
Employment & Loan
3
Banking Details
4
Next of Kin

Personal and Contact Details

First name is required
Surname is required
Residential address is required
National ID is required
Date of birth is required
Mobile number is required
Valid email address is required
Please select sex
Please select marital status
Please enter number of children dependents
Please enter number of other dependents

Employment Details

Please select occupation type
Monthly salary income is required
Please select accommodation status

Loan Details

Please specify the loan amount and purpose. Our team will review your application and contact you shortly.

Loan amount is required
Loan period is required
Loan purpose is required

Banking Details

Please provide your banking details for loan disbursement purposes.

Bank name is required
Branch is required
Account number is required

Supporting Documents

Please upload the following documents in PDF format (maximum 5MB each).

Upload your latest payslip (PDF only, max 5MB)
Payslip is required
Upload a copy of your National ID (PDF only, max 5MB)
ID document is required
Upload your latest bank statement (PDF only, max 5MB)
Bank statement is required

Next of Kin Details

Please provide details of two next of kin contacts for emergency purposes.

First Next of Kin

Next of kin name is required
Relationship is required
Contact number is required
Address is required

Second Next of Kin

Next of kin name is required
Relationship is required
Contact number is required
Address is required

Declaration: I declare that all the particulars and information given in this application form are true and correct. I authorize Payhouse Finance to make any enquiries necessary for credit assessment.

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