SCF FORM Online - Visa Microfinance

Welcome to Visa Microfinance Bank Ltd. Licensed and Supervised by the Central Bank of Nigeria (CBN). Insured by the Nigeria Deposit Insurance Coporation (NDIC).

0700VISABANK (0700 8472 2265), +2348023076656, info@visabankonline.com

Gouba Plaza, Plot 15 A.E Ekukinam Street, Utako, Abuja. Nigeria.

Account Opening/Loan Application & Loan Agreement Form

REQUIREMENTS: (1)Passport Photograph (2)Staff I.D

PERSONAL DETAILS:

Ministry/MDA

Surname

First Name

Middle Name

Gender

BVN

Marital status

File NO.

IPPIS NO.

Date of birth

Phone Number 1

Phone Number 2

Home Town

State of Origin

LGA

Residential Address

Employer

Official Designation

Date of Employement

Years Left in Service

Office Address

Monthly Net Pay(Last 3 Months)

Month 1

Month 2

Month 3

Salary Bank Details

Account Number

Name of Bank

Branch

Next of Kin (Surname, First Name, Middle Name)

Phone Number

Relationship

Address

Loan Details

Amount

Reason For Loan

Number of Months For Repayment The maximum month for this loan is 18 months The maximum month for this loan is 12 months

Monthly Repayment Amount

Upload all the following documents

Passport Photograph

Staff ID Card

Signature Please sign on a plain paper and attach it here