Basic Information
One file only.
2 MB limit.
Allowed types: png gif jpg jpeg.

Date of Birth

Health Status

Please, at present do you confirm that you are in good health and actively performing the usual duties of your occupation?

Illness Status

At present are you aware of or have you received advice from your doctor that you are suffering from any illness? If yes, please specify (for quality amount above GH¢10,000.00)

Guarantors

Guarantors

 Order
Guarantor
to Guarantors
Beneficiary
Declaration

I/We the undersigned wish to borrow the amount stated below and agree to pay back the principal amount and interest in the monthly installment (s) stated below


I/We further declare that the above information is true to the best of my/our knowledge and agree to abide by the by-laws of the society, the loan policy, and any variation set by the Loan Committee.