Client Details

First Name

Surname

Phone Number

Email Address

Select Type of Loan

Loan Type
Select Type of LoanSalary Advance Based LoanPayroll Based LoanShort Term Loan

Loan Details

Amount You Want to Borrow (ZMW)

Duration in Months
Select Loan Duration1 Month2 Months3 Months

Upload Documents

NRC [filetypes:pdf|jpg|jpeg limit:3mb]

Payslip [filetypes:pdf|jpg|jpeg limit:3mb]

2 Months Bank Statement [filetypes:pdf|jpg|jpeg limit:3mb]

Terms and Conditions

By clicking the "Submit" button you accept the terms and conditions of the loan as set out above.