Credit Application Form

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INTERNATIONAL COMMERCIAL BANK ZAMBIA LTD

EASY LOANS APPLICATION FORM Loans Details: Loan Type:

EASY Executive Loan


(Min: ZMK5,000,000, Max:ZMK150,000,0000)

Amount Applied For: ZMK If Easy Executive Loan: Tenure: Purpose of Loan: Name of Applicant : Residential Address:

(Max: 36 months)

Applicants Personal Details:

NRC No: ID/Passport No: email id: Office Tel No: Residential Tel No: Mobile: DOB: Age: Nationality: Sex: Education Level : House: Rented / Owned Marital Status: No of Children: If Married, Spouse Name: Spouses Occupation: Age: Spouses Monthly gross salary: Education Level : Spouses Employer: Applicants Employment Details: Name of Employer: Address of Employer: Occupation/Designation: Employed Since: Present Gross Salary: Present Net Pay: I am a permanent & confirmed staff. If under contract, contract expiry date: Applicants Accounts with ICB Account Type: Date Opened: Account Number: Applicants Other Borrowings Loan Type: Date Availed: Lender: Loan Amount: Balance outstanding : Any arrears/overdue? If yes, please give details: Documents I hereby submit the following document & agreed as follow: 1. Copy of NRC/Passport. 2. Latest 3 months salary slips. 3. To obtain Employers irrevocable letter of undertaking to remit my salary to my account with ICB and authorized the Bank to deduct from my salary to settle my instalment/outstanding and any other charges. 4. To take up Credit Life Assurance with ICB Zambia endorsed as sole loss payee. 5. Other standard terms & conditions apply. 6. One passport size photo.
I hereby authorise International Commercial Bank (Zambia) Limited to run an independent search of my credentials with Credit Reference Bureau. I hereby declared that the above information is true and the Bank reserved the right to cancel/recall the loan if found to be false.

Signatures of Applicant: . Date:..

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