LOAN APPLICATION FORM

Dear Customer, Please complete this Application Form neatly (by hand) and include all information, documentation and identification
required. For enquiries visit your local branch or our website: www.bsp.com.pg/Personal/Retail-Banking/Loans/Loans.

Purchase Price: K Own Contribution: K CIF Number:

Loan Request: K Repayment Offered: K Fortnightly Monthly

Purpose Of Loan: Vehicle School/Tuition Household Items Holiday Personal Expenses Housing Other:

PERSONAL DETAILS

First Name: Middle Name: Surname:

Birth Date: DD/MM/YY Gender: M F Marital Status: Single Married De Facto Divorced Widowed

Ages of Children: Spouse Full Name: Spouse Birth Date:

Country of Citizenship: Country of Residence:

Nearest Living Relative: (Complete Below) Residential Address: (Complete Below)

Name & Relation: Section/Lot/Street: Suburb:

Work Address: Owner: Self (Provide Rate Notice) Relatives Rental Property

Telephone/Mobile: Landlord Name:

Email: Landlord Address:

Identification: Provide a copy of a valid ID Card (include number): Previous Residence: Section/Lot: Suburb:
Nasfund/Nambawan Super Driver’s License Passport Length of Residency:

EMPLOYMENT DETAILS Applicant Spouse

Employer:

Occupation:

Date Commenced:

Employer Address:

Work Telephone & Mobile:

Previous Employer:

Years at Previous Employer:

CREDIT HISTORY (Credit Reference, Previous Loans, Finance Companies, Stores etc. Please attach Statements)

Institution 1: Address:

Institution 2: Address:

Institution 3: Address:

Have you ever been declared bankrupt, defaulted on a loan or had any judgement or legal proceedings against you? *Yes No
*Provide Details:

BSP Personal Loan Application Form | Page 1 of 2

STATEMENT OF POSITION
A. Assets – What you own

House Section: Lot: Suburb/Street: K

Vehicle Make: Model: Year: Registration#: K
Furniture, White Goods K
Others K
Bank Account Primary Account: Other: K

Total Assets K

B. Liabilities – What you owe

BSP Personal/Home Loan K

Loans: other Lenders K
Other debts, hire purchase etc K
Rates/Taxes/ Over Draft Facility K
Total Liabilities K

Total Assets – Liabilities K

C. Monthly Income

Gross Salary (Before Tax) Provide 3 Latest Pay slips + Bank Statements K
Other Income K
Provide Details
K
K
Total Monthly Income K

Monthly Expenses

Home Loans K
Other Loans K
Motor Vehicle Costs K
Rent + Utilities K
Insurance, Rates, Taxes K
School Fees K
General Living Expenses (Others) K
Total Monthly Expenses K
CREDIT INFORMATION
Authority to obtain and provide personal financial and credit information. The undersigned Net Surplus K
authorises Bank South Pacific Ltd:

(1) To obtain a credit report containing personal financial and credit information in relation to the undersigned Applicant Signature:
from the Credit Reporting Agency. (2) To utilize the credit report to assist in the assessment of any loan application
by the undersigned. (3) To exchange personal financial and credit information in relation to the undersigned with
Date:
other credit providers including details of loans obtained from the Bank South Pacific Ltd and. (4) To inform the
Credit Reporting Agency of any default in the repayment of the credit provided to the undersigned.
Joint Applicant Signature:
Date:
The details completed are a true and accurate record:

BANK USE ONLY: Branch Officer Name: Branch: Date Received:

BSP Personal Loan Application Form | Page 2 of 2