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P.O.

Box
P.O. Box2993, Boroko, NCD,
319, Waigani, NCD, T: (675) 300 2290
isa Papua New Guinea F: (675) 323 9499
ommunity E: enquiries@tcf.com.pg
inance Level 2, Monian Haus, Nita Street,
Boroko, NCD sales@tcf.com.pg
W: www.tcf.com.pg

PERSONAL LOAN APPLICATION FORM


LOAN TYPE BEING APPLIED FOR DATE: _____/_____/_________

L16 : Personal Loan Unsecured (Teachers) L17 : Personal Loan Unsecured (Public Sector)
L18 : Personal Loan Unsecured (SoE/Private Sector) L19 : Personal Loan Secured.

A. CUSTOMER NAME TISA MEMBERSHIP NUMBER. (if applicable)_____________

Mr / Mrs / Ms____________________________________________________________________________________________________________
First Name Surname / Family Name

B. EMPLOYMENT DETAILS

NAME OF EMPLOYER : _____________________________________ EMPLOYEE NUMBER. _____________POSITION________________________

COMPANY ADDRESS: ______________________________________ WORK PLACE PH: _________________ MOBILE PH: ___________________

EMAIL ADDRESS: ______________________________________ COMMENCED WORK: ________________ PAYMASTER: ____________________

RESIDENTIAL ADDRESS: ________________________________ STREET: ____________________________ SECTION: __________ LOT: __________


Town/Suburb/Institution

C. PERSONAL AND BANK ACCOUNT DETAILS (Please tick where applicable please)

DATE OF BIRTH: _________________________________________ MARRIED SINGLE OTHER (__________________)

HOW MANY CHILDREN DO YOU HAVE : _____________ HOW MANY ARE AT SCHOOL? ________________

HOME VILLAGE: ___________________________ DISTRICT ______________________________ PROVINCE _____________________________


NAME OF SPOUSE:__________________________________ AGE: ________ SPOUSE OCCUPATION: ___________________________________
SPOUSE EMPLOYER: __________________________________ PHONE/MOBILE NO: _____________________ SPOUSE NET PAY: _____________
Name & Postal Address

BANK: _________BRANCH: ________________ACC NAME:_________________________ACC TYPE: ____________ACC NO:_____________


(for payout purposes)

D. LOAN REQUEST
Purpose of Loan _____________________________________________________________________________________________________
______________ _____________________________________________________________________________________________________
(Please tick where applicable please)
Loan Amount KK New Loan Top up
New Loans Top up
Repayment Amount KK
Number ofFortnightly Repayment Fortnightly Monthly
Monthly Repayment
Fortnights/Months _________ Repayment Repayment

E. LOAN BREAK UP F. LOAN DISBURSEMENT DETAILS

LOAN AMOUNT APPLIED FOR K LOAN AMOUNT APPLIED FOR K


Plus Less
Loan Application Fee K ________________________________ LOANS TO BE REFINANCED

Lender ______________________ K
CLPI Charge K ________________________________
Lender ______________________ K
Interest Levy K ________________________________
(Upfront Interest Cost)
Lender ______________________ K
Other Fees K ________________________________
Lender ______________________ K

GROSS LOAN AMOUNT K


NET LOAN FUNDS TO BE DISBURSED K

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