LOAN QUESTIONAIRE FORM - NIGERIA BASED APPLICANTS - Welcome to the Official Website of Brent Mortgage Bank Ltd

Years of Service (with Current Employers):
Description of the industry that applicant(s) works
Working Experience in the industry
Monthly Gross Pay
Monthly Net Pay
Other Allowances:=N=
( these includes benefits, bonuses and other emoluments required to be paid by your employer either monthly, quarterly, semiannually and annually e.t.c and the frequency must be stated below appropriately)
Average Allowance: N
Frequency:

Loan request& Guarantors
Proposed Loan Amount=N
(i.e Principal amount applicant requires from the bank to buy proposed property)
Purpose of Loan
Proposed Loan Tenure
(i.e repayment period)
Proposed Interest Rate
Security in Place
Proposed Guarantors
Full Name
Address
Targeted Property
Description of the Property
Title Document on Property
( e.g C of O, Deed of Assignment and Deed of Conveyance with Governor Consent etc)
Location of the Property
Proposed equity Payment %
(i.e Down payment expressed as a percentage)
Other information
Are you currently on any facility (Loan) ?
If Yes, Please state the following; a. Loan Balance
Monthly Repayment
Remaining number of years to repay
Cost of the Property=N=
( i.e purchase price of the property which equals loan amount plus equity)
Part Payment( if any):=N
Location of the Property
Declaration: I/We certify that the above information provided by me for the purpose of profiling and pre-qualification is true.
Upload Signature
Date
Date Format: MM slash DD slash YYYY
Upload Signature
Date
Date Format: MM slash DD slash YYYY

LOAN QUESTIONAIRE FORM – NIGERIA BASED APPLICANTS