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+234-01 453 9080
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192A, Jide Oki Street,
Victoria Island, Lagos,
08:00 am – 04:00 pm
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Home
About Us
Vision and Mission
Our Core Values
Our Directors
Our Management Team
Our Logo
FAQs
Products
Mortgage Products
Brent Mortgage Direct
Brent Diaspora Mortgage
Brent NHF
Brent Commercial Mortgage
Brent Rent To Own
Banking Products
Brent Premium Account
Brent Home Enhancement
Brent Kiddies Account
Brent Salary Advance
Brent Target Account
Services
eBanking
Mobile App
Transfer Form
Open an Account
Open an Account
Dormant Account Reactivation
Apply for Loan
Loan Questionaire Form – Nigeria Based Applicants
Loan Questionaire Form – Diaspora Based Applicant
Brent Micro Mortgage Loan Application
Brent Salary Advance
Brent Mortgage Loan Application
Projects Financed
Mortgage Calculator
Contact Us
Privacy Policy
Terms and Conditions
Admin Portal
LOAN QUESTIONAIRE FORM – DIASPORA BASED APPLICANT
LOAN QUESTIONAIRE FORM - DIASPORA BASED APPLICANT
Step 1 of 5
20%
APPLICANT
Individual
Joint
Joint Applicant should jointly complete the space provided
Applicant Details
Name
First
Last
Date of Birth:
Date Format: MM slash DD slash YYYY
Your age in number
Gender:
Male
Female
Mobile number
Marital Status
Single
Married
Divorced
Number of Dependant
Address
Country of Residence
State of Residence
Email
State(s) of Origin:
Applicant BVN NO
Tax Identification Number
Account(s) detail
Account Number
Current Balance:=N=
Date Account Opened
Date Format: MM slash DD slash YYYY
Employment & Income details
Employment Type
Salaried
Commission Based
Self employed
Others
Occupation
If employed, Name of Employer
Address of Employer:
Can you be contacted there?
Yes
No
Telephone:
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
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 (Owner occupied, Rental property)
Proposed Loan Tenure
(i.e repayment period)
Proposed Interest Rate %
Security in Place
Cost of the Property=N=
( i.e purchase price of the property which equals loan amount plus equity)
Part Payment (if any):=N
Description of the Property:
Title Document on Property
( e.g C of O, Deed of Assignment and Deed of Conveyance with Governor Consent etc)
Proposed equity Payment %
(i.e Down payment expressed as a percentage)
Proposed Guarantors
Full Name
Full Name 2
Address 2
Current Exposure: State current balance on:
Auto loans 1
Auto loans 2
Student loans 1
Student loans 2
Credit Cards 1
Credit Cards 2
List Other Loans 1
List Other Loans 2
Monthly Rental/Mortgage amount due 1
Monthly Rental/Mortgage amount due 2
Note: You are required to provide credit reports from two (2) recognized Credit Bureaus in your country of residence. You are also required to furnish a mortgage statement, rental history report OR a deed showing full ownership of current home. Declaration: I/We certify that the above information provided by me for the purpose of profiling is true and correct to the best of my knowledge and ability.
Upload Signature for Applicant 1
Date
Date Format: MM slash DD slash YYYY
Upload Signature for Applicant 2
Date
Date Format: MM slash DD slash YYYY
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