Loan Amount
Date
Date funds are required by.
Is this your first loan with us?
APPLICANT NAME
DATE OF BIRTH
(STATUS CARD #)
(DRIVERS LICENCE #)
(PASSPORT #)
(CSA #)
Email
Work Email
MOBILE PHONE
Marital status SingleDivorcedMarriedWidow
HOME PHONE
WORK PHONE
ADDRESS
MORTGAGE
Other Monthly Expenses
RENT
LANDLORD CONTACT#
UTILITIES (ELECTRICITY)
UTILITIES (WATER)
UTILITIES (CABLE/INTERNET)
EXISTING LOAN (TOTAL/TERM/RATE/MONTHLY PAYMENTS)
CURRENT DEPOSIT/BANK
PROPERTIES/LOCATION/VALUE
CURRENT EMPLOYER
START DATE
MINISTRY/DEPARTMENT
POSITION
SALARY
ALLOWANCES
OTHER INCOME
PREVIOUS EMPLOYER
END DATE
REF #1
Relationship
TEL #
REF #2
PRINCIPAL BORROWER SIGNATURE
DATE
I hereby affirm that the above information is true and correct as presented in this legally binding application. I also authorize the TCI CAPITAL and its affiliates or third-party partners to undertake the necessary due diligence, including credit, employment and reference checks, or whatever they deem necessary in support of my application for a loan.
Employment Letter (dated current)
Three pieces ID's (Passport and Status Card are mandatory)
Two (2) most recent payslips
Copy of utility bill to confirm address
I agree to the terms and conditions of the TCI Capital application form and consent to my references being contacted and background check.
