Loan Request | My Website

Branch Location *

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Loan Amount $ *

Please enter a loan amount

Type Of Loan *

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Applicant Personal Details

Title *

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First Name *

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Middle Name

Last Name *

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Alias

Date of Birth *

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TRN

Type of Identification *

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I.D#

Expiry Date

Type of Accommodation *

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Address *

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Street Name *

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Community Name *

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Parish *

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PLEASE PROVIDE A BRIEF DIRECTION TO YOUR HOME (Include the color of your house)

Telephone/Home

Mobile #:1 *

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Mobile #:2

Email Address

Loan Purpose *

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# Of dependent(s)

How did you hear about us? *

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Employment Information

Occupation *

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Employed *

Yes

No

Self Employed

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Employee ID #

Company Name *

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Start date of Employment

Contact#

Address of Employer *

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Department/Account

Name of Direct Supervisor

Other Source of Income

Yes

No

Please State *

Please describe your other income source

Previous Employment

Previous Employment, (If current is less than 3 months)

Name of Previous Employers

Previous Employer Address

Contact Number

Start date

End date

References

Provide contact references

Reference 1 *

Full Name *

Please provide reference name.

Contact Number *

Please provide reference phone number.

Relationship *

Please provide relationship.

Number of Years Known *

Please provide years known.

Place of Employment

Address

Reference 2 (Optional)

Full Name

Contact Number

Relationship

Number of Years Known

Place of Employment

Address

Next of Kin *

Full Name *

Please provide next of kin name.

Contact Number *

Please provide next of kin phone number.

Relationship *

Please provide relationship.

Number of Years Known

Place of Employment

Address

Section B

Paycycle *

Weekly

Fortnightly

Monthly

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Monthly Income and Expenditure

(Income: If paid weekly or fortnightly, add income and input amount earn for the month)

(Expenditure: Only your portion of Expense eg. If you pay half of a bill state the half you pay)

Gross Income *

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Statutory Deductions

Net Income

Other Income

Total Income

Expenses

Rent

Mortgage

Utility

Grocery

Living Expense

Credit Card Payment

Car Loan

Other Loan

Child Maintenance

Education

Transportation

Car Insurance

Other

Total Expenses

If you lose your job what means of repaying the loan do you have? *

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Payroll Banking Information

Bank *

NCB

SCOTIA

OTHER

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Branch *

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Other Please State *

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Account Number *

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Account Type *

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Routing Number

Transit Number

Next pay date *

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Approximate time for salary

Authorization *

I authorize RCFS Loans to share marketing messages and promotional content with me, both physically and electronically, that may be of interest.

Yes, I Do Authorise

No, I Do not Authorise

This field is required

I declare that the above information is true and correct and to the best of my knowledge.
I authorize the company Readi Cash Financing Services LTD (RCFS Loans) permission to contact my references/contact for the purpose of reference verification or if I default and disclose information regarding my loan application and status

You must accept the declaration to proceed

Full Name *

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Signature *

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Date *

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Supporting Documents

Upload required documents

Supporting Documents

Upload supporting documents (Pay slip, ID copy, Bank statement, etc.).
Multiple files allowed. Max 5MB per file.

Privacy Notice: Your information is secure and will only be used for loan processing.

Loan Application

Applicant Personal Details

Employment Information

Previous Employment, (If current is less than 3 months)

References

Reference 1 *

Reference 2 (Optional)

Next of Kin *

Section B

Monthly Income and Expenditure

Expenses

Payroll Banking Information

Supporting Documents

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