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Apply for a Loan

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Fields with * are obligatory. Please fill them to complete the form.

After you have completed the form, you will be contacted by a member of our staff who will give you more information regarding the loan you have applied for. We clarify that filling out this form we are not initiating the application procedures. Your physical presence at any of our branches is necessary for the application to be processed further.

Your application

Reason for applying *

The loan for which you are applying *

Total amount of loan *

Used for*

Number of co-borrowers *

Branch where you would like to apply


About you

Name *

Surname *

Sex
MaleFemale

Date of birth

Nationality *


Your contact information

Email *

Address

City *

State

Phone

Mobile


Your work data

Employment status*

Employer name

Contact


Incomes

Monthly income


I receive my salary from:

Credins BankOther

Name of other bank


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