11/06/2025
Gbede Sons Incorporated
Loan Application Form
SECTION A: PERSONAL INFORMATION
1. Full Name: ____________________________________________
2. Date of Birth: ____________________
3. Gender: β Male β Female
4. Phone Number: _______________________________________
5. Email Address (if any): _________________________________
6. Residential Address: ___________________________________
7. ID Type & Number: ____________________________________
SECTION B: LOAN DETAILS
1. Loan Type:
β 6-Month Loan (20% Interest)
β 1-Month Renewable Loan (10% Monthly Interest)
2. Loan Amount Requested: ___________________ LRD/USD
3. Repayment Period: ___________________
4. Purpose of Loan: _______________________________________
SECTION C: BUSINESS INFORMATION (Borrower)
1. Business Name: _______________________________________
2. Business Type: ________________________________________
3. Business Location: _____________________________________
4. Monthly Income: ___________________ LRD/USD
5. Years in Operation: __________
6. Business Registration (if applicable):
β Registered β Not Registered
7. Brief Description of Business Activities:
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SECTION D: GUARANTOR INFORMATION
1. Full Name of Guarantor: ________________________________
2. Phone Number: _______________________________________
3. Address: _______________________________________
4. Relationship to Borrower: ______________________________
5. ID Type & Number: ____________________________________
SECTION E: COLLATERAL INFORMATION
1. Type of Collateral: ____________________________________
2. Estimated Value: ___________________
3. Collateral Location: _________________
4. Ownership Proof Provided: β Yes β No
SECTION F: DECLARATION
I, the undersigned, certify that the information provided is true and accurate to the best of my knowledge. I agree to the terms and conditions of Gbede Sons Incorporated Loan Scheme.
Borrowerβs Signature: ____________________ Date: _______________
Officerβs Signature: _______________________ Date: _______________