MoniLen Loan Application Form

Loan Application Form

7 Merrick Avenue

Kingston 10, Jamaica

Phone: 876-754-3858

Email :admin@monilen.com

Website: http://www.monilen.com

Section A - Personal Information

Area Code Phone Number

Section B - Employment Information

Area Code Phone Number

Section C - Financial Information

Monthly Expenses

Section D - Loan Information

Section E - Guarantor's Information

Area Code Phone Number

Section F - Requirements

Completed and Signed Application Form Employment Letter Copy of Identification Copy of TRN Proof of Address (Must be the most recent) One Passport Size Picture Processing Fees ( 2.5% of Loan Amount

Employment Letter Copy of Identification Copy of TRN Proof of Address (Must be the most recent) One Passport Size Picture

Terms & Conditions: I/We hereby certify that all statements made in this application are true and complete and are submitted for the purposes of obtaining credit from MoniLen Financial Services Limited. Consequently, I/We authorize MoniLen Financial Services Limited to obtain such information or verification as required concerning the statements made in this application and from any credit reporting agency. I/We agree that the application shall remain the property of MoniLen Financial Services Limited.

This Section Should Only Be Completed By MoniLen Financial Services Limited

Fees Paid:________________Date:_________________Receipt No:____________

Application Approved By:____________________________Date:______________

Application Denied By:______________________________Date:______________