EASI Cash Form

Basic Loan Information

Basic Loan Information

IPPIS/Account Number

BVN (Bank Verification Number)*

E-mail Address*

Loan Amount*

Loan Tenor*

Disbursement Account Name with Number

Full Name*

Gender*

Male Female

Marital Status*

Single Married Widowed Divorced

Means of Identification*

N:B- This means of identification will be uploaded later

Staff ID/ Warrant ID International Passport Driver's License National ID Card

Residential Address*

Landmark/Nearest Bus stop*

Nationality*

Date of Birth*

Mobile Number*

Occupation*

Length of service*

MSS/Command/Workplace or Employer*

Workplace or Employer' Address*

Next of Kin's full name*

Next of Kin's Address*

Next of Kin's Mobile Number*

Relationship*

Occupation / Employer *

Workplace or Employer's Address*

Loan Account Officer*

N:B- Ensure that the file is either image or pdf

Identification Card*

Passport *

Signature *

Statement of Account(Exemption for Federal Civil Servants)

Employment Letter / Promotion Letter

Pay Slip