Personal-Loan-Application-Form - Personal Loan Application Form

Sep 19, 2026

Personal Loan Application Form collecting applicant identity, contact, and residency information for individual customers. The form records personal details (title, name, marital status, date of birth, nationality, mobile, email, residential address), identification information, spouse information, and bank verification data. It also captures loan request specifics including amount (numeric and words), tenor in months, and related bank accounts. Sections for employee information and authorization require job and employer details plus an undertaking confirming the accuracy of provided information and salary domiciliation to Access Bank Plc.

LanguageEnglish

CategoryForms

FormatPDF

Pages4

Reading Time2 min

AccessFree to download

Personal loan application details

Part 1: Personal information (Individual customers)

Part 2: Loan request details

Part 3: Employee information (To be completed by employee)

Part 4: Employee authorization (To be completed by employee)

PERSONAL LOAN APPLICATION FORM Please complete in BLOCK LETTERS. Bank Use Processing Branch Code | | | | | --- | --- | --- | Staﬀ/Direct Sales ID | | | | | | | | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | Date AO Name BM Name | | | --- | | | | | Signature Signature | | | --- | | | | | SECTION A-LOAN APPLICATION DETAILS Part 1: Personal Information (Individual Customers) Title Mr Mrs Others (specify) | | | | | | | | | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | Male Female Name | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | (Surname) (First Name) (Other Names) Marital Status Single Married Others (specify) | | | | | | | --- | --- | --- | --- | --- | Date of Birth (DD MM YYYY) Nationality | | | | | | | | | | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | Mobile Phone | | | | | | | | | | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | E-mail Address Residential Address | | | | | | | | | | | | | | | | | | | | | | | | | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Resident Owned Type Highest Educational Qualification Mode of Identification Identification Number (Not P.O Box) | | | | | | | | | | | | | | | | | | | | | | | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | Nat. ID NDL Others (specify) | | | | | | | | | | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | | | | | | | | | | | | | | | | | | | | | | | | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | Name of Spouse | | | | | | | | | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | Spouse’s Mobile Phone | | | | | | | | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | Bank Verification Number (BVN) | | | | | | | | | | | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | Part 2: Loan Request Details Loan Amount (₦) | | | | | | | | | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | Loan Amount in words (₦) | | | | | | | | | | | | | | | | | | | | | | | | | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | | | | | | | | | | | | | | | | | | | | | | | | | | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | Tenor(months) Access Bank Account No. 1 Access Bank Account No. 2 | | | | | | | | | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | Part 3: Employee Information (To be completed by employee) Job Title | | | | | | | | | | | | | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | Staﬀ ID No. | | | | | | | | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | Employer’s Name | | | | | | | | | | | | | | | | | | | | | |

FAQs

What information is required in Part 1 for individual customers?

Part 1 collects title, name, marital status, date of birth, nationality, mobile phone, email address, and residential address, along with identification details and related selections.

What loan request details must be completed?

Part 2 requires the loan amount in ₦ (both numeric and in words), the tenor in months, and the Access Bank account details for account numbers 1 and 2.

What does the employee authorization in Part 4 involve?

Part 4 includes an employee undertaking confirming the provided information is correct and agreeing that the employer will domicile the employee’s salary and allowances to Access Bank Plc, continuing until obligations to the bank are fully settled.

Sep 19, 2026

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