Customers Loan Registration Form
First Name
*
Please First Name is invalid try to remove space in your First Name.
Middle Name
*
Please Middle Name is invalid or try to remove space in your Middle Name.
SurName
*
Please SurName is invalid or try to remove space in your SurName.
Gender
*
--Select Sex--
Male
Female
Marital Status
*
--Select Marital--
Single
Married
Nationality
*
--Select--
Tanzanian
Foreign
Phone Number
*
Please Phone Number is required.
Email address
*
Resident Address/Current Location
*
Please Address is required
Customer Attachnment
Upload Your Passport Size
*
Upload Trustee Passport Size
*
Attach Vote ID/Driver License ID for Customer (
PDF ONLY
)
*
Attach Vote ID/Driver License ID for Trustee (
PDF ONLY
)
*
Identification letter from the local government (
PDF ONLY
)
*
Customer Bank Details
Bank Name
Bank Account Number
Loan Amount
Office Location
*
--Select Office Location--
MARANGU
NJIAPANDA
MOSHI TOWN
KAHE
CHEKERENI
ROMBO
MWANGA
SAME
SANYABOMA
MAILISITA
Submit Request
Log In