Public Sector Loan Application

Personal Data

Title

First Name *

Middle Name

Last Name *

Date of Birth

Home Address

Bank Verification Number (BVN)

National Identity Number (NIN)

Phone Number *

Email Address *

Next of Kin

First Name

Last Name

Phone Number

Email Address

Home Address

Employment Details

Date of Employment *

Employee Type *

Employer / Ministry / Agency *

Command / Unit

IPPIS Number *

Grade Level

Last Month Net Pay (₦) *

Loan Application Details

Loan Amount Requested (₦) *

Loan Tenure (months) *

Purpose of Loan

I am an existing customer with a running loan

Fund Transfer — Salary Account

Salary Account Number *

Bank *

Attachments

Passport Photograph *

Drop file or browse

JPG, PNG or PDF — max 5MB

Official Work ID Card *

Drop file or browse

JPG, PNG or PDF — max 5MB

Bank Statement / Other Documents

Drop file or browse

JPG, PNG or PDF — max 10MB

Last Month Payslip

Drop file or browse

JPG, PNG or PDF — max 5MB

Signature

Upload your signed signature or form — Drop file or browse

JPG, PNG or PDF — max 5MB

Additional Documents

Select multiple files — Drop files or browse

JPG, PNG or PDF — max 10MB each

Other Information

Account Officer Email

Terms and Conditions

RexCredit Limited agrees to make available the loan amount shown on the terms set out in this agreement. Interest rate: 3.99% per month fixed for the period of the loan. Repayment will be deducted directly from your salary. A default fee of 7% of outstanding principal applies on any missed repayment. Pre-liquidation penalty: 5% flat on amount to be liquidated plus accrued interest. By submitting this application you confirm that all information provided is true, complete, and accurate, and you authorise Rex to make any enquiry necessary to evaluate your application. Disbursement is subject to availability of funds and CBN Regulations.

I confirm that the information given in this form is true, complete and accurate. I have read and agree to the Terms and Conditions.