MYAID International — Loan Application Form

Applicant Information

Personal Details

First Name * First name is required.

Middle Name

Surname * Surname is required.

Staff Ref. No.

Date of Birth * Date of birth is required.

Marital Status

Single Married Others

Residential Address * Residential address is required.

Phone Number * Enter a valid phone number.

Email Address

Customer Passport Photograph *

No photo

JPG or PNG, passport-style, max 5MB. Passport photo is required.

Employment Details

Zone

Name of Organization/Ministry * Organization name is required.

Office Address

Designation/Rank

Department/Unit

Employment Type

Permanent Contract

Date of Employment

Monthly Net Salary (₦)

Loan Details

Loan Amount Requested (₦) * Enter a valid loan amount.

Loan Purpose * Loan purpose is required.

Interest Rate

Repayment Tenure (months) *

Preferred Repayment Method

Salary Deduction Standing Order

% Monthly Default Charge

Principal Loan Plus Interest (₦)

Monthly Installment (₦)

Are you indebted to any Bank/MFB/MFI?

No Yes

If yes, Bank/MFB/MFI Name

Outstanding Amount (₦)

Principal plus interest and monthly installment are calculated automatically at a flat 7% interest rate once the loan amount and tenure are entered. Your disbursement date and due date will be set by MYAID INTERNATIONAL once your loan is approved.

Bank Details

Bank Name * Bank name is required.

Account Name * Account name is required.

Account Number * Enter a valid 10-digit account number.

Applicant Declaration

I hereby declare that the information provided above is true and correct. I authorize salary deduction and agree to the terms and conditions of the loan.

Applicant's Signature (upload image) *

No signature

Photo or scan of your signature, JPG or PNG, max 5MB. Signature image is required.

Date * Select a date.

I agree to the declaration above. * You must agree to the declaration before submitting.

Guarantor's Form

Guarantor Information

Full Name * Guarantor name is required.

Relationship to Applicant

Phone Number * Enter a valid phone number.

Email Address

Residential Address * Guarantor address is required.

Staff Ref. No.

Guarantor Passport Photograph *

No photo

JPG or PNG, passport-style, max 5MB. Passport photo is required.

Guarantor Employment Details

Zone

Name of Organization

Office Address

Designation/Rank

Department/Unit

Employment Type

Permanent Contract

Monthly Net Salary (₦)

Guarantor Declaration

I agree to stand as guarantor for the applicant and accept responsibility in case of default.

Guarantor's Signature (upload image) *

No signature

Photo or scan of the guarantor's signature, JPG or PNG, max 5MB. Signature image is required.

Date * Select a date.

I agree to the guarantor declaration above. * The guarantor must agree before submitting.

Required Attachments

Staff ID

Bank Statement (6 months)

Employment Letter

Copy of Confirmation Letter

Passport photographs uploaded above already cover the "Passport Photograph" attachment requirement.

✓

Application Submitted

Your loan reference number is

Please keep this reference number safe — you will need it to follow up on your application status with MYAID INTERNATIONAL.