Personal

Personal Information

Surname *

Firstname *

Middlename *

Phone (linked with BVN)*

Email Address *

Date Of Birth

Gender * --Select Gender-- Male Female

Bank Verfication Number(BVN)*

Bank Name *

Select BanksAccess BankCiti BankCoronationEcobank BankFidelity BankFirst Bank of NigeriaFirst City Monument BankFSDHGlobus BankGTBank PlcHeritageJAIZ BankKeystone BankPolarisStanbicIBTC BankStandardCharteredSterling BankSUNTRUST BANKTAJ BankTITAN TRUST BANKUnion BankUnited Bank for AfricaUnity BankWema/ALATZenith Bank

Salary Account Number

Business

Employer Information

Employer's Name *

Employer's Address *

Grade / Level * Please Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

Step * Please Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

Loan Details

Loan information

Loan Amount *

Repayment Period

1 month 2 months

Attachments

Additional Attachments

Passport Photograph (.jpg, .jpeg or .png) *

Valid Means of Identification (.jpg, .jpeg or .png) *

Utilitly Bill(.jpg, .jpeg or .png) *

Review

Review Loan Information

Deductions And Payments

By completing this form and clicking 'SUBMIT' button, I, as the Data Subject, hereby consent to the processing of my below given personal data with any third party processor. I hereby voluntarily provide to Richway MFB by the method specified below in this consent.