Lagos State Loan Application

1. Basic Information

Full Name

Mobile Number

Alternate Mobile Number

Gender

Male

Female

Date of Birth

Email Address

Means of Identification

Identification Number

ID Valid Until

Marital Status

Residential Address

State

Residential Status

Rented

Owned

Stay with Family

When Did You Start Living Here?

2. Employment Information

Ministry/Parastatal

Department

Oracle Number / Lagos State Staff Number

Date of Employment

Retirement Date

Official Email Address

Current Deployment Full Address

Office Address

Nearest Bus Stop / Landmark

LGA

3. Earning Information

Gross Pay (₦)

Net Pay (₦)

Salary Payment Date

4. Next of Kin Details

Full Name

Relationship

Phone Number

Address

5. Bank Details (Salary Account)

BVN

Account Number

Account Type

Bank Account Name

Bank Name

6. Loan Details

Purpose of Loan

7. Required Document Uploads

Passport Photograph

Click to upload or drag and dropimage/*

Work ID

Click to upload or drag and dropPDF, PNG, JPG

Recent Pay Slip or 6-Month Bank Statement

Click to upload or drag and dropPDF, PNG, JPG

Employment / Confirmation / Promotion Letter

Click to upload or drag and dropPDF, PNG, JPG

By clicking submit, you agree to our terms and conditions and authorize GDL to verify the provided information.

1. Basic Information

2. Employment Information

3. Earning Information

4. Next of Kin Details

5. Bank Details (Salary Account)

6. Loan Details

7. Required Document Uploads

Join the club

GDL

RC623338