Personal Loan Application Form

Personal Loan

Application

Form

SCBGH/PLAF/18/3.7

Import

Government

Salutation/Title

My Personal Details

My Contact Details

My Employment / Business Details

Mr Mrs Ms Dr Prof Others

(please specify)

D M M Y Y Y YD

Others

(please specify)

First Name

Employer Telephone

Middle Name

Last Name / Surname

Type of Identity Document

Passport

National ID Driver’s License Voter’s ID

ID Document Number

Date of Birth

Gender

Male Female

Others

(please specify)

Nationality

Marital Status

Single

Married

Others

(please specify)

Number of Children Number of Dependants

Highest Educational Qualification

Tel. (Mobile 1)

Name of Employer / Business

Employer / Business Address

(Building / Street / Floor No.) P. O. Box

Town / City Country

Tel. (Mobile 2)

Office (Direct line if applicable)

Residential Telephone No.

Email Address

Provide Present Mailing Address (Including Country & City)

Salaried

Permanent

Self-employed

Contract

Nature of Employment

Terms of Employment

In this application, we would like to know you even better. We appreciate your time in sharing your information to help us

have a comprehensive understanding of your financial needs and assist in planning your future. We look forward to serving

you better.

Please complete in BLOCK LETTERS with BLACK INK and tick “ ” in the appropriate box

Occupation / Designation

Employee / Staff Number

SSNIT Number

Contract Expiry

Contract Tenure

D M M Y Y Y YD

Duration with current employerDuration with current employer Years Months

Local Company

Export

Name of previous employer (if less than 3 years with current employer)

Number of years with previous employer

Monthly Income (Local Currency)

Employment Sector (Salaried Employees)

Multinational

Others

Salary Receipt Date

GH¢

Wholesaler

(please specify)

My Residential Details

Accommodation Type

Rented

Employee Smart Scheme

Owned

Living with parents

Employee Smart Credit (account holder)

Mortgaged

Present Residential Address

Length of stay at present address

Area

Employer provided

Previous residential address (if less than 3 years at current residence)

Length of stay at previous address

Years Months

Permanent address (if different from present address. Foreign nationals,

please address in home country)

My Bank Details

My Credit Details

My Referees

Bank Name

Branch

Type of Account

Account Number

Loans with Other Banks / Financial Institutions

Monthly Repayment

Repayment Date

D M M Y Y Y YD

Apply for

Amount Required GH¢

Tenor of Loan (Months)

Purpose of Loan

For Referee 1

For Referee 2

Full Name

Tel. (Mobile 1)

Tel. (Mobile 2)

Tel. (Work)

Relationship

Home

Address

Home

Address

Date employed

D M M Y Y Y YD

Years Months

Duration with Bank

Number of years acquainted with Referee

Is the applicant under any current or intended disciplinary action?

Is the applicant’s residence as indicated in the application form?

Company Stamp

Code

For Bank Use Only (Personal Loan)

BDO / BSSE’s Name Credit Approver’s Name

Name

Loan Centre Officer’s Name

Head of Credit Name

Signature

Recommended by

Sales

CSM BM

Signature

Credit Operations Manager’s Name

Signature

Employer’s consent

Personal checklist

[email protected]

www.sc.com/gh

Signature of Applicant:

For all Customer Enquiries and Complaints

Contact

Call:

0302 740 100

or cheques on behalf of the Bank under ANY

circumstances.

IMPORTANT: Please note that Agents or Representatives

of Standard Chartered are NOT authorized to collect cash

Contact me before crediting the amount into my account

Credit my account directly with the approved amount

In the event that the amount approved varies from the amount I

applied for:

(please tick one)

(e.g: gazette affidavit etc.)

Other

Employer’s letter of undertaking (non scheme loans)

Last six month’s Bank statement (if applicable)

Latest Salary slip

Tenancy agreement (if applicable)

Utility bills (Electricity/Water if applicable)

Marriage Certificate/Birth Certificate (if applicable)

Driver’s Licence/Passport/Voter ID/National ID

I have attached the following documents:

Yes

We confirm that based on the above instructions (Authority to Employer/

Assignment of Benefits), we will pay the monthly salary/deducted loan

installment amount directly to Standard Chartered Bank Ghana Limited.

In the event of the applicant leaving the company, we confirm that we will

pay any other allowances/benefits towards settlement of the loan

outstanding/interest and charges directly to Standard Chartered Bank

Ghana Limited. We also confirm that we will not accept any change to

these instructions without prior written confirmation from Standard

Chartered Bank Ghana Limited. We also confirm that we will inform the

Bank about the employee’s registration or termination of his or her

employment.

BDO BSSE

Name of Company Official

Company Name

Title

Date

Signature

OPTIONAL FOR NON-SCHEME

Smart Credit

Scheme

Date:

The Loan Centre Manager

Standard Chartered Bank (Gh) Ltd.

P. O. Box 768

Accra

Dear Sir/Madam

ASSIGNMENT OF TERMINAL BENEFITS:

........................................................................................................................

In consideration of Standard Chartered Bank granting me a loan,

......................................................................

I give this irrevocable undertaking that:

1. I authorize my employer,

( ................................................................................................................),

to provide and confirm any employment details that may be required

for the processing of this facility.

2. I further authorize my employer to forward my monthly loan repayment

to Standard Chartered Bank towards the repayment of my loan until

facility is fully paid.

3. I further undertake to promptly notify you in the event of my

employment with my current employer being terminated.

5. I have also authorized my employer to assign to the bank my terminal

or end of service benefits which I may be entitled to towards the

permanent reduction of my outstanding loan, should my employment

cease. Such monies should be paid directly to the bank and I hereby

confirm notification of this assignment to my employers.

6. I will act responsibly not to prejudice recovery of the credit facilities

advanced to me.

7. I shall notify the bank of my transfer to another station and ensure that I

keep to the agreed arrangement for repayment until the loan is paid in

full.

8. This arrangement will remain in force until the loan granted to me has

been paid in full.

Yours faithfully

I understand that the interest rate on the loan is not fixed thus the

interest rate will be adjusted upwards or downwards in line with

prevailing market conditions. This may cause the repayments period to

be shorter or longer than when the loan was disbursed.

I also understand if the impact of interest rate changes leads to a tenor

reduction, the Bank will cease deduction on the basis on the new tenor

and will refund if any additional deduction resulting for the reduced

tenor. In the same vein, I authorize my employer to deduct additional

installment arising from interest rates adjustments during the tenor of

the Loan.

I give this irrevocable undertaking that:

1. I authorize my employer,

( ................................................................................................................),

to provide and confirm any employment details that may be required

for the processing of this facility.

2. I further authorize my employer to forward my monthly loan repayment

to Standard Chartered Bank towards the repayment of my loan until

facility is fully paid.

3. I further undertake to promptly notify you in the event of my

employment with my current employer being terminated.

5. I have also authorized my employer to assign to the bank my terminal

or end of service benefits which I may be entitled to towards the

permanent reduction of my outstanding loan, should my employment

cease. Such monies should be paid directly to the bank and I hereby

confirm notification of this assignment to my employers.

6. I will act responsibly not to prejudice recovery of the credit facilities

advanced to me.

7. I shall notify the bank of my transfer to another station and ensure that I

keep to the agreed arrangement for repayment until the loan is paid in

full.

8. This arrangement will remain in force until the loan granted to me has

been paid in full.

Yours faithfully

I understand that the interest rate on the loan is not fixed thus the

interest rate will be adjusted upwards or downwards in line with

prevailing market conditions. This may cause the repayments period to

be shorter or longer than when the loan was disbursed.

I also understand if the impact of interest rate changes leads to a tenor

reduction, the Bank will cease deduction on the basis on the new tenor

and will refund if any additional deduction resulting for the reduced

tenor. In the same vein, I authorize my employer to deduct additional

installment arising from interest rates adjustments during the tenor of

the Loan.

Applicant Signature

Applicant Name

Name of Authorised Company Official

Signature

Date

Applicant Signature

Applicant Name

Name of Authorised Company Official

Signature

Date

Company Stamp

Date:

The Loan Centre Manager

Standard Chartered Bank (Gh) Ltd.

P. O. Box 768

Accra

Dear Sir/Madam

ASSIGNMENT OF TERMINAL BENEFITS:

........................................................................................................................

In consideration of Standard Chartered Bank granting me a loan,

......................................................................

Company Stamp

0302 740100

sc.com/gh