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APPLICATION FORM
Name: ______________
Surname: ______________
Gender: ________________
Marital Status: ___________
Contact Address: ________
Country: _________________
State_____________________
Date of Birth: ____________
Age: ______________________
Amount Needed as Loan: _______
Loan Duration: _______
monthly Income_____________
Occupation: ______________________
Purpose of the loan: ____________________
Phone Number___________________