Loan Request Form Loan Request Form Please fill in your details below and a representative will contact you shortly Information sent from this form are used solely for eligibility check and not used for any other purpose StatusSingleMarriedDivorceewidow/er Monthly Income (with spouse) Property I Own* NoYes Execution Case/s?* NoYes Limited Bank Account?* NoYes Employee Employment (Write "None" if no) Please attach the following documents (Or via fax 03-9086393): Last paycheck, ID card and checking account print of the last three months. Size Limit: up to 2mb Accepted filetypes: .jpg .png .docm .dot .dotx .doc .docx .pdf .txt Self-Employed Please attach the following documents (Or via fax 03-9086393): 3 Recent VAT statements, ID card and checking account print of the last three months. Size Limit: up to 2mb Accepted filetypes: .jpg .png .docm .dot .dotx .doc .docx .pdf .txt Type the following letters*: *Required Fields.