Quick CredPal Loan Application Form

Full Name

First

Middle

Last

(As it appears on your government-issued ID)

Username

Setup account username

Email Address

(Used for communication and account verification)

Phone Number

Provide your active contact number.

Alternative Number

Provide an alternative contact number for Calls, WhatsApp, Signal, etc.

Password

(Minimum 8 characters, with one uppercase and one number)

Confirm Password

(Re-enter your password)

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Gender

Date Of Birth

Marital Status

No. of Dependents

Nationality

Religion

Full Address

Address Line 1

City

State / Province / Region

Postal Code

Country

Identification Type

ID Number

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Employer / Business Name

Provide the full legal name of your employer or business.

Business Reg. No.

For registered businesses or corporate organizations, please provide your Company or Business Registration Number.

Job Title / Position

Enter your current job title or position held in your workplace or business.

Employer / Business Address

Enter the complete address of your employer or business location.

Employer / Business Email

Enter a valid official email address of your employer or business (if available).

Employer/Business Phone

Provide a working phone number for your employer or business.

Income Structure

Select how often you receive your income.

Income Amount (USD equivalent)

Provide your average monthly or annual income based on your selected income structure.

Upload Proof of Income

Drag & Drop Files, Choose Files to Upload

(Salary/Payslip or Bank Statement)

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Choose Loan Plan

Choose you desired loan plan by clicking on any of the above.

Purpose of Loan

Briefly describe in details, the purpose of this loan application. Why its important, and how you intend to repay without default.

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Payment Method

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Account Mandate

Verify Now
Verify Later

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Valid ID: Front

Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera

Upload the front side/page of your valid ID.

Valid ID: Back

Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera

Upload the back side of your valid ID.

Selfie Photo

Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera

Take a selfie photo of yourself and upload.

Proof Of Address

Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera You can upload up to 10 files.

Upload your Electricity, Waste, or Utility bill; or tenancy agreement, or bank statement, as proof of address.

Declaration, Terms & Consent

✅ Declaration:
I hereby certify that all information provided is true, accurate, and complete to the best of my knowledge. I understand that falsification or omission of material facts may lead to disqualification or legal action.

✅ Consent to Verification:
I authorize Quick CredPal to verify the information provided, including contacting my employer, bank, and other institutions for the purpose of assessing my creditworthiness.

✅ Fees and Processing Acknowledgment:
I understand that processing and verification fees may apply after loan approval and that certain third-party charges (credit bureau, KYC, or verification) are non-refundable once executed.

✅ Repayment Obligation:
I agree to make repayments as scheduled and understand that failure to do so may result in additional interest, late fees, and credit reporting actions.

✅ Data Privacy:
I have read and accept the Quick CredPal Privacy Policy and consent to the use of my data in line with applicable data protection laws.

Agreement

I have read and agree to the Terms of Service, Loan Agreement, and Privacy Policy of Quick CredPal. By submitting this form, I confirm that I understand my loan obligations and consent to the processing of my information for credit assessment purposes.