City Financial - Employee Loan Request Form (Nigeria)

Application Form

Step 1 of 4

Employee DetailsPersonal & ID

Employer DetailsOrganisation

Salary VerificationIncome proof

Loan RequirementsLoan info

1) Employee Details

Full name (official records)

Employee ID

Designation

Department

Date of Joining (DD/MM/YYYY)

Length of Service (months)

Employment status

Permanent Contract

Residential address

State of Residence

LGA (Local Government Area)

Contact number (+234)

Email Address

Government-issued ID type

Government ID Number

Government ID Document (Upload copy of selected ID) Accepted: JPG, PNG, PDF — Max 5MB

Passport photograph

How did you hear about the Salaried Employee Loan?

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2) Employer / Institution Details

Name of organisation

Nature of organisation

Public Sector Private Sector

Registered office address

Contact person (HR/Finance/Signatory)

Official email

Contact number (+234)

Organisation registration proof

Confirmation of participation in City Financial's institutional tie-up programme

Authorised signatory details for salary deduction consent

3) Salary & Employment Verification

Monthly gross salary (₦)

Monthly net take-home salary (₦)

Salary payment cycle (payday)

Mode of salary payment

Salary slips (last 3–6 months)

Bank statement reflecting salary credits

Employer certification confirming active employment and salary consistency

4) Loan Requirement Details

Loan amount requested (₦)

Purpose of the loan

Preferred tenure

Monthly repayment affordability (₦)

Existing loans / obligations (if any)

Confirmation

I confirm the above details are correct.