APPLY FOR A LOAN

If you would like to apply for a loan, please complete the form below:

FIRST NAME:

LAST NAME:

MARITAL STATUS:

ADDRESS:

PHONE NUMBER:

MOBILE NUMBER:

EMAIL ADDRESS:

OCCUPATION:

DATE LOAN REQUIRED:

PURPOSE OF LOAN:

AMMOUNT TO BORROW:

PROPOSED MONTHLY REPAYMENT:

GUARANTORS*

** SUGGESTED GUARANTOR 1

NAME:

ADDRESS:

PHONE NUMBER:

OCCUPATION:

SUGGESTED GUARANTOR 2

NAME:

ADDRESS:

PHONE NUMBER:

OCCUPATION:

SUGGESTED GUARANTOR 3

NAME:

ADDRESS:

PHONE NUMBER:

OCCUPATION:

*Please do not approach a desired guarantor unless first approved by MILF as to avoid potential embarrassment for all parties involved, should the applicant choice of guarantor be deemed not suitable by the charity

**Only 2 will be required