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Name

Emergency Contact

Name

As a responsible financial institution, we are required to collect certain demographic information to comply with regulatory reporting requirements. Applicants are encouraged to provide the following information voluntarily. Please note that this information will not be used to influence loan decisions or in any discriminatory manner.

Date / Time
This application is for a:

If your records have been expunged pursuant to applicable law, you are not required to answer yes to the following questions. If you are unsure whether to answer yes, we strongly suggest that you answer yes and fully disclose all incidents to avoid any risk of disciplinary action or revocation of your offer of admission.

List the employers name and address , your title and description.

Please provide the names of people in your immediate family who have attended the University.

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Click or drag a file to this area to upload.
Click or drag a file to this area to upload.

Agreement

I understand that this application is for a cash loan only and does not guarantee approval. I agree that I am bound by the lender’s terms and conditions, including repayment schedules, interest rates, and fees. I authorize the release of any financial or credit information necessary to process this application. I certify that the information provided is complete and accurate. I understand that providing false or fraudulent information may result in the rejection of my application, legal action, or other penalties. If approved, I agree to abide by the loan agreement and all applicable laws and regulations. Should any of my financial or personal information change prior to the disbursement of funds, I will notify the lender immediately. I acknowledge that any fees paid as part of this application are non-refundable.
Do you understand and agree to the terms listed above?

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