Kim Finance Limited — Loan Application Form

1. Personal Details

First Name

Middle Name

Last Name / Surname

Date of Birth

Gender

Marital Status

National ID / Passport No.

Phone Number

Residential Address

Province

Email Address

2. Employment Information

Employer / Organisation Name

Employment Type

Job Title / Position

Department

Employee / Staff ID

Monthly Net Salary (PGK)

Pay Frequency

Years of Employment

Employer Phone

Employer Address

3. Loan Details

Loan Type

Loan Amount Requested (PGK)

Repayment Term (months)

Purpose of Loan

4. Required Documents Checklist

Please tick (✓) all documents you are attaching with this application.

Valid National ID or Passport

Recent Payslip (last 3 months)

Bank Statement (last 3 months)

Employment Confirmation Letter

Completed Application Form

Passport-size Photo

Declaration: I hereby declare that the information provided in this application is true, accurate, and complete to the best of my knowledge. I authorise Kim Finance Limited to verify any information provided and to conduct any necessary checks. I understand that providing false information may result in the rejection of my application or legal action.

Applicant Signature

Print Name

Date

For Office Use Only

Received By

Date Received

Status

Approved Amount (PGK)