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Date of Birth
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Email ID
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Address
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Full
Part
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Self
Public
Private
State of Employment
Abia
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Ekiti
Niger
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Gombe
Ogun
Anambra
Imo
Ondo
Bauchi
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Osun
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Kaduna
Oyo
Benue
Kano
Plateau
Borno
Katsina
Rivers
Cross_River
Kebbi
Sokoto
Delta
Kogi
Taraba
Ebonyi
Kwara
Yobe
Enugu
Lagos
Zamfara
Company Name
Sector
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Public
Education
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Manufacturing
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Realtor
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IT
Construction
Engineering
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Monthly Salary
Bank Verification Number
Bank Name
Account Name(e.g Motion Yield Limited)
Account Number(e.g 0100293849)
Account Type
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Savings
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Loan Amount
Repayment Tenor in Days
Next of Kin Name
Next of Kin Phone Number
Next of Kin Address
Application Date
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