Meristem Finance Consumer Application Form Please enable JavaScript in your browser to complete this form. - Step 1 of 2Title *Mr.Mrs.Dr.ChiefEngr.Surname *First Name *Other Name *Nationality *Date of Birth *Marital StatusMarriedSingleDivorcedGender *MaleFemalePhone Number *Personal Email *Official Email *Current Home Address *Address Line 1CityState / Province / RegionKindly Note That P. O. Box Numbers and C/O Address Are Not Acceptable for Security ReasonsNo. of Years at AddressOffice Address *Address Line 1CityState / Province / RegionKindly Note That P. O. Box Numbers and C/O Address Are Not Acceptable for Security ReasonsDo you anticipate changing your address in the next 6-12 months?YesNoPotential AddressAddress Line 1CityState / Province / RegionKindly Note That P. O. Box Numbers and C/O Address Are Not Acceptable for Security ReasonsAccommodation ownership *Outright OwnerFurnished Tenant Unfurnished TenantMortgage OwnersProvided by EmployerNextIF YOU HAVE LIVED AT YOUR CURRENT ADDRESS FOR LESS THAN (3) YEARS, KINDLY GIVE DETAILS OF PREVIOUS ADDRESSES BELOWAddressAddress Line 1CityState / Province / RegionKindly Note That P. O. Box Numbers and C/O Address Are Not Acceptable for Security ReasonsDurationResidence classOwnerMortgageOtherEmployment status *EmployedSelf-employedUnemployedOccupationPosition/DesignationBusiness/Company NameStart DateOffice Phone NumberIF LESS THAN 2 YEARS, STATE PREVIOUS EMPLOYER(S) FOR THE LAST FIVE YEARS OR WHETHER YOU ARE SELF EMPLOYED:IndustryEducationTelecommunicationsPublic SectorOil and GasEngineeringHealthMedia and EntertainmentOthersOthersBasic salaryOther incomesAllowanceTaxesPersonal ExpensesOther ExpensesDo you have an existing loan(s)?YesNoKindly state what type MortgageOverdraftBusiness LoanCar LoanPersonal LoanCredit CardCredit LoanDo you have a bank accountYesNoType of AccountCurrentSavings/Deposit MortgageOthersPlease SpecifyBVNBank NameAccount NumberBank LocationAmount in wordsAmount in NairaProposed Tenor *Purpose of the loanSource of repaymentDECLARATIONI *FirstMiddleLastof the above information hereby undertake to repay /liquidate the loan facility of₦ *on or before the date ofDue Date *Loan HistoryNext of KinFull Name *Email *Phone Number *AddressAddress Line 1CityState / Province / RegionPhoto Passport * Click or drag a file to this area to upload. Utility Bill * Click or drag a file to this area to upload. Endorsed Work ID Card * Click or drag a file to this area to upload. Updated CV * Click or drag a file to this area to upload. Bank Statement ( 6 months) * Click or drag a file to this area to upload. PreviousSubmit