Salary Loans EN - Application 1234Application Step (hidden)Loan InformationYou’re just 3 steps away from your Loan ApplicationSection 1: Loan InformationSection 2: Personal InformationSection 3: Living conditionsThis will take about 15 minutes for 15 main questions.Interest rate (hidden)Fees (hidden)1. How much do you want to borrow?(Required)2. How much do you wish to pay monthly for this loan?(Required)3. For what do you want to use this loan?(Required)Please selectEmergencyConsumptionBusiness InvestmentRepay other LoanSend to homelandYou have completed 20%, 12 more questions and your application will be complete!Personal Information4. First Name(Required)Last Name(Required)5. Please provide your phone number(Required)6. What is your Marital Status?(Required)Please selectSingleMarriedWidowedDivorced6. a) How many children do you have?(Required)6. b) For kids between 7-18 years, how much do you spend for schooling every month?(Required)7. What is your Occupation?Please selectEmployeeBusiness owner7. a) How long have you been with your current employer (in months)?(Required)7. b) If less than 1 year, how long have you worked from previous employer (in months)?7. c) What is your job title?(Required)8. What is your Monthly income?(Required)8. a) How much is your spouse income?(Required)9. Do you have other income?(Required) Yes No9. a) If yes, how much?(Required)You have completed 60%, 6 more questions and you are done!Living Conditions10. Please tell us your current address locationProvince(Required)Please selectBattambangKampong ChamKampong ChhnangKampong SpeuKampong ThomKampotKandalPhnom PenhPrey VengPursatSiem ReapTakeoTboung KhmumOtherDistrict(Required)Please select– Fill Out Other Fields –Commune(Required)Please select– Fill Out Other Fields –Village(Required)Please select– Fill Out Other Fields –Branch (hidden)11. Where do you live?(Required)Please selectOwn HouseRent House12. How many months are you living here?(Required)12. a) If rental, How much do you pay for month?(Required)13. How much is your monthly utilities ( Water, Electricity, & Internet)?(Required)14. How much is your personal family expense? ( Food, gasoline / transportation, & or phone card)(Required)15. How much do you pay for other loans? (Enter '0' if you don't have other loans)(Required)15. a) How much is your remaining Loan Balance?(Required)Please check that your details are correct before submitting4. Name10. Please tell us your current address location , , ,MID (hidden)Qualification Value (hidden)Qualification Word (hidden)Qualification Refinancing Word (hidden)
