Namllu Credit Bank Loan Application FORM

First Name: Last Name: Age:

Address:

What is your current salary ? Under $10000 $10000 to $25000 $25000 to $50000 Over $50000

How much do you want to borrow ?

Our $1,000 package at 8.5% interest
Our $5,000 package at 11.5% interest
Our $10,000 package at 15.5% interest