INCIDENT REPORT PLATFORM

Salary Advance Application Add

Date Initiated *

Reference ID *

Employee Name *

Please select

Address *

Mobile *

Department *

Pension Number *

Loan Amount *

Amount in Words *

Purpose of Loan *

Repayment Period *

Salary Per Month *

Previous Loan Collected

Date Collected

Date Liquidated

Balance Remaining

Application Date *

Applicant Passport/Utility Bill *

Choose...

Guarantor Name *

Guarantor Address *

Guarantor Mobile *

Guarantor Department *

Account No *

Bank Name *

Please select

Employers Name *

Employers Address *

Employers Mobile *

Guarantor Application Date *

Guarantor Passport/Utility Bill *

Choose...

Initiator Action *

Initiator Comment *