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E-Loan


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Contact

Lazaristes Building, Bloc A2-1, 6th FloorEmir Bashir Street, Downtown
Beirut - Lebanon
Tel: + 961 1 990 100
@: sales@bproducts.com

SETS call center 01-975555

View & order products

Guarantor Application

E-Loan Application

Retailer:

Choose BLC Bank Branch:	*

Required Personal loan

Loan amount requested	*
Pay in:	USD	LBP
Loan period:	12 months	18 months	24 months	36 months
Selected Products (Max 250 caracters)

Personal Information

Mrs

Miss

First Name	*
Middle Name	*
Last Name	*
Mother’s maiden name	*
Place & date of birth	* (DD-MM-YYYY )
Place & register no	*
Nationality	*

Marital Status

Single

Married

Divorced

Widowed

No. of dependants	*
No. of children

Age of each child (Years)

Spouse

Spouse’s maiden name
Father’s name
Company/ Employer’s name
Spouse’s nature of business
Monthly net income
Address
Employment date

Home Address

Own home

Rent

Living with parents

Bldg	*
Years there	*
Street	*
Region/city	*
Country	*
Phone	*
Mobile
P.O. Box
E-mail	*

Educational background

School

Technical

University

Postgraduate

Professional Information

Current Occupation

Employee	Self-Employed
Other:

Company / Employer’s Name	*
Nature of business	*
Employment date	* (DD-MM-YYYY )
Position	*
NSSF number

Company address

Bldg	*
Street	*
Region	*
Country	*
Phone	*
P.O. Box
E-mail
Previous job & years of experience

Financial Information

Annual salary / income (in USD)	*
Any other income
Source of income
Annual expenses (in USD) (i.e. rent, tuition fees, bills insurance premium, others…)	*

Account Information

BLC Bank Customer

Yes

If yes, branch name
Account number
Account type
Opening date

Salary Domiciliation

With BLC Bank

None

Other bank references

Bank name	Branch name	Account type	Opening date

Cards held

MasterCard/ Visa/Dinners	Type of card	Issuance / Expiry	Card limit	Bank & branch name

Credit facilities
(Please specify if you have other current loan facilities or act as guarantor to other loans. Specify currency.)

Type of facilities	Borrower or Guarantor	Loan Amount	Monthly installment	Maturity of final installment	Bank / Financial co. name
Personal loan
Car loan
Housing loan
Other

Assets Owned

	Detailed information	Estimated value
Real Estate / Plot number
Company’s name / No. of shares
Car type & registration number
Other

Acknowledgement

I hereby acknowledge, under my full responsibility, that all the above information are correct, true and complete under the penalty of applying the provisions of article /198/ of the Code of Money and Credit and article /655/ of the Criminal Code. I authorize you, without being obliged thereof, to verify it with any and all sources, renouncing to the Banking Secrecy. This application does not vest me with any rights and you are entitled, in your absolute discretion, to reject it without providing any reason whatsoever.
I declare taking note and accepting all the risks of using the Internet or information that may reach others, relieving you from any responsability in this regards

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