Awesome Image
  • 2, Irewole Avenue, Opebi,
    Lagos State, Nigeria.

  •   +234 909 463 1810

  • Mon - Fri 8.00 - 17.00
    Sunday and Saturday Closed

Apply for Our Loan.

The loan agreement form serves as an offer/acceptance of the loan with its terms and conditions between QC Advance Services Company Ltd(The Lender) And

Provide your personal Details

Provide your Surname
Provide your First Name
Provide your Surname
Phone Number
Alternate Phone Number
In this format DD/MM/YYYY
Provide your Home Address
Provide the closest Land Mark to you
Provide the description of your Building
Provide the description of your Building
Provide any means of Id
Provide your id number
Provide your marital status
How many children do you have

Provide your Social Media Details

Provide your email address(es)
Provide your Facebook Id
Provide your Twitter Id
Provide your Linkedin Id

Provide your Employment/Business Details

Provide your income type
In this format DD/MM/YYYY
Provide your current office address
Please enter a valid email address.
Provide your official email Address
Provide your Office Phone number
Provide your job title
Provide your Supervisor's Name
Provide your Supervisor's Phone Number
Provide your Employer's Head Office Address

Other Details

Next of Kin Details(Next of kin should be an adult with an active line)

Provide your Next of Kin's Name
Provide your Relationship with your next of kin
Provide your Next of Kin Phone Number
Please enter a valid email address.
Provide your Next of Kin email
Provide your Next of Kin Address

Existing Loan Information

Provide your Loan Organisation(s)
Provide your Loan Amount
Provide the frequency with which you repay your loan.
Provide the amount repaid.
In this format DD/MM/YYYY

Quick Cash Request

What is the purpose of the cash request?
How much do you want to borrow?
How long do you want to borrow for?

Disbursement Account Details

Important Notes:

Returned Cheque Policy: QVC Reports to SFU and EFCC and charge N2,000 Default Penalty: 1% daily (of unpaid amount)
I confirm that all information probided is true and i have read, understood and agreed to the terms and conditions stated above I confirm that a duplicate of the agreement form is valid and can be used as an instrument of litigation.

copyright © QC Advance Services Company Ltd. All rights reserved.