Apply – QC Advance

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Untitled*
- I have read the Terms and Conditions
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 You (Borrower)
Upload Your Passport Photograph*
Title*
Your Name*
Other Name*
Last Name*
Mobile Phone Number(s)*
Alternate Phone Number(s)
Gender*
- Male
- Female
A bit more about you
Date of Birth*
Date Format: DD dash MM dash YYYY
State*
Home Address*
Street Address Closest Landmark
Previous Home Address*
Street Address Closest Landmark
Residential Status
Any Identification?
Kindly provide means of identification and of course, your status.
Means of ID*
ID Number*
ID Expiry Date*
Date Format: DD dash MM dash YYYY
ID Issued Date*
Date Format: DD dash MM dash YYYY
Marital Status*
- Single
- Married
- Divorced
Number of Children*

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Let's get social
Email Address*
Facebook ID
Twitter ID
More Details?
Linkedin ID
Instagram ID

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Employed? or do you run your Business?
Salary Earner/ Business Owner*
- Employed
- Business Owner
Employer/Business Name*
Employment Type*
Monthly Income*
Please enter a number from 10000 to 5000000.
Care to provide even more details?
Date of Employment*
Date Format: DD dash MM dash YYYY
Current Office Address*
Street Address
Office Email Address
Office Phone Number
Department*
Industry/Sector*
Job Specifics
Let's get to know a bit about what you do
Job Title/ Position*
Supervisor's Name*
Supervisor's Phone Number*
Employer's Head Office Address*
Street Address
Next of Kin
Kindly note that your Next of kin should be an adult with an active line
Title of Next of Kin
Next of Kin Name*
First Last
Relationship*
Next of Kin Phone Number*
Next of Kin Address*
Street Address City
Next of Kin Email
State*

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Existing Loan Information
Kindly provide ALL the required details here
Organisation(s)
Loan Amount
Repayment Frequency
Repayment Amount
Any Record of Default ?
- Yes
- No
Quick Cash Request
Kindly ensure that your loan request information is correct.
Purpose of Loan*
Loan Product*
Loan amount (subject to approval)*
Please enter a number from 50000 to 5000000.
Loan Tenor*
Kindly refer to this page: for required documents
STATEMENT OF ACCOUNT
6 MONTHS STATEMENT OF ACCOUNT
EMPLOYMENT LETTER
EMPLOYMENT LETTER
CONFIRMATION or PROMOTION LETTER
CONFIRMATION\/PROMOTION LETTER
PENSION STATEMENT or TAX CLEARANCE
PENSION STATEMENT\/TAX CLEARANCE
POSTDATED CHEQUES for repayment
POSTDATED CHEQUES
COPY OF WORK ID
COPY OF WORK ID
OTHER VALID MEANS OF IDENTIFICATION
COPY OF OTHER VALID MEANS OF IDENTIFICATION
First Repayment Date*
Date Format: DD dash MM dash YYYY
Disbursement Date*
Date Format: DD dash MM dash YYYY
Repayment Method*
Bank Account Details
Kindly provide your preferred Account Details for loan disbursement
BVN*
Bank Name*
Account Name*
Account Number*
We really need to know this
Don't worry, we are almost done.
Type of Customer*
Would You Like a Copy Emailed to You ?

Enter your email in this box and we will send you a copy
How did you hear about us ?*
Details
Important Notice
Returned Cheque Policy: QC Advance reports to SFU and EFCC and charges N2,000
Late Payment Penalty: 1% daily (of unpaid amount)
I confirm that all information provided are true and correct. I have read, understood and agreed to the terms and conditions of the loan.
I confirm that a duplicate or Ecopy of the agreement form is valid and can be used as an instrument of litigation.
Do You Confirm ?
- I Confirm
- I Don't

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Loan Application

NOTE: LOANS ARE ONLY ACCESSIBLE TO LAGOS RESIDENTS

Loan Application

Let's Get Started

A bit more about you

Any Identification?

Let's get social

More Details?

Employed? or do you run your Business?

Care to provide even more details?

Job Specifics

Next of Kin

Existing Loan Information

Quick Cash Request

Bank Account Details

We really need to know this

Important Notice

I confirm that all information provided are true and correct. I have read, understood and agreed to the terms and conditions of the loan.
I confirm that a duplicate or Ecopy of the agreement form is valid and can be used as an instrument of litigation.

You need to know this

What ever your loan reason is...

Important Links

Useful Links

Get In Touch

Loan Application

NOTE: LOANS ARE ONLY ACCESSIBLE TO LAGOS RESIDENTS

Loan Application

Let's Get Started

A bit more about you

Any Identification?

Let's get social

More Details?

Employed? or do you run your Business?

Care to provide even more details?

Job Specifics

Next of Kin

Existing Loan Information

Quick Cash Request

Bank Account Details

We really need to know this

Important Notice

I confirm that all information provided are true and correct. I have read, understood and agreed to the terms and conditions of the loan. I confirm that a duplicate or Ecopy of the agreement form is valid and can be used as an instrument of litigation.

You need to know this

What ever your loan reason is...

I confirm that all information provided are true and correct. I have read, understood and agreed to the terms and conditions of the loan.
I confirm that a duplicate or Ecopy of the agreement form is valid and can be used as an instrument of litigation.