Rosabon Registration Form
After you have filled out this form, a client services executive will contact you within 24 hours (working days) and 72 hours (weekend)
Gender *
Location (State in Nigeria) *
Business owner or salary earner *
Please enter the product number
Name of Organization(For Salary earners) or Business name (For Business owners) *
What platform did you get this link? *
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Monthly Net income (NUMBERS ONLY) *
Are you currently servicing a loan?(NUMBERS ONLY) *
if yes to above, how much are you paying back monthly? If No, indicate with 0.(NUMBERS ONLY) *
How much are you seeking to access?(NUMBERS ONLY) *
Type of (Salary)/account *
Is Your Business Registered With CAC (Corporate Affairs Commission) *
IF Yes Kindly Pick *
Looking for a loan above N3 Million? You can get it now with a land or car as collateral. If you are interested in using your car as collateral (which stay with you throughout your loan repayment period), kindly confirm the model of your car, and If No Kindly pick N/A *
Looking for a loan above N3 Million? You can get it now with a land or car as collateral. If you are interested in using your land as collateral (which stay with you throughout your loan repayment period), kindly confirm the landed property has a titled document. And If No Kindly pick N/A *
Looking for a loan above N3 Million? You can get it now with a guarantor. If you are requested to have a guarantor, can you provide a guarantor who is a salary earner? And If No Kindly pick N/A *
Surname *
First Name *
Other Names *
Phone number (Primary) *
Phone number (Secondary) *
E-mail *
Official Email Address *
Preferred contact method *
Required
Questions and comments
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