HEAD OFFICE
13 Barbados Avenue, Kingston 5, Jamaica, W.I.
Tel: (876)- 926-2669/ 754-4112
Fax: (876)- 960-2519
First Union Financial Company

In Service to the Employees and Entrepreneurs of Jamaica.

Branches: Branches: Montego Bay, Ocho Rios, Mandeville, Westmoreland, May Pen, Portland, Spanish Town, Linstead, Spanish Town Road, Ocean Boulevard

PERSONAL LOAN APPLICATION FORM
Applicant's Name: Alias: Tel. No. Home: Cellular Number:
i.e. xxx-xxx-xxxx i.e. xxx-xxx-xxxx
Home Address:
Mailing Address(if different from above):
How long have you been living at current address?: E-Mail:
i.e. yourname@email.com
Marital Status: No. of Children:
NAMES AND ADDRESS OF TWO RELATIVES NOT LIVING WITH YOU, INC.PHONE CONTACT
Name: Name:
Address: Address:
Relationship: Relationship:
Tel: Home: i.e. xxx-xxx-xxxx Tel: Home: i.e. xxx-xxx-xxxx
Cellular: i.e. xxx-xxx-xxxx Cellular: i.e. xxx-xxx-xxxx
YOUR PERSONAL AND FINANCIAL INFORMATION
T.R.N.# Drivers Lic.# Expiration Date:
Enter # without spaces Enter # without spaces dd/mm/yyyy
Date of Birth: Passport #: Expiration Date:
dd/mm/yyyy Enter # without spaces dd/mm/yyyy
Gender: National ID#: Expiration Date:
i.e. Male/Female Enter # without spaces dd/mm/yyyy
Employer's Name: Telephone: i.e. xxx-xxx-xxxx
Supervisor's Name: Department:
Your Occupation: How long with this company?
Employment Type
If you are employed on a contractual basis, when does your contract expire?
Other Income Amount Source of Income:
Amount Requesting: Purpose of loan?
Amount Existing: Your Pay after deductions (Net): $
Amount Recommended    
Do you have any other loans being paid from salary?
Name of Creditor Address Monthly Payment Loan Balance
Reference By:  
Employer
Work Address:
Home Address:
TRN:
I hereby acknowledge that the above information supplied by me is true. If for any reason the Accounts Department overlooks my monthly deduction(s), or should my salary be unable to accomodate my payment(s) to the F.U.F Co. Ltd., you are hereby authorized to deduct an additional late fee of Two Thousand Dollars ($2,000.00) for any outstanding month.
Date: