Finance & Development Company Ltd. (FDC)

Loan Pre-Screening Form

Complete the form below. All fields marked with a red asterisk (*) are required.

1. Personal Info

Last Name:*

Enter a valid name, eg. Matthew

First Name:*

Enter a valid name, eg. Karen

Other Name(s):

Enter a valid name, eg. Ann Marie

Birthdate (dd-mm-yyyy):*

Enter a valid date, eg. 13-09-1980

Address:*

Enter a valid address, eg. #23 Sunset Lane, Pine Garden, St Johns

Main Phone:*

Enter a valid phone number, eg. 712-1200

Other Phone:

Enter a valid phone number, eg. 712-2101

Email:

Enter a valid amount, eg. karen@somemail.xzy

2. Employment Info

Employer's Name:*

Enter a valid value, eg. ACM Inc.

Job Title:*

Enter a valid name, eg. Supervisor

Date of Hire (dd-mm-yyyy):*

Enter a valid date eg. 14-02-1980.

Salary After Taxes:*

Enter a valid name, eg. 4000

Income From Other Sources:

Enter a valid name, eg. 2000

3. Loan Details

Desired Loan Amount:*

Enter a valid value, eg. 20000

How is the loan to be used?*

Select an appropriate value.

Specify other purpose below:*

Enter an alternative purpose, eg. Farming

Is a salary deduction possible?*

Select an appropriate value.

Are you a returning client?*

Select an appropriate value.

4. Net Worth

Cash and Bank Balance:*

Enter a valid amount, eg. 50000

Land and Property Value:*

Enter a valid amount, eg. 700000

Life Insurance Value:

Enter a valid amount, eg. 225000

Vehicle Value:

Enter a valid amount, eg. 40000

Other Asset(s):

Enter a valid amount, eg. 100000

Existing Loan Balance Total:

Enter a valid amount, eg. 80000

Existing Liabilities:

Enter a valid amount, eg. 250000

5. Monthly Expenses

Grocery:*

Enter a valid amount, eg. 800

Clothing:*

Enter a valid amount, eg. 250

Mortgage/Rent:*

Enter a valid amount, eg. 1500

Utilities (Water, Electrcity, etc):*

Enter a valid amount, eg. 500

Monthly Insurance(s):

Enter a valid amount, eg. 225

Vehicle Fuel & Maintenance:

Enter a valid amount, eg. 300

School Fee(s):

Enter a valid amount, eg. 600

Other Loan Payment(s):

Enter a valid amount, eg. 300.34

Box Hand/Other Expenses:

Enter a valid amount, eg. 250

Disclaimer:

Getting pre-screened provides you with an idea of how much you may borrow. The process is quick and free without providing any supporting documentation. However, you’ll be required to submit all required loan documentation in order to apply for the actual loan approval. Responses are typically done in 48 hours. Please keep in mind that our pre-screening offers are not binding and is subject to change.

BY CLICKING ON THE SUBMIT BUTTON BELOW, I WISH TO APPLY FOR THE LOAN LISTED ABOVE AND CERTIFY THAT ALL INFORMATION PROVIDED ABOVE IS CORRECT. I HAVE READ THE ABOVE STATEMENT AND AGREE TO THE TERMS SET OUT THEREIN.