Specialist Wordpress Calculators

Loan Application Form

Loan Application

You are applying to borrow $ for years.

Enter your details below to complete the applicaton. Required fields are marked with an asterisk

Personal Details

You must provide your personal details

Full name *
Email address *
Telephone number *
Date of Birth *
ID Number *
Marital Status *
Number of dependants *
Preferred time of call (if needed)
Document type *
Proof of identity document *

Loan Details

Loan Amount *
Loan Term *
Purpose of loan *
How do you intend to pay this loan? *


Enter your current address and previous address if you have lived there for less than one year.

Building Name
House/Flat number and road *
Town *
Postcode *
Type of Residence *
Time at Residence *
Document type *
Proof of address document *
Previous Building Name *
Previous House/Flat number and road
Previous Town
Previous Postcode
Type of Residence
Time at Residence


Please provide details of your expenditure

Estimated monthly cost of Food and Groceries *
Estimated monthly cost of recreation *
Existing loan repayments *
Other Bills *
Enter the monthly amount *

Employment and Income

Please provide details of your employment and income

Company Name
Name of Employer
Job title
Monthly Net Income *
Time in this employment
Is your income paid directly into your bank account? *
Select additional income sources *

Bank Details

Your banking details are required to set up loan repayments

Bank Name *
Account Number *
Sort Code *
IBAN Number *
SWIFT Number *
Address *
Country *


Please confirm the following:


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This is a general purpose form I’ve used for a number of projects that need an application form.

All the fields are editable. You can disable, make mandatory and change the label. You can also remove sections you don’t need.

You can have it for free but if you need any changes you will have to pay.