Salary Advance Application

ⓘ Salary Advance: up to ₦50,000, repayable in 1 month. Non-members require a member guarantor.

1. Applicant Information

Full Name *

Member No

Payroll/Employee ID (AKSM no) *

Company/Department *

Phone Number *

Bank Account for Disbursement *

2. Loan Request & Declaration

Member Type *

Amount Requested (max ₦50,000) *

Interest Rate

Interest Amount

Admin Fee (1%)

Repayment Period

Total Repayment

Declaration & Authorization

I, , hereby declare that the information provided is true. I authorize the Cooperative to deduct the total loan amount plus any applicable interest/fees directly from my salary for 1 month.

Signature *

✎ Draw signature instead

Date

3. Summary & Submit

✓ Application Overview

Name---

Member No---

Company/Department---

Phone---

Amount Requested---

Interest Rate---

Admin Fee (1%)---

Total Repayment---

Member Type---

GuarantorN/A

Security Check: What is 9 + 8?

✓ By submitting this application, I confirm that all information provided is true and correct. I authorize salary deduction as described above.

Salary Advance Application

⚠ Guarantor (Required for Non-Members)

✓ Application Overview