Loan Application Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.DEEPWELL CONSULTSPlot 15, Block 1, Ibara GRA Extension, Olokemeji, Abeokuta, Ogun State Website: www.deepwellconsults.com Email: deepwellconsults@gmail.com Mobile: 08022239292 Branches: Ibara GRA | Obantoko | IjaiyeFull Name (Surname First) *GenderMaleFemaleThird Choice Full How Guarantor's Occupation *Home Address *Office Address *Phone Number *Email Address *Bank Name *Account Name *Account Number *Loan Amount *Loan Duration *— Select Choice —1 Month3 Months6 Months12 MonthsPurpose of Loan *Loan Agreement *I hereby agree and undertake to pay my loan within the tenor granted. My goods and properties should be confiscated should I fail to pay back within the agreed tenor. I agreed to pay the default charge of 15% interest on the outstanding amount monthly and other expenses reasonably incurred to ensure repayment.Full Name (Digital Signature) *Date *🛡️ GUARANTOR DETAILS——————————————– Please fill in the guarantor information belowGuarantor's Name *Office Address *Home Address *Guarantor's Email *Telephone *Occupation *Relationship with Applicant *How long have you known the applicant? *Guarantor's Agreement *I hereby agree and undertake to pay Deepwell Consults the principal, accrued interest of 15% monthly on the outstanding amount and any other expenses reasonably incurred to ensure repayment if the person that I guaranteed is unable to settle the indebtedness as at when due.Full Name (Digital Signature) *Date *Submit