Microloanform

Registration Form

Please complete the following registration form to start your application process. Our team will review your information and get in touch with you promptly. Thank you for choosing KCMFB as your financial partner!

Kindly fill out the form with your correct details. Thank You!

Mr.

Mrs.

Miss.

Ms.

First name

Valid first name is required.

Last name

Valid last name is required.

Please enter a valid email address for shipping updates.

Address

Please enter your shipping address.

Address 2 (Optional)

Phone No

Valid last name is required.

Date of Birth

Valid last name is required.

Micro Loan Application Form

Business Name Full name as displayed on Certificate of incorporation

Name on card is required

Business Address

Credit card number is required

Intended Amount (₦'000)

₦ 0.00

Purpose