INOP Loan Registration Form

(For Non-Pin Coded Teachers & Nurses)

SECTION A: PERSONAL INFORMATION

Full Name

Marital Status

Gender

Date of Birth

Phone Number

WhatsApp Number

Email Address (optional)

Upload Passport Picture (Max 15MB)

SECTION B: EMPLOYMENT DETAILS

Profession

School / Health Facility Name

District/Village

Position / Role

Years of Experience

Are you on Government Payroll?

How did you learn about us?

SECTION C: IDENTIFICATION

National ID Number (NIN)

Upload National ID Card Scanned (Max 15MB)

SECTION D: LOAN DETAILS

Loan Amount Requested (Le)

Preferred Repayment Plan

SECTION E: GUARANTOR

Full Name

Relationship

Phone Number

Address

Occupation

SECTION F: DECLARATION

Date

I agree to the terms above.