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Personal Information

Birthday
Gender

Employment Details

Employment Status

Vehicle Information

Service History (if available): (Yes/No)
Have you had your vehicle assessed for CNG conversion? (Yes/No)
Do you have a referral code from a Verified Conversion Center? (Yes/No)
If you have not had your vehicle assessed but would like to, please select your preferred Certified CNG Conversion Center for assessment: (Select from list)
Preferred Appointment Date: (DD/MM/YYYY)

Loan Details

Are you willing to provide a minimum equity contribution of 10%? (Yes/No)
Do you have a clean credit report from at least two credit bureaus? (Yes/No)
Have you ever defaulted on a loan repayment? (Yes/No)

Consent and Authorization

Do you authorize CREDICORP to share your details with Participating Financial Institutions (PFIs) for loan processing? (Yes/No)

© 2024 - the Nigerian Consumer Credit Corporation (CREDICORP)

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