LOAN APPLICATION FORM

BSP Personal Loan Applica on Form | Page 1 of 2

Dear Customer, Please complete this Applica on Form neatly (by hand) and include all informa on, documenta on and iden fica on required. For enquiries visit your local branch or our website: www.bsp.com.pg/Personal/Retail-Banking/Loans/Loans.

Purchase Price: K Own Contribu on: K CIF Number:

Loan Request: K Repayment Offered: K Fortnightly Monthly

Purpose Of Loan: Vehicle School/Tui n Household Items Holiday Personal Expenses Housing Other:

PERSONAL DETAILS

First Name: Middle Name: Surname:

Birth Date: DD/MM/YY Gender: M F Marital Status: Single Married De Facto Divorced Widowed

Ages of Children: Spouse Full Name: Spouse Birth Date:

Country of Ci zenship:

Nearest Living Rela ve: (Complete Below)

Name & Rela n:

Work Address:

Telephone/Mobile:

Email:

Country of Residence:

Residen al Address: (Complete Below)

Sec n/Lot/Street/Suburb:

Date you moved there:

Owner: Self Rela ves Rental Property

Landlord Name:

Landlord Address:

Previous Residence: Sec n/Lot/Street/Suburb:

Length of Residency:

Nominated Administrator: (for insurance purposes)

Name & Rela n:

Work Address:

Telephone/Mobile:

Email:

Bank: Acc#Account Name:

EMPLOYMENT DETAILS Applicant Spouse

Employer:

Occupa n:

Date Commenced:

Employer Address:

Work Telephone & Mobile:

Previous Employer:

Years at Previous Employer:

CREDIT HISTORY (Credit Reference, Previous Loans, Finance Companies, Stores etc. Please a ach Statements)

Ins tu n 1: Address:

Ins tu n 2: Address:

Ins tu n 3: Address:

Have you ever been declared bankrupt, defaulted on a loan or had any judgement or legal proceedings against you? *Yes No

*Provide Details:

Applicant Signature: Date:

Joint Applicant Signature: Date:

BSP Personal Loan Applica on Form | Page 2 of 2

STATEMENT OF POSITION

A. Assets – What you own

House Sec n: Lot: Suburb/Street: K

Vehicle Make: Model: Year: Registra n#: K

Furniture, White Goods K

Others K

Bank Account Primary Account: Other: K

Total Assets K

B. Liabili es – What you owe

BSP Personal/Home Loan K

Loans: other Lenders K

Other debts, hire purchase etc K

Rates/Taxes/ Over Dra Facility K

Total Liabili s K

Total Assets – Liabili s K

C. Monthly Income

Gross Salary (Before Tax) Provide 3 Latest Pay slips + Bank Statements K

Other Income Provide Details

K

K

K

Total Monthly Income K

Monthly Expenses

Home Loans K

Other Loans K

Motor Vehicle Costs K

Rent + U i es K

Insurance, Rates, Taxes K

School Fees K

General Living Expenses (Others) K

Total Monthly Expenses K

Net Surplus K

BANK USE ONLY: Branch Officer Name: Branch: Date Received:

PERSONAL FINANCIAL AND CREDIT INFORMATIONThe undersigned authorises Bank of South Pacific Limited: (

under our arrangements regarding the Foreign Account Tax Compliance Act (“FATCA”). (2) In the event of the undersigned’s death, to pay the funeral assistance benefit to the nominated adminstrator specified in this form, subject to the terms and exclusions of the

The details completed are a true and accurate record:

Consumer Credit Insurance Policy. The nominated administrator must be a Natural Person and be at least 18 years of age or over at the time of the application.