Hire Purchase Application

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Complete this form to apply for an installment plan. Fields marked * are required. You can upload photos (a clear picture of each document is fine).

Salaried Worker Business Owner

Full Name *

Email Address *

Item of Interest

Mobile Number 1 *

Mobile Number 2 (optional)

Desired Term (months)

Proposed Deposit (GHS)

Copy of your ID Card (photo is fine)

Company Name

Company Address

Office / Residential Address

Current Bank Statement

Pay Slips (you can select multiple)

Pictures of Postdated Cheques (multiple allowed)

Cheque Numbers (needed for the invoice)

Guarantor Name *

Guarantor Ghana Card

Guarantor Bank Statement

Guarantor Work Address

Guarantor Residential Address

Additional Notes (optional)

Your information is kept confidential and used only to assess your application.