XtraBalance Application Form

Please complete the following form to apply for a loan. All fields marked with an asterisk (*) are required.

First Name

Last Name

Date of Birth

Email Address

National ID Number

Provide your correct Ghana card ID

Current Location/House Address

Enter Your Full Current Residential Address

Employment Status

Select Your Current Employment Status

Occupation

Enter your current job or type of work

Loan Amount

Enter the amount you wish to borrow

Loan Term

Select the term length for your loan

Annual Income

Enter your annual income before tax