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Rogers Capital Credit Application

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Credit Application Form

CUSTOMER INFORMATION (* Mandatory or else RCFL cannot process/delayed)

TITLE:
MARITAL STATUS:
RESIDENTIAL STATUS:
RESIDENTIAL TYPE:

PROFESSIONAL ACTIVITY

A. EMPLOYED
EMPLOYED:
PREVIOUS EMPLOYMENT
B. SELF-EMPLOYED
C. PENSIONER
INCOME
DECLARATION
BORROWING FACILITIES FROM OTHER INSTITUTION:

Rogers Capital Finance Ltd is a regulated entity licensed by the FSC under the Financial Services Act 2007

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