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Salary Earner Application Form

Quick Easy Access > Salary Earner Application Form

Full Name *

Email Address *

Phone Number

Gender *

BVN Number *

State of Origin *

Occupation *

Marital Status *

Home Address *

Employment Status *

Employment Type *

Company Office Address *

Date Of Birth *

Accommodation Type *

No. of Dependents *

Do you have an existing loan? *YesNo

If yes, what is the name of the lender?

How much loan is your existing loan?

Employment Sector *

If Public, kindly confirrm the level of your office.

Name of Federal Agency,

If Federal, kindly input your IPPIS number.

if Private, What is the name of your Employer

Your net monthly salary *

Have you spent 6 months and above with your employer? *Have you spent 6 months and above with your employer?YesNo

Name of next of kin *

Full name of referee *

Referee contact details *

Upload a valid means of Identification e.g. NIN, Driver’s License etc *

No file chosen

Upload a recent Utility Bill *

No file chosen

Upload A Passport Photograph *

Drag and Drop (or) Choose Files

Upload Proof of Employment (Work ID Card, Employment Letter, Promotion Letter) *

No file chosen

Upload Proof of Salary Paylip or Bank Statement for the last 6 months (Salary Account) *

No file chosen

Upload your most recent payslip *

No file chosen

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Contact

Lagos Office : 20 Olaperi Street Shonibare Estate Maryland Lagos.
Benin Office: 69 Boundary Road GRA Benin City.
info@quickeasyaccess.com.ng
+2348132724870

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