An easy to use WordPress plugin

Loan Application Form

A versatile multistep form to collect loan information. Includes personal details, address, financial data and proof of identity uploads.

Loan Application

Required fields are marked with an asterisk

Loan Details

Borrowing: £200
Term: 1 month
Repayment
Interest
Total to Pay
Purpose of loan
How do you intend to repay this loan?

Please complete all marked fields

Personal Details

Full name *
Email address *
Telephone number
Date of Birth
Marital Status
Proof of identity document *
Please complete all marked fields

Accomodation

House/Flat number and road
Town
Postcode
Type of Residence
Document type
Proof of address document
Please complete all marked fields

Expenditure

Monthly accomodation cost
Monthly utilities bills
Monthly cost of food and groceries
Estimated monthly cost of entertainment
Existing monthly loan repayments
Other Bills
Enter the monthly amount
Please complete all marked fields

Employment and Income

Monthly Net Income
Employment *
Name of Employer *
Business name *
Job title *
Please complete all marked fields

Validation

Please complete all marked fields

Success

You successfully submitted the form

Oops

The form didn't submit

Download the plugin

Get the Plugin

If you want the plugin download it here. If you need help setting things up give me a call on 07921 859805 or fill in the form on the Contact page