Loan Application ENG

Please fill up form carefully and provide all information correctly. Your information will be checked after your approval and in case if information will not be correct your application will be rejected
Loan Amount *
Time of Loan (Months) *
Loan Mission *
Full Name *
Personal Number *
ID Number
Date of Birth *

Day Month Year
Date format: 25.08.1985
E-mail *
Address
Residential Address
Phone *
Work *
Your Position *
Received Salary in Bank *
Do you have outstanding obligations and are you in a negative database?? *

Yes No
Consent

On verification of data protected at JSC Credit Information Bureau Creditinfo Georgia

I express consent and authorize the JSC ,,Microfinance Organization Georgian Capital“ (i/n: 204568574) with the right under the legislation of Georgia, the process information mentioned in the present consent and kept with the creditor, and as well as information kept in the credit bureaus on the purpose of solvency.

Understanding the rights provided under the Georgian legislation, that according to the consumers’ (including data subjects’) request, the data controller shall be obliged to correct, update, add, block, erase or destroy data if they are incomplete, inaccurate, not updated, or, if their collection and processing was carried out unlawfully.

This consent is one-time and is valid within 30 working days after signing the application.
Do you agree to have your data verified in CreditInfo databases? *

Yes No
Consent
On verification of personal data

According the ,,Law on Personal data protection of Georgia“, by signing the present document, I declare the consent and I authorize the JSC ,,Microfinance Organization Georgian Capital“ (i/n: 204568574) (hereinafter ,,MFO”) with an unconditional right, to get my personal data, necessary for the organization, from the LEPL State Service development Agency, to check, to verify and process any data about me in the database of Credit-Informational Bureau and Public and Civil registries of the Ministry of Justice, in accordance with the legislation, the purpose and extent necessity for the implementation of this goal.

Also, MFO is authorized, without any additional agreement, to collect, keep, protect, erase any positive and/or negative information about me, any information about me and about the progress of fulfilling the obligations by me under the signed agreement, also affect the photo and video shoot, and to transfer and become available for the third persons the above mentioned information only under the legislation and/or contractual cases.

Also, I certify that I am informed about my right to terminate the personal data processing and cancel the consent by written request, after the fulfillment of the obligations by me towards the MFO will be fully performed.
Do you agree to have your data verified in personal data databases? *

Yes No
Sorry, But your application can not be processed!
In order to process the application we must have the opportunity to check your information.
For identification purposes, please transfer 1 Tetri from your bank account to our following account (Otherwise the application will not be considered):

TBC Bank
GE69TB1127936080100002
Should be Empty:

Consent

On verification of data protected at JSC Credit Information Bureau Creditinfo Georgia

Consent On verification of personal data

Consent
On verification of personal data