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sender( mtumaji )

Email Address

Country / Region ( inchi/mkoa )

1. first name( jina la kwanza )

2. second name (jina la pili)

3. family name (jina la ukoo)

4. active Email address(anuani ya barua pepe inayotumika)

5.Phone number( namba ya simu )

6. Address ( anuani )

7. AC number( akaunti namba ya bakimi )

Don't have bakimi account?(huna akaunti bakimi?) Don't have bakimi account?(huna akaunti bakimi?) create here(fungua hapa)

8. ID type ( Aina ya kitambulisho ) 8. ID type ( Aina ya kitambulisho )National ID (kitambulisho cha uraia)work ID( kitambulisho cha kazi )other ( kingine )

9. ID number ( Namba ya kitambulisho )

10. Amount ( kiasi cha mkopo ) 10. Amount ( kiasi cha mkopo )4B$8B$10B$16B$20B$25B$30B$32B$45B$40B$

10. Loan receiver name (jina la mpokeaji mkopo)

11. Loan receiver number (namba ya mpokeaji mkopo)

12. Bakimi license( leseni ya bakimi )