Educational Loan Request Form

"*" indicates required fields

Step 1 of 3

Nationality*

Surname*

Mother's Name*

National ID Number*

Personal Number

Birth Place*

Date of Birth*

Gender*

Male

Female

ID Document Type*

Place of Issue*

Document No.*

Civil Record No.

Date of Issue*

Expiry Date*

Document Image

Max. file size: 24 MB.

Do you have an e-wallet?*

Spouse Full Name

Mobile No.*

Landline No.

Postal Code

P.O.Box

Client Full Address*

Proof of residence

Max. file size: 24 MB.

Residency Status

Bulding No.

Permanent Residence Address Outside Jordan

Mailing Address Outside Jordan

Residency Status*

Education*

Profession

Place Work/Entity Name

Mobile Work

Work Address

Do you own

Car

Home

Land

Do you have another nationality?

Do you have another nationality:

Nationality

Passport Number

Date of Issue

Expiry Date

Bank Account No.

Social Status*

Dependants No.*

Are You

Income Source

Amount

Basic Income

Other Income

Liability To

Liability Amount

Are you the actual beneficiary of the Funding?

If the answer is No - pleas fill the KYC form for the beneficiary

References Names*

Name

Phone Number

Relation

Name

Phone Number

Relation

Guarantors Information

First Name *

Father's Name *

Grandfather's Name *

Family Name *

National ID Number *

Document No. *

Mobile No. *

Place Work *

Income value *

Address *

Are you or any of your family members up to first degree in minimum or any other persons working on your behalf or having authorizations issued by you, occupying or have occupied a prominent public position in the kingdom or in any foreign country such as: prime minister, judge,military, high level govermental once, or was a prominent politician or prominent person in any political party or senior executive in the corporations*

If the answer is yes, who is the political person(s)?

Name

Position

Explain the nature of relation

An acknowledgment of the accuracy of the information and a statement to inquire about the accuracy of the data

I, the undersigned, acknowledge the validity and accuracy of the information, data, and documents mentioned above and provided by me to Microfund for Women, and hereby I have no objection to Microfund for Women verifying all the data provided by me by any party that Microfund for Women deems appropriate by enquiry and/or access, and provide and/or exchange all credit information and/or facilities and/or obtain credit reports and/or other information about me with credit information companies in accordance with the provisions of the Credit Information Law and the regulations issued pursuant thereto, and exchanging any of the information provided and any other relevant data with the Central Bank and/or any companies licensed by the Central Bank and engaged with Microfund for Women with agreements, as of its date without Microfund for Women bearing any responsibility for that. I also acknowledge that I have inquired about the administrative aspects and the legal consequences of not paying on time and without any objection from myside.
I acknowledge that the information provided by me will be used for the purposes of granting funding and joining the two programs (Afeyatuna and Hemaya) provided by Microfund for Women, and I have no objection to using the information for that purpose, and I also exempt the company from requiring me to recover any identification papers as a result of the funding rejection.
I agreed to transfer my personal data, including name, phone number, branch, client number on the system, and total points, to Stark Software Technology (Wafi), while acknowledging that this data may be processed by the aforementioned entity in connection with the “Your Points Your Gift” program for the purpose of exchanging the collected points for purchase vouchers throughout the duration of “Your Points Your Gift” program and/or throughout the period of my subscription to “Your Gift Points” program.
I also acknowledge that I have inquired about the financing terms, prices, and terms of use, and I acknowledge my responsibility for verifying the identity of Microfund for Women employee when visiting my home and/or project, and I have no objection to visiting my home and/or my project by the company’s employees for the purposes of photographing the project and/or the house before and after financing, to conduct a study of the project and measure the impact of financing. Since the company's policy stipulates a follow-up of financing and the presence of multiple visits for me and my sponsors, whether for the project or the home, I hereby acknowledge and pledge to deal with them with all respect and pledge not to verbally attack them and/or assault them in any way, and in the event of the violation of this pledge, the company and the employee have the right to take all necessary criminal and/or legal measures against me.
I, also acknowledged that money laundering and terrorist financing operations are illegal.
I have no objection to communicating with the contacts stated in this form in previous form (page 1).

Due to Corona, we applied online, created an electronic e-Wallet account, took the money and started the project.

Spouse Full Name

Guarantors Information

An acknowledgment of the accuracy of the information and a statement to inquire about the accuracy of the data

Educational