Online Application

Choose BLC Bank Branch: -------------Choose One------------- --------- Achrafieh --------- Adlieh --------- Antelias --------- Baabda --------- Batroun --------- Becharre --------- Beit Chabab --------- Bikfaya --------- Bourj Hammoud --------- Chekka --------- Chiah --------- Chtaura --------- Dekwaneh --------- Dora --------- Furn El Chebback --------- Ghobeiry --------- Hadath --------- Hamra --------- Hazmieh --------- Hermel --------- Jal El Dib --------- Jbeil --------- Jounieh --------- Kousba --------- Martyrs Square --------- Mazraa --------- Nabatieh --------- Rabieh --------- Saida --------- Saint Elie --------- Saint Michel --------- Tabaris --------- Tripoli El Mina --------- Tripoli Tell --------- Tyr --------- Zouk Mosbeh   * Required Personal Loan Loan amount requested * Pay in: USD LBP   Loan period: 6 months 12 months 18 months 24 months   Other: Personal Information Mr Mrs Miss First Name  * Middle Name  * Last Name  * Mother's maiden name * Place & date of birth * (DD-MM-YYYY ) Place & register no * Nationality * Marital Status Single Married Divorced Widowed No. of dependants * Spouse Spouse's maiden name Father's name Company/ Employer's name Spouse's nature of business Address Monthly net income Home Address Own home Rent Living with parents Building * Street * Region/city * Country * Phone * Mobile E-mail * Professional Information Current Occupation Employee Self-Employed Other: Company / Employer's Name * Nature of business * Employment date * Position * NSSF number Company Address Building * Street * Region * Country * Phone * Previous job & years of experience Financial Information Annual salary / income (in USD) * Any other income Source of income Annual expenses (in USD) (i.e. rent, tuition fees, bills insurance premium, others.) * Account Information BLC Bank Customer Yes No Do you have any banking relationships with other banks? Bank name Branch name Account type Opening date Credit Cards Held & Card Limit MasterCard/ Visa/Dinners Card limit Bank & branch name Credit Facilities (Please specify if you have other current loan facilities or act as guarantor to other loans. Specify currency.) Type of facilities Borrower or Guarantor Loan Amount Bank / Financial co. name Personal loan Car loan Housing loan Other Assets Owned   Detailed information Estimated value Real Estate / Plot number Company's name / No. of shares Car type & registration number Other Acknowledgement I hereby acknowledge, under my full responsibility, that all the above information is correct, true and complete under the penalty of applying the provisions of article /198/ of the Code of Money and Credit and article /655/ of the Criminal Code. I authorize you, without being obliged thereof, to verify it with any and all entities including credit information bureaus waiving in its favor the Banking Secrecy. This application does not vest me with any rights and you are entitled, in your absolute discretion, to reject it without providing any reason whatsoever. I declare taking note and accepting all the risks of using the Internet or information that may reach others, relieving you from any responsibility in this regard.