Apply for EMERGENCY LOAN

Application Form: EMERGENCY LOAN

Please fill out the form below to apply for the EMERGENCY LOAN. Required fields are marked with an asterisk (*).

First Name *

Last Name *

Email Address *

Phone Number *

Address *

Loan Amount (UGX) *

Maximum: UGX 35,000,000

Loan Term (months) *

Purpose of Loan *

I have read and agree to the terms and conditions and I confirm that all information provided is accurate and complete. *