Questionnaire

Profile of the borrower

The requested loan

credit program
Amount (BYR)
от 3 000 001 до 15 000 000
Loan Term (month)
Surname
name
patronymic
If the first name or middle name changed, specify the old name and the reason for the shift.
date of birth
full years
place of birth
citizenship
Country (Republic of), region (oblast), district, town

Passport / Residence permit

series
number
issued
date of issue
personal Number

Registered / registered at

index
area
area
locality
City, village, village, town, g / n or other.
street
(City, village, village, town, g / n or other)
Home
Housing
Apartment

Residential address

Index
Area
Area
Locality
City, village, village, town, g / n or other.
Street
(Or avenue, square, lane, etc)
Home
Housing
Apartment

Contact Details

Home Phone
Work Phone
Mobile phone

Attitude toward military service

Education

Specialty:

Relationship with JSC «Credexbank»

Whether you're a shareholder, investor, employee, insider or others,?

Marital status

Children

Number of children under 18 years
Children age under 18
Number of dependents

information about family

Relation degree
Full name
Year of birth
Occupation
Add

The car, belonging to you on the right of ownership

Brand name
Year
State number

residence

Go to the next step is only possible when filling out the required data