Please enable JavaScript in your browser to complete this form. - Step 1 of 4PERSONAL DETAILSUpload Passport Size Photo * Click or drag a file to this area to upload. Full Name *LayoutDate of Birth *Gender *MaleFemaleResidential Address (Nearest Landmark) *Number of Years in Residence *Name of Next of Kin *Marital Status *SingleMarriedDivorcedWidowedHome Town *Postal AddressState of Residence *OwnedRentedFamily OwnedCompany OwnedResidential Addresss of Next of Kin *LayoutNationality *Highest Educational Qualification *High SchoolDiplomaDegreePost GraduateOtherID Number *Social Security Number *Identification Type *National IDOthersDate of Issue of ID *Date of Expiry of ID *Telephone Number *Specify of Identification is OtherEmail address *NextEMPLOYMENT DETAILSLayoutOccupation *Employment Status *PermanentContractSelf-employedUnemployedPartime/CasualStaff ID NumberEmployment Phone *Employment Email Address *Employer's Name *Estimated Annual IncomeDay Date Salary is Received *Employment Postal AddressPortion of contribution to be used *Employee onlyEmployer onlyBothNextLOAN DETAILSLayoutLoan Amount Requested(GHS) *Purpose of Loan *Duration of Loan: (Up to 24 months) *Account used to secure loan: *Petra Opportunity Pension Scheme (Provident Fund/Tier 3)Savings BoosterBothProcessing fee: 2% and Interest on Facility: 4% per month LayoutMode of Disbursment *Mobile MoneyTransfer to Existing Bank A/CBank Account NameBank NamePlease check this box if the account is your salary accountYesMobile Money NumberBank Account NumberBank BranchNextAGREEMENT TO GENERAL TERMS AND CONDITIONSElectronic Sign(Please sign electronically or use the manual upload below)Clear SignatureSignature Picture Upload Click or drag a file to this area to upload. Please sign your signature on a plain white sheet and upload a clear picture of itI, therefore, consent and authorize Petra Trust Company Limited (Petra Trust)to pay from myVested Tier 3/Savings Booster balance any claim of the Collateral Amount, together with interest accrued on the said facility directly to Letshego (Ghana) Plc in the event of default. I agree and understand that this arrangement would remain in force until cancelled in writing by me and confirmed by Letshego. While this agreement remains inforce,PetraTrust will make payments to cover the Collateral Amount on the loan directly uponrequest from Letshego. Petra Trust may provide any information regarding my contributions to Letshego as may be requested without further noticet o or consent from me; and Letshego may register this charge in any register required by law. I certify that the information provided is true and accurate; any falsification renders my application null and void. I further certify that my pledged Tier3/Savings Booster balance is my sole property and that no other party has a claim over it. *I AGREE TO THE ABOVEread the General Terms and Conditions BEFORE PROCEEDING Please SelectI HAVE ALSO READ THE GENERAL TERMS AND CONDITIONS AND HAVE ACCEPTED ALL TERMS STATED IN IT.Submit