Loan Application

Complete your application below and take the first step towards financial empowerment

About You

Title *

First Name *

Middle Name (optional)

Last Name *

Other Names / Alias (optional)

Date of Birth *

Gender *

Marital Status *

Nationality *

Number of Dependents *

Tax Registration Number (TRN) * Enter your 9-digit TRN number

Email Address *

Phone Number *

WhatsApp Number (if different — optional)

New or Returning Customer *

How did you hear about us? *

Instagram (optional)

Facebook (optional)

LinkedIn (optional)

Identification

ID Type *

ID Number *

ID Expiry Date *

Where You Live

Home Address *

Parish *

Do you currently reside at this address? *

Residence Status *

Length of Time at Current Address *

Property & Location Description (Directions) *

Is the property accessible if follow-up, recovery, or repossession is required? *

Who else resides at the address? (optional)

Employment

Job Title / Position *

Employer's Name *

Are you currently employed by your stated company? *

Type of Company *

How many employees work at this company? *

Branch / Department (optional)

Company Address *

Address you work from (if different from company address)

Directions to Company *

Company Phone Number *

Supervisor / Manager Name *

Supervisor / Manager Phone *

HR Officer / Contact Name *

How long have you been employed here? *

Is your employment expected to end within the next 12 months? *

Are salary deductions accepted by the company for loan repayments? *

Who can approve a salary deduction order? (optional)

Income & Banking

Salary Cycle *

Net Salary / Take Home Pay (JMD) *

Next Pay Date *

Method of Salary Payment *

Do you have any other income? *

Expenses & Existing Obligations

Do you currently have any active loans, credit cards, hire purchase, or other payment obligations? *

Are any payments currently overdue? *

Have you ever defaulted on a loan? *

Are you currently a guarantor for anyone else? *

Are you involved in any debt-related legal proceedings? *

What visible assets are at the residence to cover loan repayment? *

Assets

Do you own a motor vehicle?

Do you own land or property?

Do you own or operate a business?

Loan Information

Loan Type *

Loan Amount Requested (JMD) *

Loan Duration (preferred) *

Purpose of Loan *

Explain Purpose of Loan *

Preferred Repayment Method *

Do you have active loans/obligations NOT deducted from salary? *

References (2 Required)

Please provide two references: a relative and a friend / non-relative.

Reference 1: Relative

Full Name *

Relationship *

Phone Number *

How long have you known this person? *

Address (optional)

Place of Employment (optional)

Reference 2: Friend / Non-Relative

Full Name *

Relationship *

Phone Number *

How long have you known this person? *

Address (optional)

Place of Employment (optional)

Emergency Contact

Full Name *

Relationship *

Phone Number *

Address *

Documents & Confirm

Please upload your supporting documents below. Providing them now allows us to process your application promptly and helps avoid follow-up requests. Accepted formats: PDF, JPG, PNG, or HEIC (maximum 10MB per file).

Recent Photograph (passport size) *

Government ID — Front *

Government ID — Back *

TRN Card — Front *

Work ID (Front & Back) (optional)

Proof of Address * Utility bill (JPS, NWC, FLOW, DIGICEL) dated within last 3 months, or a Justice of the Peace letter.

Are your payslips stamped by your employer? *

Last 3 Payslips *

Job Letter (optional) Required if your payslips are not stamped.

Last 2–3 Bank Statements (PDF) *

Other supporting documents (optional, multiple) e.g. proof of other income, photos of high-value assets.

Terms & Confirmation

I agree to the Terms and Conditions *

I agree to the Privacy Policy *

I consent to receive marketing communications from Kemlan Financing

By submitting this application, you acknowledge that all information provided is accurate and complete.

Need Help with Your Application?

Our team is here to assist you every step of the way