Cash loans –
for increased financial flexibility

Salutation *

MrMrs

Name *

Last name*

Birthday*

Street/no. *

Desired loan amount *

Desired monthly rate*

Insurance cover for payment by instalments

Postcode/city *

At this address since *

Former home address *

Private phone *

Mobile *

E-Mail *

Nationality *

ID card*

CHBCLG

In Switzerland since

Marital status *

SingleMarriedSeparatedDivorcedWidowed

Years of birth of the children *

Employer *

Employed since *

Activity *

Gross salary CHF *

12X13X14X

Additional income CHF

Bonus or gratuities CHF

Apartment rent CHF *

If you have a side job*

Employers*

Employed since*

Gross salary CHF *

12X13X14X

Do you have any debt collection or seizure orders? *

YesNo

Monthly alimony counts

Existing loan agreements

Existing leasing contracts

Recommendation

1. ID card front

2. Reverse of ID card

1. Payroll

2. Payroll

3. Payroll

I hereby confirm that I have read the legal notice in its entirety and agree to all points. *

*The granting of credit is prohibited if it leads to over-indebtedness of the consumer or of the consumer (legal information according to Art. 3 UWG).