Coas Loan Form

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NIGERIAN ARMY WELFARE LOAN SCHEMES

APPLICATION FORM

Date:

PLEASE READ THROUGH CAREFULLY BEFORE FILLING THIS FORM

1. Army Number Passport ____________________________________________________________


Passport
2. Rank ___________________________________________________________________________

3. Surname Name ___________________________________________________________________

4. Other Names _____________________________________________________________________

5. Unit & Formation __________________________________________________________________

6. Date of Birth ______________________________________________________________________

7. Run Out Date______________________________________________________________________

8. Mobile Number(s) _________________________________________________________________

9. Email Address _____________________________________________________________________

9. Salary Bank Account Name ___________________________________________________________

10. Salary Bank Account Number ________________________________________________________

11. Salary Bank Name _________________________________________________________________

12. Loan Amount Requested ____________________________________________________________

13. Purpose of Loan ___________________________________________________________________

SN Type Selected
1 COAS Cash Loan Scheme
2 COAS Car Refurbishing/Motorcycle Loan Scheme
3 COAS Assets Acquisition Loan Scheme
4 COAS Housing Loan Scheme - Land
5 COAS Housing Loan Scheme - Carcass
6 COAS Housing Loan Scheme - Complete House
7 COAS Housing Loan Scheme - Renovation

1
DECLARATION BY APPLICANT

I hereby declare that the information provided by me above is true and I understand that any false
information provided stands to disqualify me from the loan. I also declare that I am not under any
government loan obligation. I hereby attach photocopy of my Service Identity Card.

14. __________________________ 15.____________________ 16. ________________


Name Signature Date

FORMATION/UNIT USE ONLY

The Applicant’s need for the loan is genuine and is hereby recommended for the loan applied for.
17. Formation/Unit___________________________________________________________________

18. Location__________________________________________________________________________

19. Amount Recommended____________________________________________________________

20. Rank, Name and P/No of CO/Comd___________________________________________________

21. Sign/Date/Unit Stamp______________________________________________________________

NAFIC USE ONLY

22. The Applicant meets/does not meet the criteria for the loan applied for.

23. AmountApproved__________________________________________________________________

24. _____________________________________
Rank, Name and P/No

25. ________________________________
Signature

26. ________________________________ 27.______________________


Appointment Date/Unit Stamp

DNPF USE ONLY


28. Amount Paid_____________________________________________________________________

29. Bank____________________________________________________________________________

30. Account Number__________________________________________________________________

31. Rank, Name and P/No of DDNPF_____________________________________________________

32. Sign/Date/Unit Stamp_____________________________________________________________

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