Travel Financing Application

APPLICATION FORM

ALTERNATIVE BANK CURRENT ACCOUNT NO Open Account

BVN*

OTHER BANK ACCOUNT NO *BANK NAME *

Upload your 6-months salary account statement

Upload your passport page

A. PERSONAL INFORMATION

NAME*TEL*

SEX*DATE OF BIRTH*MARITAL STATUS* *

RESIDENTIAL ADDRESS *

LANDMARK *LGA *STATE *

EMPLOYMENT DETAILS (Please tick as appropriate)

Self Employed

Employed

COMPANY NAME ADDRESS

JOB TITLE MONTHLY INCOME

LENGTH OF SERVICE

If self employed

CAG REG NUMBER TIN

NEXT OF KIN RELATIONSHIP

ADDRESS OF NEXT OF KIN

PHONE NUMBER EMAIL

OCCUPATION EMPLOYER'S NAME AND ADDRESS

B. REQUEST DETAILS

AIRLINENUMBER OF TRAVELLERSPOINT OF DEPARTURE

DEPARTURE DATEARRIVAL DATEDESTINATION

TICKET PRICE

C. MODE OF PAYMENT

MONTHLY

DURATION

I hereby covenant with STERLING BANK PLC, to purchase the flight ticket stated above on deferred payment terms (murabaha) and complete the sale under the murabaha contract which shall be executed as per the murabaha agreement upon delivery of these items.

SIGNATURE*

DATE

D. AUTHORITY TO DEBIT MY ACCOUNT

In accordance with the Terms and Conditions of the service agreement, I authorize The Alternative Bank ltd to debit my Alternative Bank account with payments required to pay for this service over . equal instalments. I consent to irrevocably undertake and covenant that I shall at all times make funds available in my said account for the purpose of meeting up with my obligations as and when due. The foregoing shall be construed as a continuing instruction and shall not be revoked by me until I have fully paid down the credit availed to me.

DATE

Signature Of Customer*