Facilito Cash Application

Full name *

ID Number *

Email *

Confirm email *

Main phone *

ID Type *

Upload a copy of your ID *

Upload a selfie holding your ID *

Take a picture of your face holding your ID next to it. Make sure that the whole ID and your face are framed in the picture.

Upload a copy of a recent utility bill *

Utility bill should be electricity, water, telephone or cable bill no more than 3 months old.

Upload a copy of a job letter *

Job letter should state current employment and no more than 3 months old.

Payslips

If you receive your wages on a monthly basis, please send us the 2 most recent pay slips.If you receive your wages on a weekly basis, please send us the 4 most recent pay slips.

Upload a copy of your most recent payslip. *

Pay slip should be no more than 1 month old.

Upload your second most recent pay slip. *

Upload your third most recent pay slip if you receive weekly wages.

Upload your fourth most recent pay slip if you receive weekly wages.

YOUR LOAN

Please enter your desired Loan Amount and Terms below:

Loan Amount *

Please enter you desired loan amount, maximum of $25,000 AWG.

Loan Terms (Months) *

If a Facilito Cash agent assisted you with this form, please select his/her name from this list

ABOUT YOU

Date of Birth

*

Nationality

*

Upload a copy of your Work Permit.

If you are not of Aruban nationality, please send us a copy of your Permit.

Please describe the purpose of the loan: *

Is the loan intended for a 3rd party? *

YOUR ADDRESS

Home Address - Line 1

*

Home Address - Line 2

Home Address - Line 3

EMPLOYMENT DETAILS

Current Occupation

*

Employment status

*

Current Work Address Line 1

*

Current Work Address Line 2

Current Employer

*

Work Phone Number

*

YOUR INCOME DETAILS

Gross Monthly Income

*

The amount you receive before subtracting taxes and any other deductions.

Net Monthly Income

*

The amount you receive after subtracting taxes and any other deductions.

Do you currently receive any other income?

*

Other income amount if previous answer was "Yes"

Name of your Bank institution: *

Please enter your bank account number: *

Do you own your own vehicle? *

If "Yes", Brand/Year of the car:

QUESTIONNAIRE PEP/FATF

Are you or any of your direct family members, or any individuals who are closely to (including associates), a person who has or has been entrusted with a prominent public function within the last 5 years? *

Who is this person with the prominent public function (in case previous answer was "Yes")?

Function

Do you have ties (e.g. family members/other) with any FATF country? If "Yes", please mention which country:

SIGNATURE

I hereby declare and acknowledge that the above-mentioned information and submitted documentation are true, complete, correct and up to date and will notify promptly in the event there is any change in my personal status.

Borrower Signature - Click on "SET" after signing. *

Clear Set

Please use the space above to sign this application. Using your mouse, touchpad or finger, depending on your device.

Date *

Privacy Policy agreement *

I have read and agree to Facilito's Cash Privacy Policy.