Group Loan Application - Empower Bank

EmpowerBank Limited Secure application

Group Loan Application Form

Complete every section, attach your KYC documents and submit. Your details are encrypted in transit and sent directly to our onboarding team.

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Step 1 of 23 Group Information 0% complete

Group Information

Group Name *

Branch *

Group Member 1 - Personal Data

Surname *

Forenames *

Identification Number *

Type of ID

Passport No.

Driver's Licence No.

Home Address *

Number of years at this address

Telephone (work, cell, home) *

Date of Birth *

Age

Place of Birth

Occupation *

Qualification

Sex

Marital status

Name Of Spouse

Occupation Of Spouse

Income Of Spouse

Number Of Dependents

Home Ownership

Group Member 1 - Business Activity

Type Of Business (e.g. retail, wholesale, service, manufacturing, farming) *

Business Name *

Business Address *

City

Business Telephone

No. Of Years In The Business

Business Partner

No. Of Employees

Estimated Business Assets

Estimated Monthly Sales

Is your business registered/licenced?

Yes No

Sole Proprietor/Partnership/Limited Company/Cooperative

Registration/Licence No.

Who looks after your business when you're sick or away?

Are you involved in any other business activity?

Yes No

If yes, what type of business?

Are you employed apart from owning a business?

Yes No

Status Of Employment

Monthly income from Employment

Name Of Employer

Telephone Of Employer

Address Of Employer

Name Of Manager

Group Member 1 - Loan Information

How much do you want to borrow? *

For how long? (Months) *

Purpose of loan? *

How much can you afford to pay? (Monthly) *

Household and Business Assets - Item 1

Asset 1 - Year produced

Asset 1 - Model & Brand Name

Asset 1 - Acquisition Date

Asset 1 - Acquisition Cost

Asset 1 - Current Estimated Value

Household and Business Assets - Item 2

Asset 2 - Year produced

Asset 2 - Model & Brand Name

Asset 2 - Acquisition Date

Asset 2 - Acquisition Cost

Asset 2 - Current Estimated Value

Household and Business Assets - Item 3

Asset 3 - Year produced

Asset 3 - Model & Brand Name

Asset 3 - Acquisition Date

Asset 3 - Acquisition Cost

Asset 3 - Current Estimated Value

Household and Business Assets - Item 4

Asset 4 - Year produced

Asset 4 - Model & Brand Name

Asset 4 - Acquisition Date

Asset 4 - Acquisition Cost

Asset 4 - Current Estimated Value

Household and Business Assets - Item 5

Asset 5 - Year produced

Asset 5 - Model & Brand Name

Asset 5 - Acquisition Date

Asset 5 - Acquisition Cost

Asset 5 - Current Estimated Value

Do you have any outstanding loan?

Yes No

If yes, how much is your outstanding loan?

Name of Creditor

Does your spouse have any outstanding loan?

Yes No

If yes, how much is his/her outstanding loan?

Name of Creditor (Spouse)

Name at least one creditor/supplier that you have borrowed from in the past (1)

Name at least one creditor/supplier that you have borrowed from in the past (2)

Any current or savings accounts or deposits?

Yes No

If yes, Amount?

Name of bank or institution?

Group Member 1 - Authorisation

I confirm that the above information is true and correct to the best of my knowledge. I am aware that any false statement may be an immediate cause for denial of this loan. *

In connection with this application, I authorise Empower Bank to obtain such other information as may be required. This authorisation includes obtaining information from suppliers, banks, bureau and all other creditors while releasing these institutions from liability under any law. *

I have read and accept Empower Bank loan terms and conditions. *

Signature of Applicant *

Date *

Group Member 2 - Personal Data

Complete only if the group has a second member. Leave this and the following sections blank otherwise.

Surname

Forenames

Identification Number

Type of ID

Passport No.

Driver's Licence No.

Home Address

Number of years at this address

Telephone (work, cell, home)

Date of Birth

Age

Place of Birth

Occupation

Qualification

Sex

Marital status

Name Of Spouse

Occupation Of Spouse

Income Of Spouse

Number Of Dependents

Home Ownership

Group Member 2 - Business Activity

Type Of Business (e.g. retail, wholesale, service, manufacturing, farming)

Business Name

Business Address

City

Business Telephone

No. Of Years In The Business

Business Partner

No. Of Employees

Estimated Business Assets

Estimated Monthly Sales

Is your business registered/licenced?

Yes No

Sole Proprietor/Partnership/Limited Company/Cooperative

Registration/Licence No.

Who looks after your business when you're sick or away?

Are you involved in any other business activity?

Yes No

If yes, what type of business?

Are you employed apart from owning a business?

Yes No

Status Of Employment

Monthly income from Employment

Name Of Employer

Telephone Of Employer

Address Of Employer

Name Of Manager

Group Member 2 - Loan Information

How much do you want to borrow?

For how long? (Months)

Purpose of loan?

How much can you afford to pay? (Monthly)

Household and Business Assets - Item 1

Asset 1 - Year produced

Asset 1 - Model & Brand Name

Asset 1 - Acquisition Date

Asset 1 - Acquisition Cost

Asset 1 - Current Estimated Value

Household and Business Assets - Item 2

Asset 2 - Year produced

Asset 2 - Model & Brand Name

Asset 2 - Acquisition Date

Asset 2 - Acquisition Cost

Asset 2 - Current Estimated Value

Household and Business Assets - Item 3

Asset 3 - Year produced

Asset 3 - Model & Brand Name

Asset 3 - Acquisition Date

Asset 3 - Acquisition Cost

Asset 3 - Current Estimated Value

Household and Business Assets - Item 4

Asset 4 - Year produced

Asset 4 - Model & Brand Name

Asset 4 - Acquisition Date

Asset 4 - Acquisition Cost

Asset 4 - Current Estimated Value

Household and Business Assets - Item 5

Asset 5 - Year produced

Asset 5 - Model & Brand Name

Asset 5 - Acquisition Date

Asset 5 - Acquisition Cost

Asset 5 - Current Estimated Value

Do you have any outstanding loan?

Yes No

If yes, how much is your outstanding loan?

Name of Creditor

Does your spouse have any outstanding loan?

Yes No

If yes, how much is his/her outstanding loan?

Name of Creditor (Spouse)

Name at least one creditor/supplier that you have borrowed from in the past (1)

Name at least one creditor/supplier that you have borrowed from in the past (2)

Any current or savings accounts or deposits?

Yes No

If yes, Amount?

Name of bank or institution?

Group Member 2 - Authorisation

I confirm that the above information is true and correct to the best of my knowledge. I am aware that any false statement may be an immediate cause for denial of this loan.

I have read and accept Empower Bank loan terms and conditions.

Signature of Applicant

Date

Group Member 3 - Personal Data

Complete only if the group has a third member. Leave this and the following sections blank otherwise.

Surname

Forenames

Identification Number

Type of ID

Passport No.

Driver's Licence No.

Home Address

Number of years at this address

Telephone (work, cell, home)

Date of Birth

Age

Place of Birth

Occupation

Qualification

Sex

Marital status

Name Of Spouse

Occupation Of Spouse

Income Of Spouse

Number Of Dependents

Home Ownership

Group Member 3 - Business Activity

Type Of Business (e.g. retail, wholesale, service, manufacturing, farming)

Business Name

Business Address

City

Business Telephone

No. Of Years In The Business

Business Partner

No. Of Employees

Estimated Business Assets

Estimated Monthly Sales

Is your business registered/licenced?

Yes No

Sole Proprietor/Partnership/Limited Company/Cooperative

Registration/Licence No.

Who looks after your business when you're sick or away?

Are you involved in any other business activity?

Yes No

If yes, what type of business?

Are you employed apart from owning a business?

Yes No

Status Of Employment

Monthly income from Employment

Name Of Employer

Telephone Of Employer

Address Of Employer

Name Of Manager

Group Member 3 - Loan Information

How much do you want to borrow?

For how long? (Months)

Purpose of loan?

How much can you afford to pay? (Monthly)

Household and Business Assets - Item 1

Asset 1 - Year produced

Asset 1 - Model & Brand Name

Asset 1 - Acquisition Date

Asset 1 - Acquisition Cost

Asset 1 - Current Estimated Value

Household and Business Assets - Item 2

Asset 2 - Year produced

Asset 2 - Model & Brand Name

Asset 2 - Acquisition Date

Asset 2 - Acquisition Cost

Asset 2 - Current Estimated Value

Household and Business Assets - Item 3

Asset 3 - Year produced

Asset 3 - Model & Brand Name

Asset 3 - Acquisition Date

Asset 3 - Acquisition Cost

Asset 3 - Current Estimated Value

Household and Business Assets - Item 4

Asset 4 - Year produced

Asset 4 - Model & Brand Name

Asset 4 - Acquisition Date

Asset 4 - Acquisition Cost

Asset 4 - Current Estimated Value

Household and Business Assets - Item 5

Asset 5 - Year produced

Asset 5 - Model & Brand Name

Asset 5 - Acquisition Date

Asset 5 - Acquisition Cost

Asset 5 - Current Estimated Value

Do you have any outstanding loan?

Yes No

If yes, how much is your outstanding loan?

Name of Creditor

Does your spouse have any outstanding loan?

Yes No

If yes, how much is his/her outstanding loan?

Name of Creditor (Spouse)

Name at least one creditor/supplier that you have borrowed from in the past (1)

Name at least one creditor/supplier that you have borrowed from in the past (2)

Any current or savings accounts or deposits?

Yes No

If yes, Amount?

Name of bank or institution?

Group Member 3 - Authorisation

I confirm that the above information is true and correct to the best of my knowledge. I am aware that any false statement may be an immediate cause for denial of this loan.

I have read and accept Empower Bank loan terms and conditions.

Signature of Applicant

Date

Group Member 4 - Personal Data

Complete only if the group has a fourth member. Leave this and the following sections blank otherwise.

Surname

Forenames

Identification Number

Type of ID

Passport No.

Driver's Licence No.

Home Address

Number of years at this address

Telephone (work, cell, home)

Date of Birth

Age

Place of Birth

Occupation

Qualification

Sex

Marital status

Name Of Spouse

Occupation Of Spouse

Income Of Spouse

Number Of Dependents

Home Ownership

Group Member 4 - Business Activity

Type Of Business (e.g. retail, wholesale, service, manufacturing, farming)

Business Name

Business Address

City

Business Telephone

No. Of Years In The Business

Business Partner

No. Of Employees

Estimated Business Assets

Estimated Monthly Sales

Is your business registered/licenced?

Yes No

Sole Proprietor/Partnership/Limited Company/Cooperative

Registration/Licence No.

Who looks after your business when you're sick or away?

Are you involved in any other business activity?

Yes No

If yes, what type of business?

Are you employed apart from owning a business?

Yes No

Status Of Employment

Monthly income from Employment

Name Of Employer

Telephone Of Employer

Address Of Employer

Name Of Manager

Group Member 4 - Loan Information

How much do you want to borrow?

For how long? (Months)

Purpose of loan?

How much can you afford to pay? (Monthly)

Household and Business Assets - Item 1

Asset 1 - Year produced

Asset 1 - Model & Brand Name

Asset 1 - Acquisition Date

Asset 1 - Acquisition Cost

Asset 1 - Current Estimated Value

Household and Business Assets - Item 2

Asset 2 - Year produced

Asset 2 - Model & Brand Name

Asset 2 - Acquisition Date

Asset 2 - Acquisition Cost

Asset 2 - Current Estimated Value

Household and Business Assets - Item 3

Asset 3 - Year produced

Asset 3 - Model & Brand Name

Asset 3 - Acquisition Date

Asset 3 - Acquisition Cost

Asset 3 - Current Estimated Value

Household and Business Assets - Item 4

Asset 4 - Year produced

Asset 4 - Model & Brand Name

Asset 4 - Acquisition Date

Asset 4 - Acquisition Cost

Asset 4 - Current Estimated Value

Household and Business Assets - Item 5

Asset 5 - Year produced

Asset 5 - Model & Brand Name

Asset 5 - Acquisition Date

Asset 5 - Acquisition Cost

Asset 5 - Current Estimated Value

Do you have any outstanding loan?

Yes No

If yes, how much is your outstanding loan?

Name of Creditor

Does your spouse have any outstanding loan?

Yes No

If yes, how much is his/her outstanding loan?

Name of Creditor (Spouse)

Name at least one creditor/supplier that you have borrowed from in the past (1)

Name at least one creditor/supplier that you have borrowed from in the past (2)

Any current or savings accounts or deposits?

Yes No

If yes, Amount?

Name of bank or institution?

Group Member 4 - Authorisation

I confirm that the above information is true and correct to the best of my knowledge. I am aware that any false statement may be an immediate cause for denial of this loan.

I have read and accept Empower Bank loan terms and conditions.

Signature of Applicant

Date

Group Member 5 - Personal Data

Complete only if the group has a fifth member. Leave this and the following sections blank otherwise.

Surname

Forenames

Identification Number

Type of ID

Passport No.

Driver's Licence No.

Home Address

Number of years at this address

Telephone (work, cell, home)

Date of Birth

Age

Place of Birth

Occupation

Qualification

Sex

Marital status

Name Of Spouse

Occupation Of Spouse

Income Of Spouse

Number Of Dependents

Home Ownership

Group Member 5 - Business Activity

Type Of Business (e.g. retail, wholesale, service, manufacturing, farming)

Business Name

Business Address

City

Business Telephone

No. Of Years In The Business

Business Partner

No. Of Employees

Estimated Business Assets

Estimated Monthly Sales

Is your business registered/licenced?

Yes No

Sole Proprietor/Partnership/Limited Company/Cooperative

Registration/Licence No.

Who looks after your business when you're sick or away?

Are you involved in any other business activity?

Yes No

If yes, what type of business?

Are you employed apart from owning a business?

Yes No

Status Of Employment

Monthly income from Employment

Name Of Employer

Telephone Of Employer

Address Of Employer

Name Of Manager

Group Member 5 - Loan Information

How much do you want to borrow?

For how long? (Months)

Purpose of loan?

How much can you afford to pay? (Monthly)

Household and Business Assets - Item 1

Asset 1 - Year produced

Asset 1 - Model & Brand Name

Asset 1 - Acquisition Date

Asset 1 - Acquisition Cost

Asset 1 - Current Estimated Value

Household and Business Assets - Item 2

Asset 2 - Year produced

Asset 2 - Model & Brand Name

Asset 2 - Acquisition Date

Asset 2 - Acquisition Cost

Asset 2 - Current Estimated Value

Household and Business Assets - Item 3

Asset 3 - Year produced

Asset 3 - Model & Brand Name

Asset 3 - Acquisition Date

Asset 3 - Acquisition Cost

Asset 3 - Current Estimated Value

Household and Business Assets - Item 4

Asset 4 - Year produced

Asset 4 - Model & Brand Name

Asset 4 - Acquisition Date

Asset 4 - Acquisition Cost

Asset 4 - Current Estimated Value

Household and Business Assets - Item 5

Asset 5 - Year produced

Asset 5 - Model & Brand Name

Asset 5 - Acquisition Date

Asset 5 - Acquisition Cost

Asset 5 - Current Estimated Value

Do you have any outstanding loan?

Yes No

If yes, how much is your outstanding loan?

Name of Creditor

Does your spouse have any outstanding loan?

Yes No

If yes, how much is his/her outstanding loan?

Name of Creditor (Spouse)

Name at least one creditor/supplier that you have borrowed from in the past (1)

Name at least one creditor/supplier that you have borrowed from in the past (2)

Any current or savings accounts or deposits?

Yes No

If yes, Amount?

Name of bank or institution?

Group Member 5 - Authorisation

I confirm that the above information is true and correct to the best of my knowledge. I am aware that any false statement may be an immediate cause for denial of this loan.

I have read and accept Empower Bank loan terms and conditions.

Signature of Applicant

Date

Supporting Documents (KYC Verification)

Zimbabwean banking regulations require us to verify your identity before an account or facility can be opened. Please attach clear, legible copies of the documents listed below. They are transmitted securely and delivered directly to our onboarding team together with this application.

Accepted formats: PDF, JPG, JPEG, PNG, DOC, DOCX
Maximum 2 MB per document, 2 MB in total
Scans and clear phone photographs are both accepted, provided all details are readable
Multi-page documents are best combined into a single PDF

Group Constitution or Registration Certificate * Required

The signed constitution of the group, or its registration certificate where the group is registered.

Minutes or Resolution to Borrow * Required

Signed minutes of the meeting at which members resolved to apply for this loan.

National IDs of All Members * Required

A copy of the national ID of every member listed on this application.

Proof of Residence for All Members * Required

Utility bill, rates statement, lease or affidavit for each member, not older than three months.

Group Bank Statements (Last 3 Months) Optional

Statements for the group account, where the group operates one.

Business or Project Records Optional

Sales records, receipts, stock lists or any records for the activity being financed.

Any Other Supporting Documents Optional

Anything else that supports your application, for example an affidavit, marriage certificate or a letter from your employer.

No documents attached yet. Your documents are transmitted over an encrypted connection and are never published on this website.

For Bank Use Only Locked

The sections below are completed by EmpowerBank staff once your application has been received and verified. They are shown here only so you can see the full form — they cannot be filled in online and nothing you type here would be submitted.

Group Information

Account Officer

A/C No.

Balance

Please check the following before continuing

Group Information

Group Member 1 - Personal Data

Group Member 1 - Business Activity

Group Member 1 - Loan Information

Group Member 1 - Authorisation

Group Member 2 - Personal Data

Group Member 2 - Business Activity

Group Member 2 - Loan Information

Group Member 2 - Authorisation

Group Member 3 - Personal Data

Group Member 3 - Business Activity

Group Member 3 - Loan Information

Group Member 3 - Authorisation

Group Member 4 - Personal Data

Group Member 4 - Business Activity

Group Member 4 - Loan Information

Group Member 4 - Authorisation

Group Member 5 - Personal Data

Group Member 5 - Business Activity

Group Member 5 - Loan Information

Group Member 5 - Authorisation

Supporting Documents (KYC Verification)

CUSTOMER CONSENT FORM

Client's Use of Data

Consent Signature Details

For Bank Use Only Locked

Group Information