Individual Loan Application

EmpowerBank Limited Secure application

Individual 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.

Download Offline Form (PDF)

Branch Information

Branch *

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

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

Loan Information

Household and business assets may be continued on a separate sheet if you have more than five items.

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?

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 *

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

National ID or Valid Passport * Required

A clear, full colour copy of both sides of your national identity document, or the photo page of a valid passport.

Proof of Residence * Required

Utility bill, municipal rates statement, lease agreement or sworn affidavit, not older than three months.

Passport-size Photograph * Required

A recent colour photograph taken against a plain background.

Latest Three Payslips * Required

The three most recent payslips. Self-employed applicants may upload business income records instead.

Bank Statements (Last 3 Months) * Required

Stamped or PDF statements for the account into which your income is paid.

Letter of Employment or Contract Optional

Confirmation of employment from your employer, stating position and length of service.

Collateral or Security Documents Optional

Registration books, title deeds, valuations or receipts for the assets offered as security.

Guarantor Documents Optional

Guarantor national ID, proof of residence and proof of income.

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.

Branch Information

Account Officer

A/C No.

Balance

Please check the following before continuing

Branch Information

Personal Data

Business Activity

Loan Information

Authorisation

Supporting Documents (KYC Verification)

CUSTOMER CONSENT FORM

Client's Use of Data

Consent Signature Details

For Bank Use Only Locked

Branch Information