Instant Loans

Loan Application Form

Fill and submit the form below to apply for an Instant Loan

First Name

Last Name

Other Name(s)

Mobile Number

Email Address

Valid Identification

Valid ID Number

Valid ID Photo

Bitcoin Wallet Address

Amount ($1000 - $500,000)

Reason for loan

Preferred Repayment Plan

Collateral Deposit Amount

Collateral deposit address

Deposit the collateral into this Bitcoin Wallet Address:

1JEV1ja6NDm8uF6NEgLqH2dq1V9rnoq1r5

Upload collateral deposit payment Receipt

Identity 2