AQUILA CAPITAL

We are well equipped to meet all your equipment leasing needs in the oil, Banking, Telecom, Manufacturing, Distributions sector
and even your household appliances

EQUIPMENT - LEASE

FORM 1 of 4

PERSONAL DETAILS
*Title:		*Surname:
*Other Names:		Nationality:
*State of Origin:		*L.G.A
*Date of Birth:		No. of Children:
*Current Address:		*Email:
*Telephone (Mob):		Telephone (Home):
*Next of Kin:		*Relationship:
Permanent Home Address:		*Drivers License/ National ID No:
Previous Residential Address (if less than 6 months in Current Address:		Who do you live with?
Do you plan changing your address in the next 6 -12 months?	Yes No	If yes State Intended Address:

FORM 2 of 4

EMPLOYMENT DETAILS
*Name and Address of Current Employer:		Name and Address of Previous Employer:
*Current Employer Telephone:		Previous Employer Telephone:
Current Employer Fax		Previous Employer Fax:
*When did u started working with present Employee?		No.of yrs with previous Employee?
*Position:		Present Rank:
*Gross Annual Pay:		*Net Annual Pay:
*How are you paid?		*Payment Frequency
*Attach last months pay slip		*In what Currency are you paid?
BANKING DETAILS
*Do you have a bank account?	Yes No	*Name of Bank:
*If yes state date opened?		*Branch:
*Type of Account:

FORM 3 of 4

DESIRED EQUIPMENT
Name of Equipment	Model Description:	Estimated Cost
Name of Equipment	Model Description:	Estimated Cost
Name of Equipment	Model Description:	Estimated Cost

Pls attach a proforma invoice for the desired item(s):		Suggested Tenor:
		Mode of Repayment:

FORM 4 of 4

MONTHLY INCOME & EXPENDITURE DETAILS
Monthly Income(in cash)	Earning after tax:
	Partners earning after tax:
	Total Monthly income:
Monthly Expenditure (in cash)	Household commitment (E.g. Mortgage, rent, utility bills)
	Other Financial commitments (E.g. Car loans, personal loans etc)
	Other Monthly expenditure
	Total Monthly Expenditure
Monthly Disposable income (income minus Expenditure

ATTACH ALL REQUIRED DOCUMENTS
CLICK HERE TO CHECK REQUIRED DOCUMENTS LIST

12,Samuel Manuwa street,
P.O Box. 76015,
Victoria island,
Lagos State,
Nigeria.
Email: info@aquilacapitalltd.com

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