Unsecured Personal Loans Form

Your application type

First name: *

Middle Name

Last Name *

Mobile Number *

Email Adress *

Applicant 2

First Name *

Middle Name

Last Name *

Mobile Number *

Email Address *

Loan details

Amount Required *

Purpose of the loan: *

(maximum $5,000 inclusive of fees)

Bank of the Cook Islands, PO Box 113, Maire Nui Drive, Avarua, Rarotonga, Cook Islands, SWIFT Code: BCKICKCR, BSB: 05-1501,

Email: cash@bci.co.ck; Tel: (682) 29-341 or After Hours: (682) 29-342; Fax: (682) 29-343

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