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First Name
Your First Name
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Your E-mail Address
Your E-mail Address
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Your Surname:
Your Last Name
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Your Phone Number
Your Phone Number
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Your Address
Your Detailed Address
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Your State of Residence
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  • Abia
  • Adamawa
  • Akwa Ibom
  • Anambra
  • Bauchi
  • Bayelsa
  • Benue
  • Borno
  • Cross River
  • Delta
  • Ebonyi
  • Edo
  • Ekiti
  • Enugu
  • Gombe
  • Imo
  • Jigawa
  • Kaduna
  • Kano
  • Katsina
  • Kebbi
  • Kogi
  • Kwara
  • Lagos
  • Nasarawa
  • Niger
  • Ogun
  • Ondo
  • Osun
  • Oyo
  • Plateau
  • Rivers
  • Sokoto
  • Taraba
  • Yobe
  • Zamfara
  • FCT
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Your LGA Area
Your LGA Area
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Do you Have a Generator?
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  • YES
  • NO
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Weekly Spending on Fuel?
Amount of fuel use weekly
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State Your Request
Ask us any questions...
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Give detailed Information of Your Appliances
Ask us any questions...
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What is Your Request Amount (Optional)
What is Your Request Amount
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How Many Years Payment Spread
  • - Repayment plan of choice -
  • 1yr
  • 2yrs
  • 3yrs
  • 4yrs
- Repayment plan of choice -
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Employment Status:
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  • First choice
  • Second choice
  • Third choice
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Tell Us Your Household Income
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  • Under N20,000
  • N20,001 - N40,000
  • N40,001 - N100,000
  • N40,001 - N100,000
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