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Choose LGB Branch *
LGB Customer
YesNo
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Loan Information
House Status
House Type
Estimated House Value *
 
Surface m2
Requested Loan Amount *
 
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Personal Information
Title *
First Name *
Middle Name *
Last Name *
Spouse's Maiden Name
Mother's Maiden Name *
Date of Birth *
Place of Birth
Registration Nb *
Place of Registration *
Nationality *
Educational Level
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Marital Status
Marital Status
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Current Home Address
Home Ownership
Building
Street
Region / City *
Country *
Phone *
Mobile *
Email *
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Professional Information
Employment Type
Company/Employer's name *
Nature of Business *
Employment Date *
Position *
Company Address
Building
Street
Region / City *
Country *
Phone *
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Financial Information
Annual Income *
 
Additional Income
 
Source of Additional Income
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Do you have any banking relationships with other banks?
YesNo
Acknowledgement
I hereby certify that all information provided in this application is, to the best of my knowledge, true and correct and I understand that Lebanon & Gulf Bank s.a.l. has the right to prosecute me criminally to the fullest extent of law for any willful misstatements or omissions. Furthermore, by signing this application, I hereby certify that I have read and approved, without any reservations, all the Terms and Conditions listed on the reserve of this form.
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