Date of Birth
Address
Identification: * Select OnceNational IDDriver's LicencePassport
Marital Status Marital StatusSingleMarriedDivorced
Number of Dependents:
Occupation:
Name of Employer :
Years With Current Employer:
Salary
Loan Amount
Purpose of Loan Request : Select OneVehicle LoanDebt ConsolidationMortgagePersonal ExpensesHome Renovation/RepairsEducationOther
Do you have a Republic Bank Account? YesNo
Do you have any liabilities at any other financial institution? YesNo
If Yes, please complete the details below:
Value/Limit
Monthly Installments
Credit Card
YesNo
Hire Purchase
Bank Loans
Others
Please upload the following required documents:
Valid form of photo identification (ID card, Passport or Driver's license)
A current Job Letter and two recent payslips (four pay slips for weekly paid workers)
Proof of Address
Select your preferred BranchBroad StreetLimegroveSix RoadsSpeightstownWarrensWorthingWildey-
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Select your preferred BranchBroad StreetLimegroveSix RoadsSpeightstownWarrensWorthingWildey
Our commercial team will review and contact you within24 hours to complete the application process.
First Name
Last Name
Phone
Email
Type of Mortgage
Type of MortgageResidential MortgageLand Loan
Republic Bank (Barbados) Limited (RBBB) acts as a data controller in respect of your personal data. We are responsible for ensuring that we use your personal data in compliance with the Barbados Data Protection Act 2019.
How we will use the information collected on this form:
to confirm your identity and address
to understand how you use your accounts
to carry out your instructions
to improve our products and services
to advertise our products and services to you and others
I hereby give my consent to Republic Bank (Barbados) Limited to process and use the personal data I have provided on this form for the purposes listed and understand that I can withdraw my consent at any time.
We’re happy to assist you if you have any questions. WhatsApp us at 592 600 0087 and an Officer will contact you to help Light Up Your Christmas!
Your name
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