PERSONAL LOAN APPLICATION FORM
T&Cs Apply
Complete this Application Form neatly and submit. Alternatively, you can download the BSP Customer Self Service App via Google Playstore and
apply using your mobile phone or tablet. Ensure to provide requirements listed on Page 2 of this form. For enquiries, visit your local branch or our
website: [Link] or contact Call Centre on: 320 1212 / 70301212.
New Request K 20,000.00 Repayment Offered: K 1,500.00 CIF Number:
For office use only
Addi�onal (if you have an exis�ng BSP personal loan) Frequency Fortnightly ✔ Monthly
Your existing loan K0
balance: Purpose of Loan ✔ Personal Expenses Vehicle School/Tuition
Addi�onal loan amount Household Items Holiday Refinancing
you require K0
✔ Other: ____________________________________________
Bride Price Payment
Total Loan Request K0
PERSONAL DETAILS
First Name: Darren Middle Name: Surname: Warai
Date of Birth 01/01/1992 Gender: ✔ M F Marital Status: Single ✔ Married De Facto Divorced Widowed
Ages of Children: Child1___
4 Child 2___
4 Child 3___ Child 4 ___ Telephone or Mobile Number: 72092737 Email address: waraidarren@[Link]
Country of Residence: Papua New Guinea Country of Ci�zenship: Papua New Guinea
Residen�al Address: (Complete Below) Nearest Living Rela�ve (not living with you) Nominated Administrator: (for insurance purposes)
Section:_____________ Lot: __________________ Jeremiah John
Name:_____________________________________ Name:_____________________________________
Street Name: _______________________________ Father
Relation:___________________________________ Relation:___________________________________
Suburb/Village/Settlement: Lyangintapus, Mulitaka
___________________
Section:_____________ Lot: __________________ Section:____Lot:____ Street Name:______________
Date you moved there: 2/21/97
Kayapmand
Street Name: _______________________________ Suburb/Village/Settlement: ____________________
Self Relatives Teremanda
Suburb/Village/Settlement: ___________________ Bank:
Provided by Employer Rental Property
Work Address: Account Number:
New Porgera Limited, Porgera Gold Mine, Enga Province
Landlord Name: Telephone/Mobile:
Landlord Address: Telephone/Mobile: 71715191 Email address:
Previous Residence: Section/Lot/Street/Suburb: (Do not complete if you have lived in your current residence for 2 years or more)
Kayapmand
Section:____ Lot:_____ Street Name:__________________ Teremanda, Wabag
Suburb/Village/Settlement:_________________________ Period at residence Years:___Months:___
4 3
If Joint Borrowing; Joint Applicant Full Name: Date of Birth:
EMPLOYMENT DETAILS Applicant Joint Applicant
Employer: Hides Gas Development Company Limited (HGDC Ltd)
Occupation: Civil Project Engineer
Date Commenced: 06/02/2025
Employer Address: P O Box 583, Konedobu
Work Telephone & Mobile: 72092737
Previous Employer: EJ Sisters Limited
Years at Previous Employer: 4 Months
CREDIT HISTORY DECLARATION
Have you ever been declared bankrupt or had any judgement or legal proceedings entered or taken against you? *Yes ✔ No
*Provide Details: _________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________
Have you missed two or more repayments on your current or previous BSP or other Bank loan? *Yes ✔ No
*Provide explanation letter to BSP
BSP Financial Group Limited 1-4815 Personal Loan Application Form | Page 1 of 2
STATEMENT OF POSITION
A. Assets – What you own
House Section: Lot: K 0.00
Vehicle Make: Model: Year: Registration #: K 0.00
Furniture, White Goods K 27,000.00
Computer (HP Laptop i5 & LG Desktop i7), Fridge, Digicel Satelite Disc & Play Station, Washing Machine, Furnitures, White Goods
Superannuation/Savings/Personal Items K 0.00
BSP Account Primary Account: Other: K 0.00
Total Assets K 27,000.00
B. Liabilities – What you owe
BSP Personal/Home Loan Nil K 0.00
Loans: Other Lenders Nil K 0.00
Other debts, hire purchase etc. 0.00 K 0.00
Rates/Taxes/Overdraft Facility Nil K 0.00
Total Liabilities K 0.00
Total Assets - Total Liabilities K 27,000.00
C. Monthly Income
Gross Salary (Before Tax) Provide 3 Current Pay slips or evidence of income if self- employed K 8,000.00
Other Income Nil K 0.00
(Provide Details)
Nil K 0.00
Nil K 0.00
Total Monthly Income K 8,000.00
Monthly Expenses
Home Loan Nil K 0.00
Other Loan Nil K 0.00
Motor Vehicle Costs Nil K 0.00
Rent Hiouse rental payment for school kids residing at Wabag Town for Kindergarden Eduacation K 1,000.00
U�li�es PNG Power Bill & Water PNG Bill payment for the rental house which my 2 daiugters are residing. K 500.00
Other Expenses Compensating my 2 Daughters care-taker/guidian in Wabag Town K 600
General Living Expenses Food for the house, busfare expenses and social activities expense K 600.00
Total Monthly Expenses K 2,700.00
Total Monthly Income - Total Monthly Expense K 5,300.00
CUSTOMER REQUIREMENTS
Fully completed and signed BSP Loan Application ✔ Employment Contract for contracted worker (Applicable to expatriate
Employment Confirmation Letter customers or customers who are employed on contract basis)
3 current pay slips not more than 2 months old External Debt statement from other Financial Institutions
✔ Valid ID (Superannuation ID, Driver’s License, Work Permit etc) Provide 3 months bank statement if part of your salary is paid to other banks
The undersigned authorises BSP Financial Group Limited to:
(1) Obtain and disclose your personal informa�on to: (1.1) other organisa�ons to help us to assess financial risks or to recover debt; (1.2) credit references agencies; (1.3) other
members of the BSP Financial Group Limited including BSP advisors, consultants or service providers, any of the banks subsidiaries, branches, head office or representa�ves; (1.4) any
authority, regulator or government agency in any jurisdic�on as the Bank may in its obsulute discre�on consider appropriate, necessary or advisable: (1.5) other organisa�ons to assist
us in compliance with our obliga�ons under our arrangements regarding the Foreign Account Tax Compliance (”FATCA”).
(2) In the event of the undersigned’s death, to pay the funeral assistance benefit to the nominated administrator specified in this form, subject to the terms and exclusions of the
Consumer Credit Insurance Policy. The nominated administrator must be a Natural Person and be at least 18 years of age or over at the �me of the applica�on.
(3) Update your personal financial and credit informa�on, with the informa�on provided on this applica�on, where the details on this applica�on is different to the exis�ng
informa�on held by BSP.
The details completed are true and accurate:
Confirma�on that the details provided in this applica�on represent my current informa�on and the details completed are true and accurate:
Applicant Signature: Date: 05/26/2025 Joint Applicant Signature: Date:
BANK USE ONLY: Branch Officer Name: Signature: Date Received:
BSP Financial Group Limited 1-4815 Personal Loan Application Form | Page 2 of 2
