CedisPay

A) Customer Details

CedisPay Customer Name:

Ghana Card #:

Email Address:

Mobile Money Number

Type of loan with CedisPay

Address:

B) Customer Bank Account Information

Bank Name:

Account Name:

Bank Email Address:

Bank Phone Number

Account Number:

ID Type and Number on file with Bank:

Bank Address:

C) Charge-Over Collateral Details

Frequency

First Payment (Date)

Regular Payment (Date)

Last Payment (Date)

Amount:

Amount in words:

Select the CedisPay Contact for this application

D) Beneficiary's Information and Remittance Mode

Name: CEDISPAY MICRO-CREDIT ENTERPRISE
Address: KM 440/9, Kaemebre, Kasoa
Country: Ghana
Bank Address: 25A, Castle Road, Ambassadorial Area, Ridge
Bank: Guaranty Trust Bank (Ghana) Limited
Branch: One Airport Square Branch
Account Type: Business Banking Easy Savers
Account Number: 223 107 732 0140

E) Terms and Conditions

I/We understand that the payment will be effected on the effective date specified above (or the following business day in the event of a holiday)
I/We understand that the Bank reserves the right to charge/levy penalties if there are no sufficient funds in my/our account
I/We understand that this service is subject to banking procedures

I certify that I have applied to access a loan facility of, , GHS from CedisPay hat I hereby pledge my Vested Tier 3/Savings /investment balance to the facility herein stated. I, therefore, consent and authorize Pension Trustee/Savings/Investment trustee or custodian to pay from my Vested Tier 3/Savings/Investment balance any claim of the Collateral Amount, together with interest accrued on the said facility directly to CedisPay in the event of default or death. I agree and understand that

This arrangement would remain in force until canceled in writing by me and confirmed by CedisPay
While this agreement remains in force, Pension Trustee/Savings/Investment trustee or custodian will make payments to cover the Collateral Amount on the loan directly upon request from CedisPay
Pension Trustee/Savings/Investment trustee or custodian may provide any information regarding my contributions to CedisPay as may be request without further notice to or consent from me
CedisPay may register this charge in any register required by law

I hereby consent to CedisPay submitting the standing order form completed on my behalf to my Bank for the loan application. I acknowledge that I have reviewed and agree to CedisPay's privacy and legal terms, which can be accessed through the following link https://cedispay.com.gh/about/account

Charge-over Collateral Form

A) Customer Details

B) Customer Bank Account Information

C) Charge-Over Collateral Details

D) Beneficiary's Information and Remittance Mode

E) Terms and Conditions

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