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            BRIBAN MICROFINANCE
            
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CUSTOMER DETAILS

Request number

Reg No:

Full names:

Nick names:

Type of customer

Gender:

Marital status

Ledger

Account Number

Type of Identification (aina ya kitambulisho)

ID number

Date of birth

Region

District:

Ward

streat/village

Country

Address

Residence

Time of Residence

Residence Ownership

Email:

Phone:

BUSSINESS/EMPLOYMENT INFORMATION

type of work