Salary Advance Application | Royaltop Financial Services

Section A: Personal Details

Please ensure all information matches your National Registration Card (NRC)

Full Name (as per NRC) *

NRC / National ID Number *

Date of Birth *

Gender *

Male

Female

Other

Mobile Phone Number *

Alternative Phone Number

Email Address *

Residential Address *

City / Town *

Section B: Employment Details

Employer Name *

Employer Physical Address *

Employer Contact Person (HR / Payroll) *

Employer Telephone Number *

Employment Type *

Permanent

Contract

Position / Job Title *

Length of Employment (Years) *

Length of Employment (Months) *

Monthly Net Salary (ZMW) *

Salary Payment Method *

Bank Transfer

Mobile Money

Other

Section C: Loan Details

Section D: Bank Details

Bank Name *

Account Name *

Account Number *

Branch *

Section E: Document Uploads (Mandatory)

All documents must be clear, legible, and in PDF, JPG, or PNG format. Maximum file size: 5MB per document.

NRC / National ID (Front) *

Click to upload

NRC / National ID (Back) *

Click to upload

Latest Payslip *

Click to upload

Employment Confirmation Letter *

Click to upload

Bank Statement (Last 3 months) *

Click to upload

Section F: Declaration & Consent

Please read and confirm the following:

I confirm that the information provided is true and correct.

I authorise Royaltop Financial Services Limited to verify my employment, salary, and credit information.

I consent to payroll deduction as the primary repayment source, Direct debit and voluntary repayment in cash or direct transfers.

Digital Signature * Type your full name to serve as your digital signature

Date *

By submitting this form, you agree to the terms and conditions of Royaltop Financial Services Limited.