Application Form

Surname:

First Name:

Date of Birth:

Gender:

E-mail:

Tel:

Mobile:

Reference in The Gambia:

Reference Contact in The Gambia:

Reference in your Country of stay:

Reference Contact in your Country of stay:

Your Address:

How many Plots are you interested in:

Who are you Banking with:

Which scheme are you interested in:

Application for land mortgages.

Status:

Studying

Working

Other Information:

"Your plot of land may be reprocessed if you do not keep up with the repayments on your Land Mortgage"

Details of confirmation will be sent to you upon confirmation.

Math question: * 1 + 7 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.