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Pre-Qualification Form
Fields marked with * are required
Requested amount or budget (200,000.00 DOP or 3,500.00 USD) *
DOP
Initial amount (≥ 20% of the requested amount) *
Identification No. *
ID Type
Name * (The same of your ID or Passport)
Date of Birth *
Email *
Contact number *
Monthly income *
DOP
Country *
Select a country
Bank option 1 *
Select a bank
Bank option 2 *
Select a bank
I certify that the information provided above is correct, and I authorize Mobiliapp and the financial intermediation entities to validate it and consult my credit history in the databases of the national or international information bureaus that it considers appropriate.
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