Loan application  Amount and payment time Amount 10.000 kr.  Payment time:  2 yr 3 yr 4 yr 5 yr Applicant First- and lastname  Personal no.  Street address  Zip code  Postal address  Home telephone no.  Mobile phone no.  E-mail address  Household economy Total income  SEK  Living costs + additional costs/month  SEK  Payment protection We recommend you to subscribe to pay protection as it reduces both your and our risk.  I want to subscribe to pay protection I do not subscribe to pay protection Account for payment I agree that the loan is disbursed until the repayment of the loan may be deducted by direct debit. Clearing No.  Bank account No  Bank  Assurance * AllmännaBestämmelser-Kreditkort.pdf (Close) I have read the details of the attached Annex "General account" terms which are hereby accepted.