Mortgage Application Form

I ACKNOWLEDGE THAT YOU, REPUBLIC BANK (BARBADOS) LIMITED, MAY REQUIRE FURTHER INFORMATION AND DOCUMENTS IN ORDER TO ASSESS THIS APPLICATION. I CONFIRM THAT ALL THE STATEMENTS I MAKE IN THIS APPLICATION AND IN ANY RELATED DOCUMENTS OR STATEMENTS I GIVE TO YOU IS AND WILL BE FULL AND ACCURATAE. I ALSO ACKNOWLEDGE THAT YOU WIL BE RELYING ON SUCH INFORMATION WHEN CONSIDERING THIS APPLICATION. YOU MAY OBTAIN FURTHER INFORMATION ABOUT MY CREDIT HISTORY INFORMATION FROM OTHER SOURCES (WHOM I NOW AUTHORIZE TO DISCLOSE TO YOU). YOU MAY SHARE MY CREDIT HISTORY INFORMATION WITH CREDIT BUREAUS AND OTHER CREDIT PROVIDERS.

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