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    Customer Information

    First Name

    Father's Name

    Family Name

    National ID Number

    Phone

    Date of Birth

    Work Information

    Occupation

    Monthly Income

    Employer

    Years of Employment

    Day of Employment

    Financing Information

    Financing Type

    Financing Amount

    First Payment

    Monthly Financial Commitments

    Current Customer

    Extra income amount

    Preferred Branch

    Appropriate day/time to reach