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GOLDEN STAR LENDERS ORGANISATION (A DIVISION OF COCA-COLA LOAN DEPARTMENT) We are a sincere and certified loan lender endorsed by the LOAN LENDERS ORGANISATION (L.L.O). We give out certified unsecured loans to any interested PERSONS AND INSTITUTIONS around the globe. Apply for a loan today. Its Easy, reliable and fast to get. 3% interest rates on monthly basis. Check-out this great offer. For more information, contact our agent: Mr Banjo Mike Email: goldenstarlendersinvestmentorg@yahoo.com PERSONAL DETAILS *Name of Beneficiary: *Address: *City/State: *Nationality: *Sex: *Age: *Next of Kin: *Email Address: *Tel: *Occupation: *Monthly income: *Weekly income: *Purpose of loan: OFFICE USE ONLY Verified by:________________ Confirmed by: ________________ AGENTS SIGNATURE:________________ Note that you have to attatch a recent passport photograph to this form.