KINAMBA SOCIETY

LOAN APPLICATION AND AGREEMENT FORM

A.
1.
2.
3.
4.
5.
6.

PERSONAL INFORMATION.
Applicants Name.
National I.D Number.
Residential Address
Postal address.
Phone Contact
Next Of KinRelationship..

B. LOAN REQUIRED.
I..hereby apply for a loan of
Ksh.(Amount in words))
For a period of. months to be repaid in instalments of ksh ...........
Plus..% interest each month, commencing on/.20
C. DECLARATION.
I hereby declare that the foregoing particulars are true to the best of my knowledge and belief and
agree to abide by the by-laws of the society, the loan policy and any variations by the loans
officer/committee in respect of B above. I hereby declare that I will repay the loan plus interest as per
the schedule outlined in B above.
Signature..Date..
D. GUARANTORS UNDERTAKING.
We the undersigned hereby accept jointly and severally liability for the repayment of the loan in the
event of the borrowers default. We understand that the amount in default may be recovered by an
offset against our shares in the society and we shall not be eligible for loans unless the amount in
default has been cleared in full.
Name.
1
2
3

I.D NO.

SIGNATURE

DATE

FOR OFFICIAL USE ONLY.

E. 1. Applicants Total shares Kshas at../.20
2. Applicants Total shares x0.5 kshx0.65 kshx0.8 ksh..
3. Applicants Loan Number ( i.e 1rst , 2nd 3rd etc) ............................
4. Number of meetings attended over the last six months..
5. Loan approved/rejected
6. Loan rejected-Reason(s)..............................

LOAN OFFICERS COMMENTS

I confirm that the information given in sections A to E is correct in all respects.
Signature..Date..
LOAN DISPATCH.

I ..confirm that I have

received a sum of ksh (amount in words)
Being a loan granted to me by the society.
Signature..Date..