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Karibu Loan Application Form

This document is a loan application and contract form for Asili Sacco Society Limited. It requests personal information from the applicant such as name, ID number, date of birth, employment details, and contact information. The applicant is requesting a loan of [AMOUNT] to be repaid over [NUMBER] months in monthly installments of [AMOUNT]. The applicant agrees to the terms, authorizes Asili Sacco to access their credit profile, and acknowledges they may be listed with the Credit Reference Bureau in the event of defaulting on payments. The credit and accounts departments will review the application and make a decision on approval.

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Intelex Computers (The ICT HUB)
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521 views3 pages

Karibu Loan Application Form

This document is a loan application and contract form for Asili Sacco Society Limited. It requests personal information from the applicant such as name, ID number, date of birth, employment details, and contact information. The applicant is requesting a loan of [AMOUNT] to be repaid over [NUMBER] months in monthly installments of [AMOUNT]. The applicant agrees to the terms, authorizes Asili Sacco to access their credit profile, and acknowledges they may be listed with the Credit Reference Bureau in the event of defaulting on payments. The credit and accounts departments will review the application and make a decision on approval.

Uploaded by

Intelex Computers (The ICT HUB)
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ASILI SACCO SOCIETY LIMITED

KARIBU LOAN APPLICATION & CONTRACT FORM

Asili Coop Center, Lower Ngara Road


Opp. Arya Boys Secondary School
P.O. Box 49064-00100 Nairobi
Mobile: 0722 472 823 / 0733 472 823
Customer Care No: 0729 875 784
Email: [email protected] Website: http://www.asilisacco.coop

A. PERSONAL INFORMATION
Name: …………………………………………………………………………………….
Est Number……………………………ID No……………………Gender. F M
(please tick)
Date of Birth. Day…………. Month……………Year……………
Work Station……………………Employer……………………………Position………………
Terms of Service: Permanent Contract Temporary
(please tick)
Address……………Town …………………..County………………………………
KRA Pin No…………………..…Mobile …………….…..Email…………………….

B. LOAN APPLICATION AND REPAYMENT


I ….…………………………………………………………….…..Wish To Apply For kshs. …………..
Amount in words …………………………………………………………………………………………
……………………………………………………………………………………………………………
For a period of …………….months repayable in monthly instalments of ksh. …………………..each
commencing on ………………

PAYBILL NO: 638018


Asili, Our Sacco , Our Future

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PFNO Name Amount Guaranteed Tel/Mobile No Signature.

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K. CUSTOMER DECLARATION
I hereby certify that, to the best of my knowledge and belief, all information provided for this application and in the
accompanying documents is true, complete, and correct. The undersigned give irrevocable authority to FOSA to recover
the advanced amount in full plus other incidental charges. I confirm that I have authorized Asili SACCO Society to
access my credit profile and that this profile can be delivered to their e-mail/postal address indicated herein and hereby
authorize CRB to mail/deliver or send my credit report to the e- mail/postal address indicated herein. I release Asili
SACCO Society and its officers, employees and agents from all claims, actions or proceedings of whatsoever nature and
howsoever arising, suffered or incurred in connection with CRB sending/delivering/mailing my credit report to the
address that I have provided. I also acknowledge my awareness that I will be listed in Credit Reference Bureau (CRB)
upon defaulting.

Name ........................................................................ Sign.......................................... Date.............................................


-----------------------------------------------------------------------------------------------------
FOR OFFICIAL USE ONLY
L. CREDIT DEPARTMENT
Amount approved Ksh ..................................................repayable in ................ months. The loan application is
Suspended Rejected Amount applied reduced for the following reason(s): 1
.......................................... .
2)............................................................3) ..............................................
Loan appraised by: ............................................Signature & Date .....................................................................

Approved by: ..................................................Signature & Date: .....................................................

M. ACCOUNTS DEPARTMENT
Confirmation of Amount approved Ksh …………………………..
Checked by: ............................................Signature & Date ..................................................

Approved by: ...........................................Signature & Date: .............................................


N. CREDIT COMMITTEE
I/We have examined the above application in conjunction with the above remarks and have decided as
follows:

a) Loan approved Ksh…………………… recoverable in ………………………….. months

b) Deferred/rejected for the following reason(s) 1)…………..…………….…….. 2)……………………


Credit committee Minute No…………… Chairman. Name………….…………..….
Signature…………..… Date ……………………………
Member 1: Name …………………..……………………………... Signature …………....Date………...…
Member 2: Name ………………………..……………………….. Signature …………... Date:…………..

PAYBILL NO: 638018


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