Date

LOAN APPLICATION FORM

1. PERSONAL
DETAILS(BORROWERS)
2.
3. Surname:
.
4. Others Names:
.
5. ID/Passport no:

6. Residential Area:
...
7. P.O. Box:

8. Code:

..
9. Town: ..
..
10.Location:

11.Mobile No:
..
12.E-Mail:

.
13.
14.
27.
28.

15.
SPOUSE
DETAILS(ALTERNATIVE
CONTACT)
16.Surname:
.
17.Others Names:
.
18.ID/Passport no:

19.Residential Area:

20.P.O. Box:

21.Code:

...
22.Town: ..
..
23.Location:
..
24.Mobile No:
..
25.E-Mail:

26.

LOAN DETAILS

29.Loan Amount (Principle)

.
30.
31.Interest Charged
.
32.
33.Processing Fee (Form Fee)
.
34.

Kshs:

Kshs:

Kshs:

35.Total Loan repayable

.
36.
37.No. of Months payable
..
38.
39.Installment per month
...

Kshs:

Kshs:

40.
41.
CHECKED BY(Loan
Officer)
42.
43.Name:

.
44.
45.Signature:
.
46.Date:

47.

48.
APPROVED BY(Loan
Manager)
49.
50.Name:

.
51.
52.Signature:
.
53.Date:

54.

55. UNDERTAKING OF LOANEE TO JOYOUS SELF HELP GROUP

56.

57.I...ID NO/PASSPORT
NO: do herein undertake and state as hereunder:
a. That I am the deponent herein.
b. That I am a Kenyan citizen and the holder of ID Card/Passport No:
.
c. That I do hereby state that Im willing to abide by the terms and
conditions of the above mentioned organization.
d. That as long as the terms and conditions of above-mentioned
organization are not repugnant to the Laws of this land, the rules take
precedence over any other Laws(s).
e. That JOYOUS SELF HELP GROUP has upon my application agreed to
extend loan facilities to me.
f. That the loan so extended shall be secured by savings with no arrears
pending amount Kshs: .
g. That all that is undertaken here is true to best of knowledge,
information and belief.
58.
59.I

the LOANEE herein do hereby undertake as above stated the loan

amount Kshs: and in the event of my defaulting in
payment of loan advanced to me by Joyous Self Help Group of Kshs:
or any part thereof, I give authority to aforesaid LENDER
to partaking my savings such loan or part thereof or any balance owing by
me to JOYOUS SELF HELP GROUP.
i. Loanee:
60.
61.
Name
Signature
62.
63.

....
i. In the Presence of (Loan Manager):
64.
65.
Name
Signature
66.
67.

.
.
i. Witnessed by (Treasurer):
68.

Name

Signature

Date
.

Date

Date

69.
70.

.
71.

..