Applicant Details

Name

Postal Address

Mobile Numbers (Optional: Mobile Line 1 & 2)

Email Address

ID Number

Home Address

Estate

Exact Place of Residence

Plot/House Number

Nearest Road/Landmark

Spouse Contact Details (Optional: Name & Phone Number)

Business Details

Brief Description of Business

Profit Made (Daily/Weekly/Monthly)

Nature of Business

KRA PIN Number

Copies of Applicant's ID/Passport Required

Recommender Information (Name, Relationship, Phone Number) - Optional

Agreement to Terms and Conditions (including interest rate, late payment penalties, etc.)

Signature and Date

Loan Details

Application Amount (Kenyan Shillings - KSH)

Loan Period

Date of Application

Client Mpesa Number (Optional)

Bank Account Number

Bank Name

Loan Purpose

Guarantor Information : Names, ID Numbers, Phone Numbers of up to two Guarantors (with copies of their IDs/Passports)