A. PERSONAL DETAILS (To be filled by Applicant)

    Attach Payslips of three previous consecutive months

    First PaySlip1

    First PaySlip2

    First PaySlip3

    Postion held in society


    B. LOAN INFORMATION (To be filled by Applicant)

    Type of loan

    Reason For Loan:

    D. GUARONTOR

    details for first Guarantor

    Member No.

    STAFF No.

    Member Name.

    Amount Guaranteed Ksh.

    Amount Guaranteed in words.

    Mobile No:

    Attach His/her Signed ID Photocopy


    details for Second Guarantor

    Member No.

    STAFF No.

    Member Name.

    Amount Guaranteed Ksh.

    Amount Guaranteed in words.

    Mobile No:

    Attach His/her Signed ID Photocopy


    details for Third Guarantor

    Member No.

    STAFF No.

    Member Name.

    Amount Guaranteed Ksh.

    Amount Guaranteed in words.

    Mobile No:

    Attach His/her Signed ID Photocopy


    details for Fourth Guarantor (Optional)

    Member No.

    STAFF No.

    Member Name.

    Amount Guaranteed Ksh.

    Amount Guaranteed in words.

    Mobile No:

    Attach His/her Signed ID Photocopy


    details for Five Guarantor (Optional)

    Member No.

    STAFF No.

    Member Name.

    Amount Guaranteed Ksh.

    Amount Guaranteed in words.

    Mobile No:

    Attach His/her Signed ID Photocopy


    details for Sixth Guarantor (Optional)

    Member No.

    STAFF No.

    Member Name.

    Amount Guaranteed Ksh.

    Amount Guaranteed in words.

    Mobile No:

    Attach His/her Signed ID Photocopy


    details for Seventh Guarantor (Optional)

    Member No.

    STAFF No.

    Member Name.

    Amount Guaranteed Ksh.

    Amount Guaranteed in words.

    Mobile No:

    Attach His/her Signed ID Photocopy


    details for Eighth Guarantor (Optional)

    Member No.

    STAFF No.

    Member Name.

    Amount Guaranteed Ksh.

    Amount Guaranteed in words.

    Mobile No:

    Attach His/her Signed ID Photocopy


    details for Nineth Guarantor (Optional)

    Member No.

    STAFF No.

    Member Name.

    Amount Guaranteed Ksh.

    Amount Guaranteed in words.

    Mobile No:

    Attach His/her Signed ID Photocopy


    details for Tenth Guarantor (Optional)

    Member No.

    STAFF No.

    Member Name.

    Amount Guaranteed Ksh.

    Amount Guaranteed in words.

    Mobile No:

    Attach His/her Signed ID Photocopy