a UNIVISION SACCO —— powering dreams—— Loan No. © Tick the loan applied TYPE OF LOAN APPLIED: Loan type Interest ‘Max. Period | Loan applied Capital 1% on reducing balance 96 months Investment 1.083% reducing balance | 96 months Normal 1% on reducing balance 48 months Emergency 1.25% on reducing balance _ | 12 months School fees 1.25% on reducing balance __| 12 months REQUIREMENT: Attach ID copy, three most recent Pay Slips and Loan Computation Slip. Namba pene MIN. noeeayrOll NO:. Account No:... ID NOs Date of Birth.... AGO ne Nationality... Employer & Address: Designation: Mobile No... Terms of employment: Permanent| __|Contract| [Retired Current work station County: -Sub- County. | a Amount Applied Ksh. (in figures). (in words)... Period... (Months) Purpose of loan. [Medical [] Agriculture © [JLand/housing [JEducation (Consumption and social activities Others Specify: Mode of loan repayment — [[] Check Off O Payout C1 Bank Standing orderLOAN OFFSETTING +I do hereby by authorize the Society to offset my outstanding loan (s) and recover the same plus the relevant commision(s) from the preceeds of fresh loan, Loans to offset [Z] Tick. Capital [] Investment(] Normal{_] School fees[_] Emergency Super! Prime Special Advance M- pata ACKNOWLEDGEMENT OF TERMS AND CONDITIONS Ihereby declare that the foregoing particulars are true to the best of my knowledge and belief and agree to abide by the Iwas of the society , the credit policy provision and any other variations by the Board of Directors 1 do accept personal liability for the repayment of the loan amount until fall settlements is done. Thereby assign all my final terminal dues whatsoever nature with my employer to the Sacco as additional security for the payment of the loan. Incase of defult in repayment , the entire balance of the loan will immediately become due and all deposits owned by member will offset against the balance owed. Any remaining balance will be attched to guarantors. CONSENT TO SHARE INFORMATION 1 willingly grant consent to UNIVISION DT SACCO SOCIETY LTD to use any information that it may obtain about me in regards to this loan application in an appropriate manner as permitted by the society's by-laws and other related laws of Kenya, UNIVISION DT Society Sacco may also lawfully access my credit profile from credit reference bureau and share my information to credit reference bureau , guarantors, debt recovering agencies, investigating agencies and law firms with a view to recovering any debt due to the society from myself. Witness Nam IMINO... .++000+-ID NO:. Sign... Dates, Applicant Signature:... Date: GUARANTOR INFORMATION Guarantors are strongly advised to carefully read all the information provided in this form by the applicant, terms and conditions contained herein, so asto understand the full implications of signing this part, In consideration of the society granting the whole of the above loan or any lesser amount may be approved, theundersigned hereby accept jointly and severally liability for its repayment in the event of borrowers default. We understand that the amount in default may be recovered by an attachment of salary or savings ‘and that we shallnot be eligible for loans unless the amount in default has been cleared in full.NAME MINo BOSA Deposits Sign Kshs( in figures). In words... Kshs( in figures). In words. Kshs( in figures). In words. Kshs( in figures). in figures) In words. Kshs( in figures) In words. Kshs( in figures)... In words.FOR OFFICIAL USE ONLY LOAN APPRAISAL Amount of loan recommended Kshs. {In words).. Over period of. Appraised by: Date... Approved by: Date enn Posted by:... Verified by:.