BRANCH CONTACTS BRANCH CONTACTS

Kerugoya : 0724 256 461 Kianyaga : 0758 576 624

P.O. Box 83 - 10300, Narok : 0707 031 630
Mwea : 0722 781 092
Kerugoya Thika : 0790 271 036
Kitengela : 0711 356 753
Email: info@ollin.co.ke Website: www.ollin.co.ke Kajiado : 0707 557 304
Kiserian : 0740 485 382
Nairobi : 0748 670 430
Kimana : 0748 031 196

SALARY / PENSION BASED LOANS APPLICATION FORM

SENIOR FOSA FOSA ALPHA FANIKISHA

(72 Months) (72 Months) (36 Months) (18 Months)

Loan of Kshs. (Amount in Figures)

Amount in words....................................................................................................................
Recoverable in.....................................Months

2. The applicable cost must be charged on every loan granted

3. 2% Insurance fee on loan granted
4. Share Capital as prescribed in the credit policy
5. Competitive interest rates
6. Security to be guarantors or valued & charged collateral

Together We Prosper
 -
i) Miniumum guarantors will be 3
ii) Loans above Ksh. 20,000, minimum of 3 guarantors with non-withdrawable deposits of Ksh. 20,000
iii) Loans upto Kshs.1,000,000 maximum pledge to be Kshs.100,000 non withdrawable deposits
iv) Loans above Kshs. 1,000,000 maximum pledge to be Kshs. 200,000 non withdrawable deposits

a) I hereby declare that:-

i) The foregoing particulars are true to the best of my knowledge and belief and agree to abide by the laws of
the society, the loan policy and any variations thereon.
ii) I hereby authorize the necessary deductions including the applicable interest to be made on monthly basis
from my salary as repayment of this loan.

iii) I hereby agree that I will personally remain liable to pay any installments of the loan and the entire loan not
withstanding any delay or failure by my employer to deduct and /or remit the payments of the Sacco or any
insufficiency thereof. Further I authorize the Sacco to deduct such dues from my savings accounts held with
the Sacco.
iv) As long as any such loans shall be outstanding, I hereby assign all dues to the Sacco as additional security
for the payment of the loan, and any balance upon such payment to be credited to my account with the Sacco
and I hereby request and authorize my said employer to pay out the said dues to the Sacco upon/whenever
they become due and payable unless otherwise advised by the Sacco

F) EMPLOYEE IRREVOCABLE INSTRUCTION

I (Name)__________________________________________Account/P/No./TSC No.____________________
Employed on _________________Department/School ________________________________Stationed
at_____________
Wish to instruct _________________________________who is my employer, to continue paying my salary
through my bank account No. __________________________held at Ollin Sacco. I also waive my rights to
change this account until such a time when Ollin Sacco states otherwise. I also state that my Net salary of Kshs.
_______________________shall not be committed further and that on termination of my employment to deduct
the balances outstanding together with other charge expense incurred on my account to Ollin Sacco on that date
from my final salary payment, leave, bonus pay and other termination benefits.
Signed __________________________________ Date ___________________________________
G) LOAN DISCLOSURE
I, declare that the information given herein is true to the best of my/our knowledge and belief. I further
authorise Ollin Sacco to verify the information given herein and make reference from any person(s)/
institution(s) named herein. I, the undersigned, confirm I have read and understood the terms of the Privacy
Policy and hereby given express, unequivocal, free, specific and informed authority to Ollin Sacco and its
Affiliates to collect, use and process my data.
Applicant’s Name_______________________________ ID No_____________ Signature_________ Date__________

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 H) REPAYMENT GUARANTEE
We, the undersigned, acting as guarantors for the loan requested, hereby accept jointly and severally liability for
the repayment of the loan in the event of the borrower’s default. We understand the amount in default may be
recovered by an equal offset against our shares, interests and deposits in the Society.

GUARANTORS

Mobile No. Email: Deposits

Loan Appraisal

Net Salary (Ksh).............................................................Loan Balance (Kshs).................................................

Amount of Loan Applied (Ksh)..........................................Amount Qualified (Ksh)...........................................

a) Applied by: Loan Officer................................................Signature............................ Date...........................

b) Appraised by: Head of Credit......................................Signature.............................Date...........................

c) Verified by: Head of Audit............................................Signature.............................Date...........................

d) Disbursed by:..................................................................Signature.............................Date...........................

Together We Prosper
 TERMS & CONDITIONS
1.1 You consent to the Sacco processing your personal 4. I, the undersigned confirm that I have read and understood the
informa on with third par es wherever located and ask all terms of the this Privacy Policy and hereby give express,
par es that receive your personal informa on to agree to unequivocal, free, specific and informed authority to the Sacco
our private policies. and its affiliates to use and process my data pursuant to the
terms as set out herein and as further set out in the Sacco’s
1.2 You hereby expressly consent and authorise the Sacco to Data Privacy Policy available at the Sacco Website:
disclose, receive or u lize your personal informa on or data www.ollin.co.ke
rela ng to your account and use the services:
5. The Account Holder consents and agrees that the Sacco may
withhold amounts in any account at any me, if any tax
i ) To and from any local interna onal law enforcement or
authority requires us to do so, or we are otherwise required by
competent regulatory or government agencies so as to
law or pursuant to agreements with tax authority to do so, or if
assist in the preven on, detec on, inves ga on or we need to comply with internal policies or with any applicable
prosecu on of criminal ac vi es or fraud; order or sanc on of a tax authority.
ii) To and from the Sacco’s service providers, dealers, agents 6. The Sacco may request addi onal informa on from the
or any other company that may be or become the Sacco’s Account Holder when required.
subsidiary or holding company for reasonable
commercial purposes rela ng to the services. 7. The Account Holder authorizes the Sacco to gather, store, use,
process, disclose and report to any lawful en ty as may be
iii) To the Sacco’s lawyers, auditors or other professional required by any law. You authorize us to disclose any
advisors or to any court or arbitra on tribunal in informa on rela ng to any transac ons to any regulator, tax
connec on with any legal or audit proceedings; and authority, Credit Reference Agency or any other ins tu on or
where need be to your loan guarantors (in case of third party as required by the laws of any country and as we
default) and the related third par es. deem necessary.

iv) To your mobile service provider in rela on to this 8. This form shall be stored digitally in the Saccos EDMS hence the
agreement. digital copy of this form shall be taken as the original copy.

9. These terms are subject to the laws of the Republic of Kenya.

v) For reasonable commercial purposes connected to your
use of the services, such as marke ng and research
10. Any dispute, difference or ques on whatsoever which may
related ac vi es.
arise between the par es including the interpreta on of right
and liabili es of either party shall be referred to the Co-
vi) To Credit Reference Bureau in accordance with the laws opera ve Tribunal as s pulated in the Co-opera ve Act 2004
and regula ons; and Sec on 76 or any statutory modifica on or re-enactment for
the me being in force.
vii) In business prac ces including but not limited to quality
control, training and ensuring effec ve systems 11. The Account Holder has a right at any me to lodge a complaint
opera on. by communica ng with the Sacco through the various
communica on channels provided below. The Sacco will
2. Permission to process personal informa on. provide you with a reference number upon receipt of your
complaint. The Sacco shall respond to your complaint within a
3. You have several rights in rela on to the informa on that we reasonable period therea er. Please quote your reference
hold about you, including: number when you make a follow up.
i) The right to access your personal data in our custody.
ii)To object or restrict to the processing of all or part of your 12. You may exercise your right to lodge a complaint or raise a
personal data. We may however con nue to process query about your account, the Sacco’s service or products by
where we have a legi mate reason to do so, or required by visi ng any of one our branches countrywide or by contac ng
law. the Sacco through the following channels.
Email: info@ollin.co.ke
iii) To correc on of false or misleading data; and the Postal Address: Ollin Sacco Limited
right to request that we delete false or misleading data P.O. Box 83 Kerugoya, Kenya
about you. Telephone Number: 0724 256 461
Website: www.ollin.co.ke
I, the undersigned, confirm that I have read and understood the terms and condi ons contained herein
and hereby freely agree to be bound by the said terms and condi ons. I further confirm that the informa on and
documenta on provided to the Sacco is correct and accurate to the best of my knowledge.

Name:________________________ID/PP No:____________________________ Signature __________________

Together We Prosper