Form NRY/006
GEFFAM YOUTH COLLECTION
UNDER CONTROL BY FINANCEANCE INVESTOR GROUP
( KERICHO PLAZA)
P.O BOX 68-20204 RORET
CREDIT SERVICE
L O AN A PP L I C AT I O N F O RM
1) Complete this form in capital letter. Any alternations MUST he countersigned
2) Outstanding loan must he cleared before a new loan is granted
3) Defaulting on the loan for one installment without formal communications will make the loan due in full immediately
4) In the event on default on this loan account all cost associated with recovery of the default amount including and not
limited to debt collection fee. all and post judgment collection cost will be held to my account
5) An application for loan shall only be considered when authorized loan application form is used and required charges
have been made
6)Minimal administrative charges shall be leveled to facilitate it
Attach with the following
1) Passport •
2) ID copy
3) Pay slip if available
4) Guarantor id c opy
1. APPLICATION DETAILS
First name ..................................... last name ................................................ ID no. ..............................
Gender………………………………………………… Village…………….
Age .................................................... Economic Activity. ............................. .
Sub-county………………………………………Location…………………………………County……………………………….
P . O B ox . . .. . .. . .. . . . . . .. . .. . .. . .. . . .. . .. . .. . .. . . .. . P hone N umb er ....... ...... .... ... ..... .. .. .. ... .... ...
2. GUARANTORS
1. Name ....................................................... Phone Number .............................................. Sign .................................
2. Name ................................................ ……Phone Number ............................... Sign ............................
3.Name ........................................................ Phone Number ............................................... Sign ...............................
3. LOAN PARTICULARS
Amount in words ..........................................................................................................................................................................
Purpose ....................................................................................................................................................................................
Repayment Period.............................................................................Months/Weeks(ksh) ......................................
Per month/weeks………………………………………………………………….Mode of payments…………………………………..
4. SECURITY DETAILS
NO ITEM DETAILS ESTIMATED VALUE (SH)
1
2
3
5. DECLARATION
Hereby declare that foregoing particular are true to the best of my knowledge and believe to abide by the law the loaning
policy and any variations by the committee in respect to above. I further declare that I have understood the instructions
above
FOR OFFICIAL USE ONLY
Management approval ......................................................................................................................
Loan approved.........................................................................................................................................
Total delivery amount ........................................................................................................................
Date of payment ...............................................................................................................................
Monthly installment..........................................................................................................................
Total expected in full amount ............................................................................................................
Management signature ....................................................................................................................
Date ............................................................................................................................................................
