KPSS/F07B Rev.
2020
Kenya Police Sacco Plaza, Ngara Road, off Muranga Road, A / P.O.Box 51042-00200, Nairobi Pilot No. 0709825000 E / info@policesacco.com W / www.policesacco.com
WEZESHA LOAN APPLICATION AND AGREEMENT FORM
TERMS AND CONDITIONS
1. The applicant MUST be a member of Kenya Police Sacco Society Limited.
2. The member to have a business account, which must be active for at least two months.
3. The member should 25% of the amount applied in the business savings account.
4. The member MUST have an active business, in operation for at least 1 year.
5. Amount approved will be based on the business cash flow.
6. The member will be required to provide security for the loan. The security must be valued and charged. The
valuation and charging fees are borne by the borrower.
7. For group application, all the members of the group MUST be active members of Kenya Police Sacco.
8. The group MUST have a common income generating activity.
9. Have a clean Credit rating.
10. In case of default, the loan will attract a penalty of 5% of the monthly repayment( principle plus interest).
11. Should the SACCO engage Debt collectors / Auctioneers in recovery of loans in arrears, the Auction fee/
Debt collection fees are borne by the borrower.
1. APPLICANTS PERSONAL INFORMATION
Applicants Name (Mr/Mrs/Miss/Dr/Prof): ________________________________________________________________
National ID/Passport No.: ___________________________________ Business Account No: _____________________
Marital status Single Married Widowed Separated Divorced
Religion: __________________________________________________ Nationality: ______________________________
Date of Birth: _________/_________________/___________ Sex Male Female
Permanent physical postal Address: ________________________ Current Postal Address: _____________________
Current Residence: ___________________________________ Mobile number: _________________________________
E-mail: ______________________________________
Name of spouse: : ____________________________________ Mobile No: : ___________________________________
Permanent Postal Address: : __________________________ Current postal address: __________________________
House Ownership: Owned Rented Lease
2. APPLICANTS PERSONAL INFORMATION
Name of Business: ___________________________________________________________________________________
Type of business: Sole proprietorship Partnership Limited company
Nature of Business: __________________________________________________________________________________
Registration No: ________________________ License No: ____________________ KRA PIN: ____________________
No. of years in business: _____________________________ Business postal Address: _________________________
Business Physical address: ________________________________ Mobile No: _________________________________
KENYA POLICE SACCO IS ISO 9001: 2015 CERTIFIED
Business premises: ________________________________________________________ Rented Owned
If rented, lease period _______________ remaining period ___________________ rent payable__________________
3. LOAN DETAILS
Type of loan:
Wezesha Housing 4 yrs Wezesha Business 2 yrs Wezesha Asset Finance 3 yrs
Wezesha Housing Group 4yrs Wezesha Business Group 3yrs
Amount applied in figures Ksh: _______________________________________________________________________
Amount applied in words: ____________________________________________________________________________
Purpose of loan: ____________________________________________________________________________________
Cost of project Ksh.: _________________________________ Own contribution: ______________________________
4. DETAILS OF DIRECTORS/ PARTNERS
Percentage of
Name of Directors or Partners ID No. Mobile Number Ownership Signature
1.
2.
3.
4.
5. LOAN SECURITY/COLLATERAL - FOR OFFICIAL USE ONLY
Security Type Description Market Value Force Sale Value Registered Owner
1.
2.
3.
4.
6. LOANS WITHIN THE SACCO AND OTHER INSTITUTIONS
Name of Amount Monthly Repayment Outstanding
Institutions Advanced Repayment Period Balance
1.
2.
3.
4.
KENYA POLICE SACCO IS ISO 9001: 2015 CERTIFIED
7. DECLARATION
I/ We confirm that the above information given by me/us is the true and factual position of my/our business and
I/ we authorize the SACCO to obtain any information from ourselves and /or third parties to verify the informa-
tion provided herein;
Name: ____________________________________________ Signature: ________________ Date:_____/______/_____
Name: ____________________________________________ Signature: ________________ Date:_____/______/_____
Name: ____________________________________________ Signature: ________________ Date:_____/______/_____
8. OFFICIAL USE ONLY
Micro Credit Assistant
Recommendations: __________________________________________________________________________________
___________________________________________________________________________________________________
Name: _____________________________ Signature & Stamp: _____________________ Date: :_____/______/_____
Micro Credit Officer
Recommendations: __________________________________________________________________________________
___________________________________________________________________________________________________
Name: _____________________________ Signature & Stamp: _____________________ Date: :_____/______/_____
Credit Manager
Recommendations: __________________________________________________________________________________
___________________________________________________________________________________________________
Name: _____________________________ Signature & Stamp: _____________________ Date: :_____/______/_____
KENYA POLICE SACCO IS ISO 9001: 2015 CERTIFIED
7. SKETCH DIRECTION OF THE LOCATION OF BUSINESS (BELOW)
KENYA POLICE SACCO IS ISO 9001: 2015 CERTIFIED
