TAWI DEVELOPMENT BANK
P O BOX 333-00636
SOTIK
Personal Loan Check-off
Part 1: Applicant’s Details
Surname: Other Names:
ID Number: Nationality:
Pin: Date of Birth:
Gender: Marital Status:
Mobile Number: Postal Address:
Code: Town:
Part 2: Bank Details
Branch: Account Number:
Account Name: Date Opened:
Part 3: Employment Details
(a) Current employer
Name of Employer: Station:
Date of Employment: PF Number:
Department: Designation:
Gross Salary: Ksh Net Salary: Ksh
Terms of Employment:(please tick) Permanent Contract
(b) Employers Physical Address
Postal Address: Code: Town:
Building: Floor Number: Street:
Office Telephone Number: Email:
2
Part 4: Details of Referee
Referee’s Name: ID Number:
Relation to Applicant: Telephone Number:
Occupation: Email Address:
Part 5: Confirmation by Head of Department
“I confirm that the above named is a bonafide employee of and the salary
details indicated are correct.”
HOD’S Name: Signature: Date: Official Stamp:
Part 6: Loan Details (please tick)
1st Loan Top up Refinance
Loan Amount: Ksh Purpose: Repayment period:
Part 7: Authority to Recover Loan
“I do hereby give my employer irrevocable authority to
recover from my salary ksh. per month, over a period of months
and remit the same to Tawi Development. Bank for the credit for my loan account.
Applicant’s signature: ID Number: Date:
For Official Use Only
Name of bank official Staff number
Branch Branch code
Immediate sales supervisor Sales code
Approve/Not Approved:
Reasons for not approving:
*Delete Appropriately.
