HARAMBEE SACCO SOCIETY Ltd

Harambee Plaza, Haile Selassie Avenue, Nairobi. P O. Box 47815-00100, Nairobi.

Tel: (020) 343822, 0705-200200, 0705-300300 ; Fax: (020)2216326

Website:www.harambeesacco.com Email:

LOAN APPLICATION FORM

(NOT FOR SALE)

1.  APPLICANT’S PERSONAL INFORMATION
Names(as appear on ID):
Membership No. / Personal No.
Ministry / Dept / Current Station
Mobile Number(s)
E-mail address
Home/ Permanent address P.O.Box: / Code: / Town:
2.  LOAN DETAILS
Loan Type
Please
Tick / Emergency / School Fees / Development
Emergency Topup / School Fees Topup / Development Topup
Jisaidie / Jisaidie 2 / Jisaidie Topup Loan
Karibu Loan
Current Shares
Loan amount applied for (figures):
Loan amount applied for (words):
Repayment period – Years: / Months:
Shares boost amount required:

JISAIDIE TOP UP LOAN DETAILS

Loans to be bought: / *Kindly attach certified original bank statements.
Emergency / Amount: / Bank Loan 1 / Amount:
School Fees / Amount: / Bank Loan 2 / Amount:
Development / Amount: / Bank Loan 3 / Amount:
Total amount to be cleared
3.  PAYMENT DETAILS (Please tick one and give details).
FOSA / Fosa Account Number:
EFT TO BANK
Name of Bank:
Branch:
Account Name:
Account Number:
4.  DECLARATION

I hereby declare that the foregoing particulars are true to the best of my knowledge and belief. I agree to abide by the by-laws of the society, the loan policy provisions and any other variations by the Board of the Society in totality. I will inform the Society in the event that I am transferred from my current work station / Ministry. I authorise the necessary deductions, including interest on the loan, to be made from my salary as repayment for this loan.

Signature:______ID NO:______Date:______
NB) To be valid, the two pages of this this Loan form have to be printed on a single sheet of paper ( both sides).

5.  REPAYMENT GUARANTEE

Guarantors are required to carefully read through this loan application form and understand the liability before signing.

We, the undersigned,hereby accept jointly and severally, the laibility for repayment of this loan in the event of the borrower’s default. We understand the amount in default may be recovered from our salaries, offset against our shares within the society or by attachment of our properties.

Name: / Membership / Personal No / ID Number / Mobile No / Signature: / Official Verification
1
2
3
4
5
6
7
6.  EMPLOYERS RECOMMENDATION

This is to confirm that the applicant is employed by ______

In the capacity of______

I hereby confirm that the attached payslips are true copies of the applicants payslips for the months of:

______/ 20_____; ______/ 20_____ ; ______/ 20______

We recommend/do not recommend this application to Harambee SACCO for consideration.

Name:______Designation:______

(Payroll Officer, HR Officer or Head of Department.)

Ministry / Department______

Signature and Official Stamp______Date:______

FOR OFFICIAL USE ONLY
7.  LOAN PROCESSING
Loanee Shares as at (Date): / Total Shares:
Captured by: / Date: / Signatue:
Verified by: / Date: / Signature:
Scheduled by: / Date: / Signature:
Recommended by: / Date: / Signature:
Remarks (if any):
8.  CREDIT COMMITTEE APPROVAL
We have totally examined the above aplication and have approved the following:
Loan Type: / Loan Amount:
Number of Installments: / Interest rate:
Reference Schedule number: / Meeting date:
Signed: / Signed: / Signed:
Chairman / Member / Member