KAB-BOA Society Loan Application Form
1. Applicant Information
Full Name
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National Identification Number (NIN)
*
Date of Application
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Telephone Number
*
Email Address (Optional)
Current Residential Address
*
Village
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Subcounty
*
County
*
District
*
2. Loan Details
Loan Amount Requested (Figures)
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Loan Amount Requested (In Words)
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Loan Period (in months)
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Number of Installments
*
Installment Amount
*
Total Repayment Deadline
*
Purpose of Loan (Optional)
Proposed Installment Plan
*
Agreed Fine for Late Payment
*
Latest Renewal/Grace Period Date
*
3. Guarantors / Next of Kin / Trustees
*
Add Guarantor
4. Recommender Details
Name of Person Who Recommended You
*
Their Contact (Optional)
5. Collateral Security (If Any)
Add Collateral
6. File Uploads
Applicant Photo
*
National ID Photo (Front)
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National ID Photo (Back)
*
Membership ID Photo (Front)
Membership ID Photo (Back)
7. Loan Agreement Declaration
I hereby declare that all the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changes therein, immediately.
*
Applicant Signature
*
Date
*
Submit Application
Validation Error
Please complete all required fields before submission. The following fields are missing:
