SHERIA SACCO SOCIETY LIMITED
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1 LTD. TY CCO SOCIE A S SACCO LIMITED HEAD OFFICE Tel: / , P. O. Box , Nairobi bosa@sheriasacco.coop / SACCO FOSA OFFICE Milimani Law Courts, 2nd Floor, Community. Tel: / fosa@sheriasacco.coop /bosa@sheriasacco.coop 1
2 CCO SOCIE SA TY SACCO SACCO LIMITED LIMITED LOAN FORM LOAN APPLICATION APPLICATION FORM LTD. To be completed by applicant after carefully understing basic rules requirements. alterations are allowed. To be completed Attach pay slipcarefully copy of I.D./Passport. by original applicant after understing basic rules requirements. are allowed.your Details Letters. alterations Please Complete Attach original pay slip copy of I.D./Passport. PARTICULARS OFLetters. THE APPLICANT (Tick Where Appropriate) Please Complete Your Details name as per ID Staff/Pj/ship no ID no/passport no. PARTICULARS OF THE APPLICANT (Tick Where Appropriate) Mobile number Gender male/ female name as per I.D. Staff/Pj/ship no I.D. no/passport no. Postal code Mobile number Street House no. Physical residence Gender male/female Rented / Ors. How long you lived at your place of residence Postal address Postal code Town EMPLOYMENT DETAILS (Tick Where Appropriate) Physical Forresidence Retired Estate Name of EmployerTelephone : House no. CodeTown.. StreetPostal AddressPostal Rented /Ors Physical Location Position/Designation.. How long you lived at your place of residence... Employment Terms: Permanent Or (Speci EMPLOYMENT DETAILS (Tick Where Appropriate) fy)... For n- / * Attach 6 months statement. Retired For Name Name of EmployerTelephone :... Nature of Years in Operation Postal AddressPostal CodeTown... Approximate Monthly Income in figures Physical Location. LOAN PARTICULARS Position/Designation... Type Repayment Interest Tick Where Appropriate Employment Terms: Permanent Or (Specify) on 48 on 2
3 For n- / Education 12 on SACCO LIMITED * Attach 6 months statement. 12 on LOAN APPLICATION FORM Name 12 10% p.a. Nature of Years in Operation 24 on To be completed by applicant after carefully understing basic rules Approximate Monthly Income in figures In Advance 3 5% on requirements. LOAN Advanceare allowed. 12 5% of on PARTICULARS alterations Type Repayment Interest Tick Where Appropriate original 72 pay Attach slip copy p. ofm.on I.D./Passport. Your 48Details Letters. on Please Complete 72 15% on Bima 10PARTICULARS APPLICANT on (Tick OF THE Where Appropriate) 1% on Asset 72 name as per ID60 Staff/Pj/ship no on ID no/passport no. 1% on MobileShamba number Gender male/ female Education % on Postal of Applied in Figures.. code 12 1% on ofphysical Applied in Words residence... no % p.a. Rented / Ors. Repayment Street House Purpose How long you livedofat. your place of on residence 24 15% Mode of Repayment: EMPLOYMENT Check off (Tick Where Appropriate) Sting order DETAILS In Advance 3 5% on Security details: I offer as security for my ; my salary, Retired savings, Guarantors, Advance 12 Log 5% of on Title Deed, BookFor any or funds due to me from society. Name of EmployerTelephone : 72 15% p. m.on Postal AddressPostal CodeTown % on 4.Physical Location GUARANTORS PARTICULARS Bima onor In consideration10 of granting above any or lesser amount that may be Position/Designation.. approved, we undersigned accept severally for its payment Terms: Permanent Or (Speci - in AssetEmployment 72 hereby 15% jointly on liabilities event of borrower s default. We underst that amount may be recov fy)... Shamba 48 1% on ered by offset against our / held in society, at time is approved by For n- of Applied in Figures.... attachment of salary or property that we not be eligible for s until amount * Attach 6 months statement. of Applied in Words... has been cleared in full. Name Repayment... Nature of Years in Operation PurposeNO of... STAFF/M-EMBERSHIP/P.J/P.F NO: PHONE Approximate Monthly Income in figures Mode Repayment:ADDRESS ofno.&postal Check offloan PARTICULARS AMOUNT Sting order Recovery Method Reducing Balance I.D. NO Interest Type Repayment Armortization Tick Where Appropriate Security security for my ; salary, savings, Guarantors, Title details: I offer72as my on Deed, Log Book any or funds due to meon from society. 48 3
4 GUARANTORS PARTICULARS Education 12 on SACCO LIMITED In consideration of granting12 above or any or lesser that may be approved, on LOAN APPLICATION FORMamount for its payment in event of we undersigned accept jointly severally liabilities hereby 12 10% p.a. borrower s default.by We underst that amount be recovered offset against 24 on To be completed applicant after carefully may understing bybasic rules our in society, at time on is approved by attachment of salary or held In Advance 3 5% requirements. that we not be eligible for s until amount has been cleared in property Advanceare allowed. 12 5% of on alterations full. original 72pay p. I.D./Passport. m.on Attach slip copy of NO. 4. STAFF/ PHONE NO. AMOUNT Your48 on Please Complete Details Letters. I.D. MEMBERSHIP & POSTAL NUMBER 10PARTICULARS APPLICANT on OF THE (Tick Where Appropriate) /P.J./P.F.. ADDRESS Bima Asset name as per ID Staff/Pj/ship no on ID no/passport no. on MobileShamba number 48 Gender male/1% female 6. Postal of Applied in Figures.. code ofphysical Applied in Words residence Repayment Street House no. Rented / Ors. How long Purpose you livedofat. your place of residence 8. Mode of Repayment: EMPLOYMENT Check off (Tick Where Appropriate) Sting order DETAILS Security details: I offer as security for my ; my salary, Retired savings, Guarantors, 9. Title Deed, Log BookFor any or funds due to me from society. Name of EmployerTelephone : 10. Postal AddressPostal CodeTown.. 4.Physical Location GUARANTORS PARTICULARS In consideration of granting above or any or lesser amount that may be Position/Designation. D EC LA R ATIO N 10. Employment approved,terms: we undersigned accept jointly severally liabilities for its payment Permanent hereby Or (Speci - in I hereby declare that foregoing particulars are true to best of my knowledge belief, event of borrower s default. We underst that amount may be recov fy)... agree to abide by terms conditions of Society, policy, variations DECLARATION ered by offset against our / held in society, at time is approved by For n- I hereby declare Committee foregoing particulars aresection true to(3) above, best of myany knowledge belief, by that in respect of or future amendments at attachment or property thatofwe not be eligible for s amount * Attach 6 months statement. agree to abide of bysalary terms conditions Society, policy, until variations by any time. I hereby authorize necessary deductions or any or interest applicable, Name Committee in respect of section (3) above, cleared any or future amendments at any to be has been in full. time. I hereby authorize necessary deductions or interest applicable, to be made made from my salary as repayment for or thisany. I hereby irrevocably authorize society to Nature of Years in Operation from my salary as repayment for this. I hereby irrevocably authorize society to set off at set off at any time all monies held by society against my indebtedness arising from this any time monies held by societyincome againstinno: my indebtedness arising fromphone this facility now or NO all STAFF/M-EMBERSHIP/P.J/P.F Approximate Monthly figures in future wher joint, actual or principal atorany time todebtor consolidate facility several now or or in future wher several ordebtor joint, actual principal atwith any time to NO.&POSTAL ADDRESS LOAN PARTICULARS AMOUNT out giving notice or receiving notice from me. I also declare that in case employer delays consolidate without giving notice or receiving notice from me. I also declare that in case I.D.personally NOInterest Type Tick Where deductions, IRepayment will be paying to Society s account everyappropriate month to avoid employer delays will be paying to account accrued interest until action is deductions, taken by I employer. I do personally also authorize Society s society to share my every 72 on credit information with Reference Bureau. month to avoid accrued interest until action is taken by employer. I do also authorize 48 on society to share my credit 4 information with Reference Bureau.
5 APPLICANT S...Date... APPLICANT S (MUST be...date... active of society)... (MUST be active of society)... ADDRESSStaff/P.J/P.F /Membership... ADDRESSStaff/P.J/P.F /Membership LOANSFINANCIAL HELD IN OTHER FINANCIAL INSTITUTIONS 6. LOANS HELD IN OTHER INSTITUTIONS Name of Bank/Financial Institution Advanced Date Granted Repayment Name Outsting Date Granted Outsting of Bank/Financial Balance Repayment Institution Advanced Balance 7. LOAN CLEARANCE FACILITY 7. LOAN CLEARANCE FACILITY I wish to apply for a Clearance/Offset Facility: Yes I wish to apply for a Clearance/Offset Facility: Yesto offset Please tick s you wish Please tick s you to offset to Offset wish to Offset to Offset Education Education Advance to Offset In Advance Advance In Advance Hisa Bima Asset Hisa Bank from or Bank/Financial Institution Bima NB: For clearance, attach a certified copy of statement. Asset 8. A. Office Recommendation Bank from or Bank/Financial Institution (1) Officer... Name... Sign... Date... 5
6 NB: For clearance, attach a certified copy of statement. SACCO LIMITED LOAN APPLICATION FORM 8. A. Office Recommendation (2) Manager... Name......Date... (1) APPLICANT S Officer... Name... Date... To besign... completed by applicant after carefully understing basic rules (MUST be active of society)... Sign... Date... (3) CMBD & Operations... Name... requirements. ADDRESSStaff/P.J/P.F /Membership... (2) Manager... Name... Sign... Date... alterations are allowed.... (4) Name... Sign... AttachC.E.O... original pay slip copy of I.D./Passport. Date LOANS HELD IN OTHER FINANCIAL INSTITUTIONS Sign... Please Complete Your Details Letters. Date... (3) Name CMBD Operations... Name... of & Bank/Financial Institution Advanced Date Granted Repayment B. Committee PARTICULARS OF THE APPLICANT (Tick Where Appropriate) Outsting Balance Sign... Date... Wename as examined this application in conjunction remarks no. per ID Staff/Pj/ship nowith office ID no/passport (4) C.E.O... follows:mobile number Gender male/ femaledecided asname... (a) approved KshsRecoverable in installments w.e.f. Postal address Postal code Sign... Date..... Physical residence B. Committee (b) Deferred/Rejected due to Street House no. Rented / Ors. LOAN CLEARANCE We examined this application in7.conjunction with FACILITY office remarks decided as follows: Committee. Date. How long you livedminute at your. place of residence I wish to apply for a Clearance/Offset Facility: Yes (a) approved KshsRecoverable in.. installments w.e.f... Chairman..SecretaryMember EMPLOYMENT DETAILS (Tick Where Appropriate) Please tick s you wish to offset (b) Deferred/Rejected due to Retired to Offset to Offset C. Review/Ap For Committee Minute.. Date. Name of peal... EmployerTelephone : Chairman..SecretaryMember... Advance Remarks... Postal AddressPostal CodeTown.. Education In Advance C. Review/Appeal... ChairmanSecretaryTreasurer.. Physical Location Remarks... Position/Designation.. D. Data Officer Employment Terms: Permanent Or (Speci ChairmanSecretary...Treasurer... Hisa I confirm that data sheet has been completed as indicated. Confirmation of recov fy)... D. Data Bima Officer ery to be madefor when payroll for/ month of is received. n- Asset that I confirm data sheet has been completed as indicated. Confirmation of recovery to be made Name...Designation * Attach 6 months statement....signature... Bank from or Bank/Financial Institution when payroll Name for month of...is received. Date... NB: For clearance, attach a certified copy of statement. Name...Designation...Signature... E. of YearsC ainshoperation ie r Nature I confirm Approximate that I released Income following funds to s FOSA Account. Monthly in figures Date A. Office Recommendation Name.Signature. Date. LOAN PARTICULARS (1) Officer... Name... E. Cashier Type Repayment Interest Tick Where Appropriate Sign... Date... I confirm that I released following funds to s FOSA Account. 9. TERMS CONDITIONS 72 AND on Name...Signature. Date. 48 on 6
7 Education 12 on SACCO LIMITED 9. TERMS AND CONDITIONS 12 on LOAN APPLICATION FORM The following conditions terms (2) Name... Manager % p.a.apply:applicant S...Date... Date on To be completed by applicant after carefully understing period basic rules i. ASign... must contributed been active for a minimum of three (MUST be active of society)... (3) CMBD & Operations... Name... for In Advance 3 5% for allonor requirements. months six months s. A must minimum ADDRESSStaff/P.J/P.F /Membership... Sign... Date % of on alterations are allowed. shares ofadvance Kshs 5, (4) C.E.O... original 72pay p. I.D./Passport. m.on Name... Attach slip copy of ii. The total 6. of LOANS borrower thosefinancial of guarantors must be equal to or more than HELD IN OTHER INSTITUTIONS Sign... Date... Your48Details Letters. on Please Complete applied for. Institution Name of Bank/Financial Advanced Date Granted Repayment B.Bima 10PARTICULARS Committee APPLICANT on OF THE (Tick Where Appropriate) iii. Guarantors must be Outsting up-to-date tobalance be eligible. Wename examined this application in conjunction office remarks no. Asset 72 on as per ID Staff/Pj/ship no with ID no/passport iv. Any category of outsting must be cleared before a new of same category is as follows: decided on MobileShamba number 48 Gender male/1% female granted. (a) approved KshsRecoverable in installments w.e.f. of Applied in Figures.. Postal code v. within Applied common will be permitted to suffer total deductions including.. ofphysical inbond Words... address residence savings, repayment in excess ofrented two-thirds of his/her basic salary. (b) Deferred/Rejected due interest to Repayment Street House no. / Ors. 7. LOAN CLEARANCE FACILITY vi. one offcommittee commission ofyour 5 %. beplace charged on s to be topped up. Minute. Date. Purpose HowAlong you livedof at. of residence I wish to apply for a Clearance/Offset Facility: Yes Chairman..SecretaryMember of Repayment: Check off he/she Sting order Mode EMPLOYMENT DETAILS (Tick Where Appropriate) vii. will be eligible for top up unless has serviced being top up for at Please tick s you wish to offset... Security details: I offer as security for my ; my salary, Retired savings, Guarantors, least 6 months except top up on. to Offset to Offset C. s will Title - due Deed, Log Book any Review/Ap or funds to me from For viii. New to previous being regularly paid. society. be given subject peal... Name of EmployerTelephone : ix. Total BOSA s owedadvance to society not exceed three times a s depos granted or Remarks... Postal AddressPostal CodeTown.. it savings in all cases beinrepayable Education Advance within s stipulated period ChairmanSecretaryTreasurer. 4.Physical GUARANTORS PARTICULARS Location default in repayment x. In case of any entire of this will immediately become In consideration of granting above or any or lesser amount that may be Position/Designation.. of Committee any sum due to me by way of due payable at discretion D. Datajointly Officer approved, we undersigned accept severally liabilities for its payment Employment Terms: Permanent hereby Or (Speci - in Hisa, interests salary from said employer due to will be offset against I confirm borrower s data sheet default. has been completed as indicated. Confirmation of recov eventthat of We underst that amount may be recov fy)... Bima The will be liable for any incurred in collection by eryby toowed. be made when for/ month ofcosts is received. ered offset against ourpayroll held in society, at time isof approved For n- Asset accumulated Name...Designation...Signature... attachment of salary orinterest. property that we not be eligible for s until amount * Attach 6 months statement. Bank from or Bank/Financial Institution xi. SavingsName contribution paid in cashdate... or cheque has outside check-off system remain in been cleared in full. NB: For clearance, attach a certified copy of statement. E.of asoperation h ie r Nature Years in Society for at least six months to be considered Cfor lending purposes. Orwise, 5% will be I confirm that I not released following funds to s FOSA Account. NO STAFF/M-EMBERSHIP/P.J/P.F PHONE Monthly Income inno: figures charged. ForApproximate s on check-off boosted will be considered for at 8. A. Office Recommendation Name.Signature. Date. NO.&POSTAL ADDRESS expiry LOAN PARTICULARS AMOUNT of 6 months period. (1) Officer... Name... I.D. NOInterest Type Repayment Tick Where Appropriate xii. Sign... The application form must be completed Date... supported with most certified 9. TERMS AND CONDITIONS 72 on pay slip, copy of national identity card/ passport. 48 on 7
8 xiii. Education For personal, Advance, in advance s 12 on s, salary must been SACCO LIMITED 12 onone LOAN APPLICATION FORM received through FOSA account for at least month. Manager... Name % by p.a. maximum xiv. (2) Bima must be guaranteed amount is kshs APPLICANT S...Date... Date on To besign... completed by applicant after carefully understing basic rules 300,000/-. (MUST be active of society)... (3) & Operations... CMBD In Advance 3 5% on Name... requirements. xv. Asset asset itself form part of security for advanced ADDRESSStaff/P.J/P.F /Membership... Sign... Date... Advanceare allowed. 12 5% of on alterations remain... property of Sheria Sacco Society until is repaid in full. The (4) original 72pay Name... AttachC.E.O... slip copy p. of m.on I.D./Passport. 6. LOANS HELD IN OTHER FINANCIAL INSTITUTIONS asset must be charged. 4. Sign... Date... Your48Details Letters. on Please Complete Name of Bank/Financial atadvanced Date B Granted Repayment xvi. -MustInstitution account FOSA, for class Shares; for class A B. Committee Bima 10PARTICULARS APPLICANT on OF THE (Tick Where Appropriate) Outsting Balance shares/must FOSA savings Account must run account for 6 months. Wename examined this application in conjunction office remarks no. Asset ID 72 on as per Staff/Pj/ship no with ID no/passport The is guaranteed by ee &decided guarantors which must be as follows:48 1% on collateral MobileShamba number Gender male/ female 6. charged, comprehensively insured Society s interest noted at valued, (a) approved KshsRecoverable in installments w.e.f. of Applied in Figures.. Postal code ees cost... ofphysical Applied in Words... residence 7. (b) Deferred/Rejected to Repayment Street no. Rented / Ors. xvii. House Shamba - isdue guaranteed by s title deed of l 7. LOAN CLEARANCE FACILITY Committee. Date. Purpose. How long you livedofminute at your place of residence being purchased, l to. be co-owned by by Sheria Sacco until I wish to apply for a Clearance/Offset Facility: Yes 8. Chairman..SecretaryMember Mode offully Repayment: Check off is (Tick Sting order EMPLOYMENT DETAILS Where Appropriate) is repaid. Maximum limit kshswish 2,000,000/Please tick s you to offset... Security details: I offer as security for my ; my salary, Retired savings, Guarantors, xviii. for a be considered when authorized An toapplication Offset to only Offset application 9. C. Review/Ap Title Deed, Log BookFor any or funds- due to me from society. form is used. peal... Name of EmployerTelephone : his/her Advancedeposit unless he/she has cleared all his/her xix. be refunded 10. Remarks... Postal AddressPostal CodeTown.. Education liabilities in outsting time.in Advance ChairmanSecretaryTreasurer. 4.Physical GUARANTORS PARTICULARS Location xx. Fees charges to cover administrative costs be paid by borrower. Such fees In consideration of granting above or any or lesser amount that may be Position/Designation. D EC LAtariffs. R ATIO N charges will be in accordance with prevailing SACCO D. Datajointly Officer approved,terms: we undersigned hereby accept severally liabilities for its payment Employment Permanent Or (Speci - in Hisa I hereby declare that foregoing particulars are true to best of my knowledge belief, I confirm borrower s data sheet default. has been completed as indicated. Confirmation of recov eventthat of We underst that amount may be recov fy)... Bima agree to abide by terms conditions of Society, policy, variations erybytooffset be made when for/ month of is received. by ered against ourpayroll held in society, at time is approved For n- Asset by Committee in respect of section (3) above, any or future amendments at Name...Designation...Signature... attachment of salary or property that we not be eligible for s until amount * Attach 6 months statement. Bank from or Bank/Financial Institution any time. I hereby authorize necessary deductions or any or interest applicable, to be Date... has been cleared in full. Name NB: For clearance, attach a certified copy of statement. made from my salary as repayment for this. I hereby irrevocably authorize society to E.of YearsCin asoperation h ie r Nature set off at any time all monies held by society against my indebtedness arising from this I confirm that I released following funds to s FOSA Account. NO STAFF/M-EMBERSHIP/P.J/P.F NO: PHONE Approximate Monthly Income in figures 8. A. Office Recommendation facility now or in future wher several or joint, actual or principal debtor at any time to Name.Signature. Date. NO.&POSTAL ADDRESS LOAN PARTICULARS AMOUNT (1) Officer... Name... consolidate without giving notice or receiving notice from me. I also declare that in case I.D. NO Interest Type Repayment Tick Where Appropriate Sign... Date... employer delays deductions, I will be paying personally to Society s account every 9. TERMS AND CONDITIONS 72 on month to avoid accrued interest until action is taken by employer. I do also authorize 48 on society to share my credit 8 information with Reference Bureau.
SHERIA SACCO SOCIETY LIMITED
SHERIA SACCO SOCIETY LIMITED HEAD OFFICE Tel: +254 20 2010396 / 0722745156, P. O. Box 34390-00100, Nairobi Email: bosa@sheriasacco.coop / www.sheriasacco.coop SACCO FOSA OFFICE Milimani law Courts, 2nd
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