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Loan Application
Step 1 of 6
Personal Details
First name
Last name
Id number
Phone number
mpesa no eg 07XXXXXX
Alternative phone number
Next of Kin
Next of kin name
Next of kin phone
Business Details
Has physical business
- Select an option -
Yes
No
Business name
Business type
Business age years
Good day sales
Bad day sales
Good month sales
Bad month sales
Average monthly sales
Number of employees
Pays business rent
- Select an option -
Yes
No
Business rent amount
Owns business premises
- Select an option -
Yes
No
Income source if no business
- Select an option -
Salary and wages
Donations
Other Income
Has other income
- Select an option -
Yes
No
Other income source
- Select an option -
Business
Salary
Other Business
Other business name
Other business location
Other business net income
Employment / Salary
Employer name
Work experience years
Work experience months
Work location
Office location
Gross salary
Net salary
Loan Details
Loan amount
Months
*
1
2
3
Purpose of the loan
Monthly installment will appear here.
Weekly payment
Guarantor Details
Guarantor 1
Guarantor name
Guarantor id number
Guarantor phone
Guarantor alternative phone
Guarantor income source
Guarantor 2
Guarantor 2 name
Guarantor 2 id number
Guarantor 2 phone
Guarantor 2 alternative phone
Guarantor 2 income source
Review Application
Please confirm that the information provided is correct before submitting your application.
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