Loan Application & Agreement Form

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UNITED NATIONS SACCO SOCIETY LTD
P.O BOX 30552-00100, NAIROBI. TEL: 254-020-7622700
FAX: 254-020-7622887
WEBSITE:
Save Regularly, Borrow Wisely & Repay Promptly
LOAN APPLICATION & AGREEMENT FORM
NB: Please fill in all the required information in this form accurately
Loan Application No ______________
PART A: APPLICANT,S DETAILS
INDEX NO: / CO-OP NO: _______________Date_____________ Loan type_______________________________________
1. Applicant’s full Names as per National ID Card/Passport
9. Loan Amount__________________ Period___________
Amount in words _______________________________
_______________________________________________
______________________________________________
2. National ID No/Passport No________________________
______________________________________________
3. Date of birth_____________4. Duty station____________
10. Purpose for which loan is applied _________________
For asset applicants only
5. Job Title _______________________________________
12. Type of asset to be financed ______________________
6. Agency ___ ____________________________________
13. Title No./LR No.
7. E-mail _________________________________________
_____________________________________
14. Quoted/Negotiated Price_________________________
8. Cell phone______________________________________
Valuation figure________________________________
PART B: SECURITY
The following shall be mandatory for my loan
(1) Salary
(2) Deposits
(3) Guarantors
(4) Other collateral security required by the society
Repayment Guarantee
We, the undersigned, hereby jointly and severally accept liability for the repayment of the borrower’s loan in the event of
default. We understand that the amount in default may be recovered by an offset against our deposits in the Society, by
attachment of our property, salary and other benefits, and we hereby authorize the Society to recover the amount from our
deposits in the society, attachment of our property, salary and other benefits (as the society may in its absolute discretion elect)
equivalent to the amounts we signed as guarantee.
Caution – Guarantor Details
Guarantors are strongly advised to read all the information provided in this form by the applicant and terms and conditions
contained here in, so as to understand the full implications of signing this part
PLEASE NOTE THAT LOYALTY LOAN WILL BE ADVANCED OVER A PERIOD LONGER THAN THAT SUPPORTED BY THE CONTRACT
Index No.
Name(in full)
Signature
Witnessing Guarantors Signature
Name
Signature
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