Loan Application & Agreement Form Page 3

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-The Society, having refrained from acting in accordance with my written, telephone, email or facsimile instructions
by reason of failure of actual transmission thereof to The Society or receipt by The Society for whatever reason,
whether connected with fault, failure or sending or receiving machine not being ready.
-My failure to forward all original copies of facsimile telephone or email instruction(s) to The Society within 48 hours.
11) That I agree to accept service of all notices and communication at the last postal, email or physical address given by
myself, and the date on The Society’s copy of any such communication is taken to be the date of such dispatch in the
absence of proof to the contrary.
12) That in the event that I should leave the services of my present employer, I will immediately inform The Society, and
any sum of money due to me for any purpose may be utilized to the extent necessary to liquidate any balance
remaining in my loan account
13) That this authority is unconditional and may not be revoked during the life of the loan without express consent of The
Society as well as my guarantors
14) That the foregoing particulars are true to the best of my knowledge and belief and I agree to abide by the by-laws of
The Society, the loan policy and any variations by the Credit Committee in respect to Section E below.
15) That I agree to comply with the terms and conditions of the loan repayment as approved by the Credit Committee.
16) The non adoption of the payroll deduction mode or otherwise, does not in any way discharge me from my obligation
of ensuring that the monthly loan repayments are remitted promptly to the society.
Acceptance
I confirm that I have read the terms & conditions (as printed above) governing the grant of credit facilities, and agree to be bound by
them should my loan application be approved.
Applicant’s Signature __________________________________________________ Date ___________________________
Name of Witness _____________________________________________________ Index No. ________________________
(WITNESS TO APPLICANT’S SIGNATURE)
AGENCY ________________________ Signature _________________________ Date _____________________________
PART E: CREDIT COMMITTEE
Loan approved Ksh __________________ in words ______________________________________________________________
__________________________________________________________________ Recoverable in ____________________ months
Indicate reasons for deferred / rejected loan
2. Reasons for Rejected Loan
1. Inability to repay
3. Loan is not in proportion to deposit
5. Ineligible Purpose
2. to clear outstanding loan first
4. Membership Period not met.
6. Lack of proper guarantors or security
Credit Committee’s Minute Number _______________________________________________________________________
Chairman’s Signature
Date
Member’s Signature ____________________________________________________________ Date
REMARKS
Loan Application Requirements
1. Certified copy your latest pays slips
2. Copy of your National I/D Card or Passport
3. Letter of Contract, duly signed by both the applicant and employer
4. Valuation Report for asset loan
5. Supporting documents in case of emergency/School fees.
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