Loan Application Form

In this digital age, you don’t have to come to our offices to fill a loan form. You can do it in the comfort of your home or business. You will need a scanner to scan the required documents, or take photos using your smart phone, then attach them after filling the other details.  If you don’t have a smart phone, then you can do it from a cyber.

Step 1: Personal Details

Full Names:

ID Number:


Date of Birth (YYYY-MM-DD).

Email Address:

Phone No(s).

Step 2: Family details

Marital Status:

Spouse Name

Spouse Phone No(s).

Spouse ID Number.

Number of Children or dependants

Describe your place of residence eg estate, plot no. House No.

Step 3: Business details

Describe your business as much as possible. (eg name, type eg Retail Shop, location, number of years in operation, Number of employees, Ownership - include names of owners & percentages owned


Sub County:


Step 4: Loan details

Purpose for the loan:

Loan amount requested: NB You must have saved with us for the last 3 consecutive months. Loan amount must not exceed 3 times of savings..

Affordable daily repayment (installments)

Repayment Period in months:

Step 5: References

Business referees eg suppliers, peers, landlords (include name, relationship and telephone numbers) Name at least three

Family refereces eg brothers, sisters, uncles, etc (include name, relationship and telephone numbers) Name at least three

Community leader refereces eg religious leaders, pastor, headteacher, director of an NGO, Loan officer of a bank etc (include name, title. institution and telephone numbers) Name at least one

Step 6: Attachments

Please scan and attach the following documents:
1. National ID Card:
2. Passport size photo:
4. Business License (if any):
5. Registration Certificate (if any):

Attach at least three photos of your business, eg inside your shop - you must be in the picture, facing the camera.
1. Business Photo 1:
2. Business Photo 2:
3. Business Photo 3:

Collateral - Attach photos of assets you want to use as security for your loan. You must be in the picture, facing the camera.
1. Security 1:
2. Security 2:
3. Security 3:

Accept terms and conditions by clicking the box below: