Ig Sacco Loan Form

IG (INVEST AND GROW) SACCO LTD
IG Sacco Plaza, Khalisia Road 3

P.O. Box 1150-50100 Kakamega, Kenya
Landline: +254 (56) 30864 Mobile: +254 726 340 851/ +254 736 333 334
Email: info@igsaccoltd.co.ke Website: igsaccoltd.co.ke
Facebook: @IG SACCO Twitter: @IG SACCOSOCIETY
LOAN APPLICATION FORM

A. TYPE OF LOAN
BOSA
Normal Loan, Haraka Loan, Jipange Loan, Automobile Loan, Fanikisha Loan, Prime Loan,
others (Specify)________________________________________________________________________
FOSA
Fosa Loan, Fosa Plus, Progressive Loan, Akiba Loan, Empowerment Loan, County Loan,
others (Specify)________________________________________________________________________
B. APPLICANTS DETAILS
Name:
Sacco Account No: National ID/Passport No.
Membership No: Cellphone NO :
Payroll No: Email Address:
C. LOAN APPLICATION AND REPAYMENT (Alteration in Section C is not allowed)
Amount of loan applied in figures_____________________ Amount in words _________________________
_______________________________________________________________________________________
Repayment period in months________________ Existing Loans to be offsetted from the loan applied (Specify)
1. 2. 3.
D. MODE OF LOAN REPAYMENT
Check off FOSA Standing Order Bank Standing Orders Pay Bill Cash
E. PURPOSE FOR WHICH THE LOAN IS APPLIED

Main Purpose: Specific Purpose:
F. SECURITY OFFERED FOR LOAN
Salary Deposits Guarantors Pension
Others (Specify): ______________________________________________________________________
G. REPAYMENT GUARANTEE
We the undersigned hereby accept jointly and severally the liability for the repayment of this loan in the event
of the borrower’s default. We understand that the amount in default shall be recovered by an offset against
our deposits in the SACCO or/and by the attachment of our property or/and salary, and that we shall not be
eligible for loans unless the amount in default has been cleared in full.
SACCO Non Withdrawable
No Name ID No Mobile No. Signature
Number deposit Kshs
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
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H. DECLARATION
I/We hereby declare that the foregoing particulars are true to the best of my/our knowledge and belief and agree to
abide by the Act by Laws of the Sacco, the policy and any variations of the SACCO in respect of SECTION “C” above.
I/We also agree that the SACCO shares My/Our Credit information with Credit References Bureau (CRB) both positive
and negative. I/We hereby authorize the necessary recovery including interest applicable monthly, to be made from my
salary/savings or otherwise,as payment of the loan.
I/We also declare that a default charge of one month’s interest for every month in default on the outstanding balance be
charged on me/us immediately if I happen to divert my/our salary elsewhere before completing repayment of the loan
and the loan balance become summarily recoverable and that I will earn through FOSA for the time the FOSA loan is
under repayment.
Signature: Date:
I. EMPLOYER DETAILS AND CONFIRMATION

Employer Name: Payroll No:
Postal Address: Cellphone No.
Employment Terms: Maximum Retirement Age:
J. CONFIRMATION BY EMPLOYER
I confirm that the borrower is an employee of (Name of Employer)_______________________________________
And that the employment details given above are true and confirm having noted the instructions/request to deduct and
pay monthly payment from the employee’s monthly salary, and hereby take notice of the assignment of all the final
terminal dues excluding pensions to the Sacco.
I recommend/do not recommend this loan application: (give reasons if not recommended):
Employer Officer’s Name:
Designation: Signature/Stamp: Date:
K. FOR OFFICIAL USE ONLY

(i) Confirmation of Details
Name of Sacco Officer who called Employer:
Name of Employer’s staff contacted:
Rank of employer/officer contacted:
Sacco Officer’s Name: Signature: Date:
(ii) Appraisal & Approval
Kshs Names Sign Date
1. Amount Appraised
Monthly Repayment
2. Amount Recommended
3. Amount Approved
4. Credit Committee sitting on the .................. day of the month of .......................................... year ....................
i.
ii.
iii.
5. Amount Ratified
L. EXPRESS LOAN (OPTIONAL)
I/We am aware this facility attracts appropriate express charges, that shall be recovered from the loan amount
approved, and I/we do hereby opt for it by appending my/our signature(s) here below.
Signature: _______________________________________Date________________________________________
M. RECOVERY
Loan Fed for recovery by Name: Signature Date:
1st Month of recovery: Loan Amount: Monthly Recovery:
Delegates Name: Sign: Phone Number:
N/B Attach copy of National ID/Passport and latest Payslip/bank statement
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IG (INVEST AND GROW) SACCO LTD

IG Sacco Plaza, Khalisia Road 3

LOAN APPLICATION FORM

E. PURPOSE FOR WHICH THE LOAN IS APPLIED

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I. EMPLOYER DETAILS AND CONFIRMATION

K. FOR OFFICIAL USE ONLY

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