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Form preview Kma sacco loan application for... O BOX 413 - 00202 Email kmasacco kma.co. ke NAIROBI LOAN APPLICATION FORM INSTRUCTIONS TO APPLICANTS 1. 4. Defaulting on the loan for one month without formal communication to the KMA SACCO will make the loan due in full immediately. In connection with this loan and/or maintaining a credit facility with me KMA SACCO may carry out credit checks with the Credit Reference Bureau. Complete this loan application form PART A- G in CAPITAL LETTERS. Any alteration MUST be countersigned. 2. Members must have been regular contributors for a minimum period of six months. 3. Guarantors must be members of KMA SACCO who have unguaranteed deposits to avail. The total guarantor s shares together with that of the applicant s must be equal or more than the loan applied for. 3. I will be considered as having defaulted on the loan if I stop/cancel/alter the standing order/payroll check off without the written authority of the KMA SACCO s Treasurer. As part security for the loan. 6. The asset s can be sold to recover the unpaid loan in case of default I have signed blank transfer/lien forms which I hereby give to KMA SACCO to do as they deem fit should I fail to clear the loan 8. O BOX CODE TOWN/CITY TELEPHONE NO CELL PHONE EMAIL ADDRESS C APPLICATION DETAILS AMOUNT OF LOAN APPLIED FOR AMOUNT IN WORDS TYPE/PURPOSE OF THE LOAN Development Swift Development Asset Financing Emergency etc LOAN CATEGORY New/Refinance/ Top-up KMA SACCO Member s loan application form save regularly Borrow Wisely Repay promptly 1 Page D REPAYMENT PROPOSAL DETAILS REPAYMENT PERIOD MONTHS AT KSHS PER MONTH MODE OF REPAYMENT standing order/check off E GUARANTEE To be completed by guarantors who are members of KMA SACCO. Treasurer Signature Date 3 Page Issued with Cheque No Date K LOAN ACCEPTANCE AND AGREEMENT 1. I will repay the loan over a period of. Months at a minimum repayment of Kshs by a monthly standing order/payroll check off. 2. I will not stop/cancel/alter the above mentioned standing order/payroll check-off without written authority from the KMA SACCO s Treasurer. KENYA MEDICAL ASSOCIATION SAVINGS AND CREDIT CO-OPERATIVE SOCIETY LIMITED Registered Office Telephone 020 3804509 KMA CENTRE CHYULU ROAD Cell Phone 0722 519 037 P. Complete this loan application form PART A- G in CAPITAL LETTERS* Any alteration MUST be countersigned* 2. All loans must be adequately secured* 4. The guarantors must be ready to assist the society to ensure that the borrower repays all the money given to him/her within the specific period and are liable for monies outstanding in the event of failure by a member to repay loans advanced* The SACCO will however turn to this as a last resort after all efforts to recover the money including and not limited to legal steps have been exhausted* 5. The total development loan granted shall not exceed three times of the applicant s deposits and is payable within a stipulated period. 6. Emergency and School fees loans will only be granted within a maximum repayment period of 12 months.
Form preview Sss loan application form NO. SUBDIVISION CITY/MUNICIPALITY TELEPHONE NUMBER AREA CODE TEL. NO. MOBILE/CELLPHONE NUMBER PROVINCE ZIP CODE E-MAIL ADDRESS FOREIGN ADDRESS FOR OFW COUNTRY LOAN TYPE AMOUNT APPLIED FOR SALARY CALAMITY EMERGENCY OTHERS IF SAVINGS/CURRENT ACCOUNT/CASH CARD FILL OUT THE APPROPRIATE BOX FOR CASH/ PREFERRED MODE OF PAYMENT CARD NUMBER NAME OF BANK AND BRANCH CHECK NAME OF BANK AND BRANCH CASH CARD BRSTN TO BE FILLED OUT BY SSS MEMBER-BORROWER S CERTIFICATION I certify that the information provided in this form are true and correct. Sss. gov.ph INSTRUCTIONS 1. Member-borrower to fill out Member Details. Note For the preferred mode of payment the box for Cash Card and the fields for name of Bank and Branch and Savings/Current Account/Cash Card Number shall be filled out if the member-borrower opts to avail of the Salary Loan Release Thru the Bank Program only upon implementation of said program by SSS. Employer to fill out Employer Details. Always indicate N/A or Not applicable if the required data is not applicable. This form can be downloaded thru the SSS website at www. sss. gov.ph Filer can be any of the following with corresponding Documentary Requirements a.1 Social Security SS or in its absence a.2 Application for SS card SS Form E-6 acknowledgment stub and a.3 Any two 2 of the following valid IDs at least one with photo and signature a.3. Republic of the Philippines SOCIAL SECURITY SYSTEM MEMBER LOAN APPLICATION 02-2013 THIS FORM IS NOT FOR SALE PLEASE READ THE INSTRUCTIONS AND WARNING AT THE BACK OF THE FORM AND ATTACHED TERMS AND CONDITIONS FOR MEMBER LOANS BEFORE ACCOMPLISHING THIS FORM. PRINT ALL INFORMATION IN CAPITAL LETTERS AND USE BLACK INK ONLY. PART I - TO BE FILLED OUT BY THE MEMBER-BORROWER SS NUMBER COMMON REFERENCE NUMBER CRN LAST NAME NAME DATE OF BIRTH MMDDYYYY MIDDLE NAME GIVEN NAME RM. /FLR*/UNIT NO. BLDG* NAME LOCAL ADDRESS TAX IDENTIFICATION NUMBER TIN BARANGAY/DISTRICT/LOCALITY STREET NAME HOUSE/LOT BLK. Also I agree with the TERMS AND CONDITIONS of the loan attached to this application* PRINTED NAME SIGNATURE DATE If member-borrower cannot sign affix fingerprints to be witnessed by two 2 persons. Below are the witnesses to fingerprinting RIGHT THUMB RIGHT INDEX EMPLOYER NUMBER NAME OF EMPLOYER/REGISTERED BUSINESS NAME EMPLOYER S CERTIFICATION POSITION TITLE IDENTIFICATION/DOCUMENT S PRESENTED SS ID card Two valid IDs one with photo signature RECEIVED AND ENCODED BY Other documents REVIEWED BY SIGNATURE OVER PRINTED NAME DATE TIME -------------------------------------------------------------------------------------------------------------Perforate Here--------------------------------------------------------------------------------------------------------------- ACKNOWLEDGEMENT STUB SS NUMBER/CRN RECEIVED BY Note SURNAME DATE RECEIVED RECEIVING BRANCH DESIGNATION Verification of status may be made after working days upon receipt of application* For those registered with the SSS website you may verify thru www. sss. gov*ph INSTRUCTIONS 1. Member-borrower to fill out Member Details. Note For the preferred mode of payment the box for Cash Card and the fields for name of Bank and Branch and Savings/Current Account/Cash Card Number shall be filled out if the member-borrower opts to avail of the Salary Loan Release Thru the Bank Program only upon implementation of said program by SSS.

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