020 202675620 PART A-G & K) four LOAN INSURANCE (Tick appropriately) Recover from Loan Add to Loan Amount Pay by Cheque [email protected]/ [email protected]AMOUNT IN FIGURES TYPE OF THE LOAN KENYA MEDICAL ASSOCIATION REGULATED NON WDT SAVINGS AND CREDIT CO-OPERATIVE SOCIETY LIMITED 8. Loan insurance is charged on all new Loan applica�ons. LOAN SERIAL No.
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020 202675620
PART A-G & K)
four
LOAN INSURANCE (Tick appropriately)Recover from Loan Add to Loan Amount Pay by Cheque
KENYA MEDICAL ASSOCIATION REGULATED NON WDT SAVINGSAND CREDIT CO-OPERATIVE SOCIETY LIMITED
8. Loan insurance is charged on all new Loan applica�ons.
LOAN SERIAL No.
E: REPAYMENT PROPOSAL DETAILS
D: PURPOSE OF THE LOAN (TICK APPROPRIATELY)
(To be completed by guarantors who are members of KMA SACCO. Please read the following statement carefully.)
The amounts of deposits available to be guaranteed are those that are not yet committed to any other person that they have guaranteed.
MODE OF REPAYMENT: (Direct debit/standing order/check off)
F: GUARANTEE
REPAYMENT PERIOD
In considera�on of guaranteeing the above or any lesser amount that may be approved, we the undersigned herewith accept jointly and severally the liability for repayment in the borrower's default. We understand that the amount in default may be recovered as an offset against our shares in KMA SACCO or by a�achment of property or salary and that we shall not be eligible for loans unless the amount in default has been cleared in full.
TOTAL MEMBERS DEPOSITS MAXIMUM LOAN (3 times of deposits)
AMOUNT APPLIED OWN DEPOSITS PLUS GUARANTORS
OTHER SECURITY (give details)
Number of months, if any, the member has defaulted. Is the member's contribu�ons up to date (yes/no)
Is the loan fully guaranteed (yes/no)
AMOUNT RECOMMENDEDMONTHLY REPAYMENT: COMMENTS
Appraised By: Checked By:
We have today examined the above loan applica�on and have decided as follows:
Loan approved (figures): Kshs Repayment period Months
Amount in words
Chairman: Signature Date (Credit committee)
Secretary Signature Date (Credit committee)Comments:
I hereby declare that the foregoing par�culars are true to the best of my knowledge and belief. I agree to abide by the By-laws of thesociety; the loaning policy and any varia�ons by the commi�ee in respect of C and D above.I further declare that I have understood the instruc�ons on the first page of the applica�on form.