Vihiga County Gazette Supplement No 2 28thjanuary, 2015

SPFCTAL ISSUE ^Vihiga County Gazette Supplement No 2 28thjanuary, 2015

(Legislative Supplement No 2)

Legal Notice No 2

PUBLIC FINANCE MANAGEMENT

(VIHIGA COUNTY COMMUNITY EMPOWERMENT FUND) REGULATIONS,2015

Regulations

ARRANGEMENT OF REGULATIONS

PART I—PRELIMINARY

1—Citation

2—Interpretation

3— Purpose of the Regulations

PART n-ESTABLISHMENT AND ADMINISTRATION OF THE FUND4—Establishment of the Fund

5—Object and Purpose of the Fund

6—Capital of the Fund

7—Establishment of a County Committee

8—Functions of the County Committee ^J

9— Qualifications of members of the County Committee10—Term of Office of Members of the County Committee

11—Establishment of Ward Fund Committee ^ ,

12—Functions of Ward Fund Committee i13—Qualifications of members of the Ward Fund Committee - c ^

14—Term of Office of Members of Ward Fund Committee ' * '15—Meetingsofthe County and Ward Committees ' L ^j6 Remuneration of Members of the Committees _ —^

17—Administration of the Fund

18—Bank account of the Fund

j9_Operation of account

PART III— FUNDING PROCEDURES AND DISBURSEMENT OF FUNDS20—Funding to be m form of a loan

21— Categones of and Requnements for Funding

Vihiga County Subsidiary Legislation 2015

22—Beneficianes of the Fund

23—Quahfications for funding

24—Application for funding

25—Disbursement of funds

26—Repayment of a loan

PART IV—MISCELLANEOUS PROVISIONS

27—Records of the Fund

28—Quarterly reports of the Fund

29—Audit of Fund

30—Establishment of a Dispute Resolution Panel

31 — Offence and Penalty

32—Best performing beneficiary award

33—Protection from personal liability

34—Wmding up of the Fund

35—Amendment of Regulations

FIRST SCHEDULE

CATEGORIES AND CONDITIONS OF LOANS TO BE FINANCED FROM THEFUND

SECOND SCHEDULE

LOAN APPLICATION FORM

Vthiga County Subsidiary Legislation 2015

THE PUBLIC FINANCE MANAGEMENT ACT 2012

(No 18 of 2012)

PUBLIC FINANCE MANAGEMENT (VIHIGA COUNTYCOMMUNITY EMPOWERMENT FUND) REGULATIONS 2015

IN EXERCISE of the powers conferred by section 116 of the PublicFinance Management Act, 2012, the Executive Committee Member forFinance makes the following Regulations—

PART I — PRELIMINARY

1 These regulations may be cited as the Public FinanceManagement (Vihiga County Community Empowerment Fund)Regulations 2015 and shall come mto operation on the date ofpublication in the Gazette

2 In these regulations unless the context requires otherwise-

' County Assembly means the County Assembly of Vihiga

"County Executive means the County Executive Committee ofVihiga County constituted m accordance with Section 35 of the CountyGovernments Act

Executive Committee member' means the County ExecutiveCommittee Member for the time being responsible for Industrialization,Trade and Tounsm,

Youths' mean individuals who are aged between eighteen andthirty five years old

small scale traders and businessmen' means business personswhose trade turnover per year does not exceed one hundred thousandKenya shillings.

Stubborn defaulter' means a loan defaulter whose loan account

IS m arrears of three or more months without a proposal on resumptionof repayment,

'Chief Officer means the relevant Chief Officer for TradeIndustnalization and Tounsm,

marginalized community means people who are disadvantagedm terms of numbers or histoncal injustices

3 The purpose of these Regulations are to provide for the legalframework and management structure for the implementation of theCounty policy on community empowerment

PART n— ESTABLISHMENTAND ADMINISTRATION OF THEFUND

4 (1) There is established The Vihiga County CommunityEmpowerment Fund

(2) The Fund shall, subject to regulation 35 remain m force for amaximum penod of ten years

Citation

Interpretation

Purpose of theRegulations

Establishment of the

Fund


5 The purpose of the Fund is to -

(a)

(b)

(c)

provide for a sound financial base for the empowerment ofthe communities m the County mcludmg small scale tradersand businessmen women youths, persons with disabilitiesand other marginalized communities

enable capacity building for the administrators and thebeneficianes of the Fund

Object and purposeof the Fund

provide for the necessary capital base for the advancementof the economy trade, marketing agricultural output andother small scale business enterpnses in the County

6 The capital of the Fund shall consist of-

(a) monies allocated m the annual budget and approved by theCounty Assembly for county community empowerment

(b) funds that may be advanced by development partners orother mterested persons or well-wishers

(c) interest and loans recovered from beneficianes orguarantors,

(d) monies retamed as admmistrative costs

(e) moneys realized from the disposal of any asset belongmgor due to the Fund and

(f) such other monies as may be lawfully due to the Fund

7 (1) There is established a County Community EmpowermentFund Committee consisting of-

(a) the Chairperson appointed by the Executive CommitteeMember

(b) the Chief Officer responsible for trade mdustnalization andtounsm

(c) not less than five and not more than seven other personsappointed by the County Executive Committee Membertakmg into account gender youth, persons with disabilitiesand regional balance

(d) the Officer admmistenng the Fund who shall be theSecretary to the Committee

(2) The County Committee shall operate within the department ofIndustnalization Trade and Tounsm at the county headquarters

8 The functions of the County Committee are to—

(a) Control and oversee the management of the Fund

(b) supervise and oversee the operations of Ward Committeesand Fund coordinators

(c) to open and operate the Fund s bank accounts at the Countylevel

Capital of the Fund

Estabhshment of a

County Comnuttee

Functions of the

County Committee


(d) to make periodic and annual reports of the Fund to theExecutive Committee Member and the County Treasuryand

(e) facilitate training of the beneficiaries of the Fund

(f) to perform such other function as may be prudent for theeffective administration of the Fund or as may be directedby the County Treasury after consultation with theExecutive Committee member

9 A person shall not qualify to be a member of the CountyCommittee unless he or she-

(a)

(b)

(c)

(d)

IS a Kenyan citizen with a National Identification Card

IS a resident of the respective Sub County for a continuouspenod of not less than three years preceding theappointment

satisfies the

Constitution

requirements of Chapter Six of the

holds at least a diploma from an institution recognized mKenya m the relevant disciphne and

(e) has at least two years experience in the relevant field

10 (1) A County Committee Member shall serve for a term ofthree years and shall be eligible for re -appointment for one more term

(2) Notwithstanding the provisions of sub regulation (1) a CountyCommittee member may vacate office —

(a) in the case of death

(b) where by reason of mental or physical impairment,certified by a qualified medical doctor he or she is unableto perform the functions of the office

(c) if the member ceases to hold the office by virtue of whichhe or she became a member

(d) on failure to attend three consecutive meetings withoutreasonable excuse or prior authonzation of the Chairpersonand m the case of the Chairperson the relevant CountyExecutive Committee member

(e) if convicted of a cnmmal offence punishable by a term ofimpnsonment exceeding six months or

(f) if removed from office by the Executive CommitteeMember m wntmg for reasonable cause after the dueprocess,

(g) if the member resigns from office m wntmg addressed tothe Executive Committee Member,

(h) if the Fund is wound up

Qualifications ofmembers of the

County Committee

Term of office of

members of the

County Committee


11 (1) There is established for every ward a CommunityEmpowerment Ward Fund Committee which shall be a decentralizedoffice of the County Community Empowerment Fund Committee

(2) The Ward committee shall compnse of-

(a) a Chauperson appointed by the Chief Officer responsiblefor trade industrialization and tounsm after, consultationwith the County Committee;,

(b) not less than five and not more than seven personsappointed by the Chief Officer responsible for tradeindustrialization and tounsm m consultation with the area

member of the County Assembly having regard to theinterests of gender youths persons with disabilities andcommunal and religious diversities

(c) the ward administrator

(d) the officer administering the fund who shall be thesecretary and officer administenng the fund

(3) The area member of the County Assembly shall be the patronof the Ward Committee

(4) The Ward Committee Members shall elect a treasurer fromamongst its members at the first sitting

12 (1) The functions of the Ward Committee are -

(a) carrying out public awareness on the communityempowerment policy

(b) issuing application forms to persons wishing to benefitfrom the Fund

(c) receiving and analyzing the applications and forward themto the County Committee for approval

(d) disbursing funds to successfu' applicants

(e) keeping records of the operations of the Fund in the ward

(f) performing any other function that is necessary for thesustamabihty of the Fund or as may be directed by theCounty Committee through the coordinator,

(g) to constantly update the coordinator on the operations ofthe Fund and,

(h) to open and operate the Fund account m the ward

(2) The Ward Committee shall regularly report to the CountyCommittee through the officer administering the fund on the operationsof the Fund

(3) The officer administenng the fund shall ensure that thefunctions assigned under these regulations are performed by the WardCommittee

Establishment of

Ward Fund

Committee

Functions of Ward

Fund Committee


13 A person shall not be ehgible for appointment as member ofthe Ward Committee unless be or she

(a) IS a Kenyan citizen with a national identification card

(b) a resident of the Ward for at least three years precedmg theappointment,

has satisfied the requnements of Chapter Six of theConstitution,

(c)

(d)

Qualifications ofmembers of the

Ward Fund

Committee

holds at least a Kenya Certificate of SecondaryExamination or its equivalent

14 (1) A Ward Committee Member shall serve for a term ofthree years and shall be eligible for re appointment for one more term

(2) Notwithstanding the provisions of sub regulation (1), amember of the Ward Committee may vacate office -

(a) m the case of death

(b) where by reason of mental or physical impairmentcertified by a qualified medical doctor he or she is unableto continue m office

(c) if the member fails to attend three consecutive meetingswithout reasonable excuse or prior written permission ofthe chairperson or Chief Officer

(d) where the member violates any law which for the timebeing IS valid in Kenya

(e) if he or she ceases to hold office by virtue of which he orshe became a member, or

(f) if the Chief Officer so decides for reasons to be recorded inwriting after the due process

(g) if convicted of a cnminal offence punishable by a term ofimprisonment exceeding six months or

(h) the member resigns office in wntmg addressed to the ChiefOfficer

(i) if the Fund is wound up

15 (1) The County Committee and the Ward Committee shallsubject to sub regulation (2) meet at least once in every month and maymeet m case of emergency

(2) The total number of meetings of the County Committee andthe Ward Committee shall not exceed eighteen times in a year

16 A member of the County Committee or a Ward Committeeshall be paid a sitting allowance for every day of a meeting attended asshall be determined by the County Executive Committee memberresponsible for Trade Industrialization and Tounsm m consultationwith the County Executive Committee member responsible for Finance

Term of office ofmembers of Ward

Fund Committee

Meetings of theCounty and WardCommittees

Remuneration of

members of the

Committees


17 The Executive Committee Member for Finance shalldesignate in writing with the approval of the County Assembly aperson responsible for administering the Fund

(2) There shall be opened at every ward in the County a branchoffice of the Fund

(4) The Officer administering the fund at the County level shallm wnting after consultation with the County Executive CommitteeMember for Trade Industrialization and Tourism and with theapproval of the Executive Committee Member for finance designatepersons to be a officers administering the fund for the respectiveWards

(5) The Sub County Administrator shall on being designated inwriting by the Administrator of the Fund coordinate the administrationof the Fund in his or her area of junsdiction

(6) The Administrator of the Fund shall be answerable to therespective Committee

(7) At least ten per cent of revenue held in the Fund at each levelof the Fund shall be used in the administration of the Fund as may bedirected by the County Committee

18 (1) There shall be maintained at the County level and at theWard level a savings account with a reputable bank operating m thecounty into which all monies due to the Fund shall be paid

(2) No monies shall be advanced or paid to the Fund except byway of transfer to an operation Account opened in a reputable bankoperating m the county as is provided under sub regulation (1) and outof which all the disbursements shall be made

19 (1) For any valid transaction on both the Fund and theOperation Account the signamres of the Chairperson the Secretary anda third signatory elected by the County Committee members or WardCommittee Members respectively shall be mandatory

(2) The signatones to the bank accounts shall comprise of at leastone person of the opposite gender

PART III — FUNDING PROCEDURES AND DISBURSEMENT OFFUNDS

20 (I) All funds granted under these regulations shall be m theform of a loan granted to the applicant and recoverable upon conditionsthat may be set by the County Committee

(2) A person granted a loan under these Regulations shall have agrace period of two months from the date the loan is received to thedate the first recovery installment of the loan falls due

21 The County Committee shall from time to time and maddition to the categones and conditions of loans specified in the FirstSchedule to these Regulations determine—

F

C

Administration ofthe Fund

Bank account of the

Fund

Operation ofaccount

unding to be infom of a loan

ategones of andrequirements forfunding


of loans and funding under these

at a

(a) the categoriesRegulations,

(b) the maximum number of beneficianes to be fundedgiven period

(c) the maximum amount of money to be granted to anyindividual or group of beneficiaries

(d) the period and conditions of repayment of loans and

(e) the general requirements and guidelines for funding underthese Regulations

22 The Fund shall be for the benefit of small scale traders andbusinessmen women the youths, persons with disabilities and othermarginalized communities as individuals or operating within registeredgroups

23 A person shall not qualify for funding under these regulationsunless he or she—

(a) IS a resident of Vihiga County and holds a Kenyan NationalIdentification Card

(b) IS some small scale trader or involved in some small scalelawful business in a ward within the county,

(c) submits sound and viable business proposal to the WardComimttee

operates an active bank account within the county

in the case of an individual other than a person living withdisabihty is appraised by some group that is recognizedand guaranteed by at least four members of the group

demonstrates good history of credit worthiness andbusiness entrepreneurship

IS registered for the purpose by the relevant countygovernment body or produce evidence of engagement inbusiness in the County by producing revenue collectionreceipts or other operatiomd status,

demonstrates willingness to undergo pre disbursementtraining and

m the case of groups has been in active operation for atleast two months from the date of registration

24 (1) A person wishing to benefit from the Fund shall firee ofcharge, submit an application to the secretary of the relevant WardCommittee together with the supporting documents in the Formprovided in the Second Schedule to these Regulations

(2) The Secretary shall record and compile a list of allapplications received m every month and submit the same to theChairperson of the Ward Committee at least seven days pnor to thesitting of the Committee

(d)

(e)

(f)

(g)

(h)

(1)

Beneficianes of the

Fund

Quahtications forfjjndmg

Application forfunding

10 Vihiga County Subsidiary Legislation 2015

(3) The Chairperson shall cause to be considered all theapplications received for funding at the meeting of the WardCommittee

(4) The Ward Committee shall within seven days of its meeting,prepare and submit to the Officer admmistenng the County Fundthrough the Sub county admmistrator the recommendation for fundingof all successful applicants considered at its meeting

(5) An application submitted under this regulation shall not mItself guarantee the applicant the funding applied for

(6) The final decision on the funding of applicants shall rest withthe County Committee on the recommendation of the WardCommittees

25 (1) Any disbursement of fiinds to a successful applicant shall Disbursement ofbe by du-ect transfer of the money to the bank account of thebeneficiary or by way of cheque drawn m favour of that beneficiary

(2) The County Committee and Ward Committees shall ensurethat funds are disbursed to every successful applicant within fourteenworking days after the approval of the loan by the County Committee

26 1) Every loan disbursed under these Regulations shall berepaid within such period as shall be determined by the CountyCommittee

(2) The County Committee may on the recommendation of therelevant Ward Committee taking into account the circumstances of theindividual case, reduce extend vary or adjust the loan repaymentpenod and where the loan repayment penod is extended beyond theinitially agreed period the County Committee may charge interest onthe outstanding balance at a rate not exceeding ten per cent as theCommittee shall determine

(3) A beneficiary who defaults to repay a loan granted underthese regulations beyond three months shall be liable to legal action forthe recovery of the pnnciple amount owing, interest accrued and costsoccasioned by such action as may be determined by the CountyCommittee

(4) The County Committee and each Ward Committee shallmaintain a loan recovery data card for each borrower for accuraterecord of loan repayment of which the borrower shall keep a copy

(5) Every loan granted under these Regulations shall be insuredfor the benefit of the borrower and the premium in respect thereof shallbe debited to the account of the borrower

(6) In case of death of a loan beneficiary while still repaying theloan the insurance cover under sub regulation (4) shall clear theoutstanding balance of the loan

Repayment of a loan

Vihiga County Subsidiary Legislation 2015 11

PART IV- MISCELLANEOUS PROVISIONS

27 1) There shall be maintained by the officer administenng theFund at the County and Ward levels records for the Fund which shallinclude—

(a) accounting and financial records

(b) accurate records of all the applications received in everyyear

(c) registers each reflecting separately the beneficiaries in thecategones of small scale traders and businessmen womenthe youths, persons with disabilities and other marginalizedcommunities

(d) names and particulars of loan defaulters

(e) the total number of beneficiaries within the year and theamount granted to each,

(f) particulars of the guarantors

(g) loan recovery status and

(h) any other information relevant to the administration of theFund

(2) The records kept under this regulation shall be m both softand hard form and shall be submitted to the Executive CommitteeMember

28 (1) There shall be submitted a quarterly reports of theoperation of the Fund by the Ward Committee to the CountyCommittee through the coordinator and by the County Committee tothe Executive Committee Member responsible for finance through theExecutive Committee Member

(2) The Executive Committee Member shall cause the reportsreceived under sub-regulation (1) to be consolidated into annual reportnot later than the 31st day of December, m every year and submit thesame to the Governor who shall not later the 31st day of January of thefollowing year submit the annual reports to the County Assembly

29 The Officer administenng the Fund shall regularly cause theaccounts of the Fund to be audited and submit annual reports to theAuditor General and the Executive Committee Member who shall tablea copy to the County Assembly not later than the 31st day of January ofevery year following the year of the audit

30 (1) There is established a Dispute Resolution Panel for theFund compnsmg of—

(a) a Chairperson who shall be a practicing advocate of theHigh Court of Kenya of not less than five years experience

(b) two other persons who must be university graduates msocial sciences commerce or business administration withworking expenence of not less than three years and whosatisfy the requirements of Chapter Six of the Constitution

Records of the Fund

Quarterly reports ofthe Fund

Audit of Fund

Establishment of a

Dispute ResolutionPanel


(2) The Panel members shall be competitively sourced by theCounty Public Service Board and appointed by the Governor with theapproval of the County Assembly and shall hold office for a non-renewable term of three years

(3) The Panel members shall be entitled to such allowances asshall be determined by the County Executive Committee member inconsultation with the County Public Service Board

(4) A Panel member may vacate office—

(a) m case of death

(b) on removal through a resolution of the County ExecutiveCommittee for just and reasonable cause after the dueprocess

(c) by resignation

(5) Any dispute coming before the Panel shall be resolved withinseven days of receipt of the dispute and a decision shall becommunicated m wntmg to the affected parties and the CountyCommittee not later than seven days

A dispute arising from non payment of a loan by a stubborndefaulter shall not be treated as a dispute under this regulation and maybe addressed by the County or Ward Committee m any other legalmanner including legal action for recovery

31 Any person who—

(a) with intend to benefit from the Fund posts falseinformation m any document used m loan processing bythe Fund

(b) personates or misrepresents anything to the officeradmmistenng the Fund

(c) uses insulting unpleasant or abusive language at anymeeting or occasion called for the purpose ofadministration of the Fund or

(d) upon being granted the monies for a specific purposediverts or misdirects the said money with the intention ofdefeating the objective of the Fund,

Commits an offence and is liable on conviction to a fine notexceeding fifty thousand shillings or to imprisonment to a term notexceeding nine months or to both and m addition shall repay the suminvolved

32 The County Committee may in recognition of anyoutstanding or best performing beneficiary of the Fund award acertificate or any other form of recognition or honor to such beneficiaryas may be approved by the Executive Committee Member

33 No member of the County or Ward Committee or Officer oremployee of the Fund shall be liable to any proceedings for anythingdone in good faith m the administration of the Fund

Offence and penalty

Best performingbeneficiary award

Protection from

personal liability


34 (1) The fund may be wound up—

(a) by a resolution of the County Executive Committee withthe approval of the County Assembly

(b) by a resolution of the County Assembly on a motionsupported by at least sixty five percent of all the members

(c) at the expiry of ten years from the date of these regulationsunless extended by the County Assembly

(2) All the assets and liabilities of the Fund on the date ofwinding up shall be taken over by the County Government of Vihiga

35 (1) The County Executive Committee may on therecommendation of the County Committee amend these Regulations toaccord with prevailing cu-cumstances and the amended Regulationsshall be subject to the approval of the County Assembly before cominginto operation

Winding up of theFund

Amendment of

Regulations


HRST SCHEDULE (r 21)

CATEGORffiS AND CONDITIONS OF LOANS TO BE HNANCED FROM THEFUND

Name of the loan Amount RepaymentPenod

Conditions

1 CommunityEmpowermentEnterpnse GroupFunding(TUJIINUE)

Kshs

10 000-

100 000 00

Fifteen

Months

(a) Must be registered

(b) Must have validcertificate of registration

(c) Funding only for legaland viable projects

2 Facilities/Equipment Funding(VIFAA)

Up to Kshs

200 000 00

TwentyMonths

(a) To fund women andyouth owned projects

(b) Must have trade license

(c) Must be tax paymentcompliant

(d) Shall on fund acquisitionof business facilities or

equipment as per

submitted list

(e) Payment to be made tosuppliers as per themarket pnce

3 Top up loan(JAZIA)

40% top up ofthe initial loan

advanced

Remainingpenod of theinitial loan

(a) Limited to TUJHNUEloan beneficianes

[b) Must have repaid at least60% of the original loan

(c) May benefit bothindividuals and groups

[d) The purpose must be toexpand tlie projects

Name of the loan Amount RepaymentPeriod

Conditions

4 LPO Financing Up to Kshs200 000 00

Three to six

months as

recommended

by the WardCommittee

(a) To fund only registeredenterpnses

(b) The enterpnses to befunded must be whollyowned by women andyouths

(c) Application must beaccompanied byinvestigation report bythe Ward Committee on


Special Loan(PEPEA)

Up to Kshs300 000

the credibility of theLPO

[d) Loan to be advanced atLPO interest of 5%

(e) Is subjected to 30%reservations and

preferences onprocurement

Fifteen

Months

(a) Submission of businessidea and its appraisal bythe Ward Committee

(b) To finance individualsand groups for assetacquisition and tablebanking

(c) Must have registeredbusiness with permit orlicense and PIN

certificate

(d) Preference of fundingshall be for innovative,

skill based and talent-

based business

engagement

yihiga County Subsidiary Legislation 2015

SECOND SCHEDULE (R 24)

LOAN APPLICATION FORM

REPUBLIC OF KENYA Senal No

VIHIGA COUNTY GOVERNMENT

DEPARTMENT OF INDUSTRIALIZATION TRADE AND TOURISM(VIHIGA COUNTY COMMUNITY EMPOWERMENT FUND)

(TO BE FILLED IN TRIPLICATE)PART A PERSONAL DETAILS OF THE APPLICANT

Nature of business - ~

Full Name ~ _

Gender —

Identity Card Number - - -Postal Address - -

Email Address — - — .

Telephone No

Residence -

County — — — Sub County— - —- Village Town

- BuildingCommunity name

(Maragoli Bunyore Tiriki Terik etc) - _Are you a member of any group'' YES/NOName the group — -Mantal Status- -

Name of Spouse — — ~

Telephone of Spouse -Age —

Academic Qualifications -- - -- --

PART B - BUSINESS DETAILS ^Type of business - - -

Business location ~ -

County - — Sub County — WardMarket ~ —- - Building- Street-State of business

Whether new or existing -Trade turnover for the last two years (In Kenya Shillings)Trade license/business number -

PIN NO _

Name of personal bankBranch

Account No


PART C—TO BE FILLED BY PERSONS LIVING WITH DISABILITIES

Nature of disability -

Current occupation -

Are you registered with any group of persons living with disability'' YES / NO

Attach supporting Documents

PART D—TO BE FILLED BY GROUPS PARTNERSHIPS COMPANIES TRADE

, NAMES

Name of the body - - — — — - -

Postal Address - Email Address - Tel no —

Town — Street -

Sub county - - —

Date Registration — ~ - -

Current status— - — —

Names of the officials/Directors

Chairperson ID NoPhone No

Secretary ID NoPhone No

Treasurer ID No

Phone No

The Directors -

1 ID No Phone No

2 ID No

Phone No

3 ID No

Phone No

PIN Number -

Registration Certificate No -

Type of business -

^ Trading turnover for the last three years (In Kenya Shillings) -Name of personal bank

Branch

Account No

Name(s) of the applicant(s)

Name ID NO Signature

1

2

3

PART E DETAILS OF LOAN APPLIED FOR

Name of the Ward Committee to which application made —

Amount applied for

The Purpose of the loan


PART F - REPAYMENT PROPOSAL

The amount per month

The number of months - (Not beyond the Stipulated time on the Regulation) —

Name of the person to make the repayment — -

Name(s) of the guarantor(s) -

Name IDNO Signature Date1

2

3

4

PART G - DECLARATION OF THE APPLICANT

I/we

being the applicant(s) for loan from the VihigaCounty Community Empowerment Fund m the sum stated in this application do herebydeclare (jointly) that the information filled in this form is true to my/our own knowledgeand that I/we shall abide by the regulations governing the repayment of the loan and thatm the event of any default the Committee shall take appropnate action for recoveryagamst me as an individual or as a group -

Declared by

Name Signature

1

2

3

4

On

This day of 20

Before

Magistrate/Commissioner for oaths Sig

Official Stamp

Date '

FOR OFFICIAL USE ONLY

APPRAISAL

(a)Name of the body appraising -(b)Name(s) of the appraising official(s) -

Name Signature

1

2

3

Dated this day of 20

RECOMMENDATION OF THE WARD COMMITTEE

(a)Name of the Ward Committee -(b)Name of the Chairperson - —(c)Name of the Secretary — -(d)Date the application received — -


RECOMMENDED

AMOUNT

REPAYMENT PERIOD

MONTHS

NOT RECOMMENDED

REASONS

CERTIFICATE - This is to certify that this application was received by the WardCommittee and that it was duly considered m the committee meeting held on theday of 20 and a decision made as indicated above

Signed

1 Chairperson2 Secretary

Dated this day of 20

SWORN BY THE SAID

This Day of 20Before me DeponentMagistrate/commissioner for oaths

Made on the 8th December 2014

ZILPAH KAGEHA ANDIVA

County Executive CQmmittee Member — Finance and Planning

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