SALARY ADVANCE APPLICATION FORM - Kenpipe Sacco

[Pages:1]KENPIPE SAVINGS AND CREDIT SOCIETY LTD

Kenpipe Sacco Ltd. P.O. Box 314-00507 Mobile Phone No.: 0710600999, 0735700971 NAIROBI. Email: info@ Website:

SALARY ADVANCE APPLICATION FORM

___________________________________________________________________________________ A. MEMBERS PARTICULARS:

Name ....................................................................... ID No....................................... Fosa a/c no................................................ M/No...................... Staff No.......................... P.O Box .......................................... Department/Work station ..................................................... Mobile No.......................... ....................... Email.......................................................... I hereby apply for a Salary Advance of Kshs.......................................... (words) ......................... ............................................................................................................................only. I request you to recover the existing Advance balance of Kshs. ...................................................

TERMS AND CONDITIONS 1. Applicants must be holders of FOSA savings account and earn their salary through this account 2. Maximum amount is Kshs. 50,000 3. The advance is repayable in one (1) month 4. 10% commission charged upfront I agree to abide by all the terms and conditions governing this product and any other future amendments.

Signature of Applicant.................................................... Date........................................... ____________________________________________________________________________________

B. APPRAISAL & APPROVAL ? For Official Use only Average Net Salary: Kshs. ....................................Fosa Loan(s) deductions................................ Recommended Kshs........................................ If rejected/amount requested reduced, reasons are: ................................................................................................................................

Approval comment: ......................................................................................................

Appraised by .................................Sign...................................Date..............................

Approved by ...............................Sign..................................Date.................................

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