SAVINGS AND LOAN VARIATION FORM

Sacco

K-MET SAVINGS & CREDIT CO-OPERATIVE SOCIETY P.O. Box 6805-40103 Kisumu-Kenya

Email: Kmet-sacco@kmet.co.ke

SAVINGS AND LOAN VARIATION FORM

I, Mr./Mrs./Miss .........................................................................................Payroll NO: ...........................................

DEPT ......................................................DESIGNATION........................................Member NO...............................

Mobile Number .......................................................Email Address.........................................................................

HEREBY REQUEST AND AUTHORIZE YOU TO ADJUST/DEDUCT MY REMITTANCES IN FAVOUR OF KMET SACCO SOCIETY LTD AS SPECIFIED BELOW WITH EFFECT FROM ..................................... UNTIL FURTHER NOTICE

FROM (KSH.)

TO (KSH.)

1. Deposit contribution 2. Normal Loan repayment 3. School fees Loan repayment

............................ ............................ ............................

.............................. ............................... ..............................

4. Emergency Loan repayment

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5. Christmas Furaha

...........................

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THESE INSTRUCTIONS CANCELS AND SUPERSEDES ANY EARLIER INSTRUCTIONS Signature .............................................................................. date ............................................................... NB: Attach photocopy of your most recent (current) pay slip

FOR OFFICIAL USE ONLY

INSTRUCTIONS CONFIRMED IN ORDER/ NOT IN ORDER OFFICERS NAME .......................................................... SIGNATURE ....................... ........................................... DATE ACTIONED ...........................................................

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