2013/2014

Serial No# : 2707572

SurName
DENNIS

Middle Name
ONYANDO

Last Name
ONCHIEKU

ID/No. (attach copy)
25157317

Pin No. (attach copy)
A005000567G

Date of birth(DD/MM/YYYY)
27/04/1986

Gender
M

Email
donyando@yahoo.com

Physically Challenged?
N

Mobile No:
0724967466

House No:
null

Box Number
14672 - 20100 NAKURU

County Code
45

Sub-location
MESESI

Location
MACHOGE CHACHE

Division
OGEMBO

Marital Status
Married

Town/City
KISII

Nearest Public Primary
ITABAGO PRIMARY SCHOOL

Estate/Village
EPOYA

Sub-location
MESESI

Location
MACHOGE CHACHE

Division
MESESI WARD

County Code
45

Constituency name
BOMACHOGE

Country
KENYA

University/University College Name
MOUNT KENYA UNIVERSITY

Campus code
NAKURU CAMPUS,NAKURU

Faculty/School
SCHOOL OF PURE AND APPLIED SCIENCES

Year of admission
2013

Admission Category
PRIVATE UNIVERSITY

Registration/Admission Number( as indicated on your admission letter)
BBIT/113/03086

Current year of study
1st

Amount Applied For ?
Kshs. 160000

National ID No.
25603939 25603939

Names
AMOS AGUTA AMOS AGUTA

Amount your family can raise towards your fees ?
Kshs. 35000

Do you need bursary ?
Y

..00 Farming (Annual) .00 Occupation/Profession DRIVER Employer telephone no.500.000..00 Pin No.00 Farming (Annual) .500... or Burial Permit No and attach copy Father Mother null null Box No.400... 0724299557 N Business (Annual) 12. null Postal Code null Town null If both parents are deceased who has been paying your fees? null ** NOTE: Attach letter from School AND Sponsor Food 6..00 Medical (attach evidence) .00 Mortgage/Loan repayment (attach evidence) Other (taxes etc) .00 Occupation/Profession VEGETABLE VENDOR Employer telephone no.. (attach copy) NONE Mobile/Wireless Telephone Employed no.00 . (attach copy) 7573705 Year of birth 1967 Highest Level of education Gross Salary(Monthly) Secondary . No Telephone null If parent(s) deceased provide death certificate No.. null Pension(Monthly) .... 0723101689 Employed Y Business (Annual) .Attach copies of your certificates Level PRIMARY Institution Name HESHIMA PRIMARY SCHOOL Exam Yr 2000 2005 2009 Index Nunber 506210/015 711502/017 511101/209 School Type PUBLIC SCHOOL PUBLIC SCHOOL null Country Code KE KE null Grade C+ C null SECONDARY TABAKA HIGH SCHOOL TERTIARY RIFT VALLEY INSTITUTE OF SCIENCE AND TECHNOLOGY Note: for salary/pension income attach copy of payslip Last Name MATINO First Name JOHN Middle Name ONCHIEKU ID/No.00 Name of employer/business or former employer if no longer employed (attach evidence if no longer working) PSC Income from ‘other’ 0 Support from GoK relief service 0 Last Name OBARA First Name TABITHA Middle Name NYAMUSI ID/No. (attach copy) 1584273 Year of birth 1958 Highest Level of education Gross Salary(Monthly) Secondary 19. null Pension(Monthly) .00 Clothing 1.00 .00 Pin No.00 Name of employer/business or former employer if no longer employed (attach evidence if no longer working) null Income from ‘other’ 0 Support from GoK relief service 0 Parents Marital Status? Married Name(s) null Are you an orphan?....675..100.00 Rent 2.00 Travel/Fuel 2. (attach copy) A001170773I Mobile/Wireless Telephone no.

AMOS AGUTA Institution KABARAK UNIVERSITY Level of study UNIVERSITY Annual Fees 57000 .Name(s) 1.

O.No Postal Code Email 45 1584273 20100 amosagu@yahoo. No Town Division OGEMBO P. Box 14672 County Code Constituency Code 71102 Location MACHOGE CHACHE Guarantor Year of Birth 1958 Last Name I ONCHIEKU of Id. Box 14672 County Code Constituency Code 51002 Location MACHOGE CHACHE Guarantor Year of Birth 1988 Bank name NBK Branch name NAKURU Account number 01245021253700 .com First Name JOHN Middle Name ONCHIEKU 0723101689 NAKURU Tel.O.No Postal Code Email 32 First Name AMOS 25603939 20100 amosagu@yahoo.Last Name I MATINO of Id. No Town Division OGEMBO P.com Middle Name AGUTA 0727287640 NAKURU Tel.

All mature loan accounts shall be subject to administrative fee as shall be determined by the Board from time to time. The rate of interest applicable shall be 4% p. the Board shall have the sole discretion of varying the interest rate as circumstances shall demand. The Board shall charge administrative fees of Kshs. Where it is discovered that the loan was granted due to false information furnished by the loanee.a. TERMS AND CONDITIONS 1. send to each loanee annual statement indicating the amount disbursed per each academic year or the outstanding balance as the case may be. 15. If the loanee defaults in the repayment of the loan when the loan is due. besides subjecting the loanee to prosecution. Where there is default by the loanee. 5. No loan shall be disbursed unless this agreement form is signed.5. The loanee shall keep the guarantor appraised of the principal loan awarded and in the event that there is a conflict. 10. 19. A statement may be furnished at any time on request but at the loanee’s expense. the whole amount shall be due and payable and the loanee shall be bound to pay other charges that may arise as a result of the default including but not limited to the Advocates fees and penalties. the amount as held by the Board will prevail. The sums of the amount indicated in the statements shall form the principal loan to be recovered from the loanee. 3. The Board shall effect credit protection arrangement of the loan at the expense of the loanee. The applicant hereby consents that the Board shall share information pertaining to the loan account with credit reference bureaus or any other parties as deemed necessary. 18. 14. 12. Non demand for loan repayment and the accruing charges shall not in any way signify waiver of any amount rightfully due under the terms and conditions of the loan. the Board shall not disburse the remaining allocation and shall recall the loan so far as advanced in full together with the interest thereon. In the event that the loanee discontinues studies for whichever reason before full disbursement is made. costs and any other charges accruing to the loan. The Board shall charge a penalty of Kshs. Loan amounts awarded shall be inclusive of practicum/field attachment where applicable. The contents of the statements shall be deemed to be correct unless a written complaint to the contrary is received by the Board within three (3) months from the date of the statement whereupon the Board shall either confirm the complaint or advise as the case may be. 16. penalties. 17.000 per month on any account that is in default.N/B: Please note that the loanee/applicant must sign this agreement form. 4. 7. 13. 9. 8. 11. Loanee's(Applicant) Signature _____________________________________ Date: 25/02/2013 Authorized Signature(HELB)_______________________________________ Date: 25/02/2013 . The signature of the loanee shall certify the reading. The Board shall engage agents (Banks) who shall be responsible for the disbursement of the loans as shall be advised by the Board from time to time. 2.500 per annum on all un-matured accounts. In the event that the applicant receives additional finance assistance from any other source and the need to refund by the university arises such refund shall be made to the Board and the same shall be utilized towards reducing or offsetting the loan. the guarantor shall be bound to repay the loan. The loan shall be due for repayment one year after completion of the course studied or within such period as the Board may decide to recall the loan whichever is earlier. 6. the Board shall withhold release of the amount yet to be disbursed if any. The Board shall electronically. The loan shall be repaid by monthly installments or by any other convenient mode of repayment as shall be directed by the Board but subject to the provisions of the Higher Education Loans Board Act. interest thereon. understanding and being in agreement with the terms and conditions herein including certification. through the website.

Sign up to vote on this title
UsefulNot useful