Investment Club

LOAN APPLICATION
APPLICANT DETAILS

Applicants Full Legal Name

Other Names

ID Number Expirely Date

RESIDENTIAL INFORMATION

Plot No. Street Village Subcounty District

Cellphone Email address

LOAN DETAILS

Loan Application Date

Loan Type: ¨ New Loan ¨ Top-up ¨ Emergency ¨ Restructure/Reschedule

Purpose of the Loan

Loan Required (UGX) Loan Duration

Method of Repayment Installment Amount

Source of Financing

I confirm and declare to the best of my knowledge and belief, all information contained in my loan application is true,
complete and correct and will adhere to the club’s terms and conditions regarding loan repayment.

Applicant Signature Date

GUARANTOR DETAILS

Name Email Phone

2
 3

APPROVAL

Signature & Date

Head of Loans Chairperson Treasurer

 District

estructure/Reschedule

pplication is true,
Treasurer