LPO FINANCING APPLICATION FORM

Name: -----------------------------------------------------------------------Mobile No. -----------------------

A/c No………………………………………………….Date:……………………………………..
The Manager
Dear Sir/Madam,
I apply for financing Kshs_____________________ (in words)
______________________________________________________________________
against the following letter of request of Kshs_____________________________________
The amount including accrued interest will be paid within ________________ days.

Other securities: Car logbook; valuation amount------------------------------------------------

Client Residence___________________________________________________________
Business Location ________________Type of Business_____________________________
Employer _________________________Contact of Employer ______________________
I/We assigns hereby:
1. Authorise the recovering of advance/loan plus from my/our saving accounts once it falls
due.
2. Authorise the society to apply interest rate as per their rules and regulations governing
the products.
3. Irrevocably authorise the Sacco to liquidate the attached securities to offset the
advances/loans awarded, with accrued interest and penalties in cases of defaulting and
attaching my/our shares, deposits, personal and ----------------------------------------------
properties and other personal assets without prior reference to me.
4. CONSENT: I the undersigned give consent to the Sacco and its affiliates to collect, process and use my
data provided herein as per the Data Protection Act/Statement which I have read an understood in the
Sacco website (https://www.ndegechaisacco.co.ke/download/data-protection-policy/) YES NO
Yours faithfully,

Name_______________________Sign____________ ID No. ____________________

Name_______________________Sign_____________ID No.____________________

Name_______________________Sign______________ID No.___________________
 FOR OFFICIAL USE ONLY

Appraised / Rejected by _____________________________ Amount ___________________

Signature____________Comment_________________________________________________

Approved / Rejected by _____________________________ Amount ____________________

Signature____________ Comment_________________________________________________

Approved / Rejected by _____________________________ Amount ____________________

Signature____________ Comment_________________________________________________
Outstanding balance____________________________________________________________
Eligible amount ________________________________________________________________

Check list of Documents/Requirements

1. Bank/FOSA statement for six months and/or deposits
2. Valuation reports where applicable
3. Original copy pf collateral for borrowing
4. Valid business registration and permit documents
5. Deed of guarantee and indemnity
6. A written undertaking from Corporate Client
7. Repayment period: Maximum of 30 days.
8. Retention of 5% for loan approved.
9. Interest 8% p.m
10. Appraisal fee 1% and Insurance fee 1.5% of the amount approved
11-Signed MOU