APPLICANT'S DETAILS

Applicant's Name: ..........................................

Signature: ..........................................

Date: ..........................................

COLLATERAL/SECURITY

I/we ........................................ being the legal and beneficial owner(s) of motor Vehicle Reg No... hereby agree to borrow against motor vehicle reg no .................................. of chasis no ........................................ Make........................................ Model No. Engine No........................................ color ............................. in the Name of .... which has been valued at a market price of Kshs ........................................ and forced value of Kshs........................................ any other security provided by the applicant or ourselves. e.g by way of guarantee shall be independent and an additional to the upon approval of this application and such obligations shall subsist both as conditions precedent to disbursment as well after any such disbursment of the loan.

Applicant's Name: ..........................................

Signature: ..........................................

Date: ..........................................

BUDGET PLANNER

Monthly Income (Ksh):

Gross Monthly Income
Gross Net Income
After Tax/Deductions
Other Income

Applicant's Name: ..........................................

Signature: ..........................................

Date: ..........................................

LOAN REQUEST AND AGREEMENT

I ..........................................hereby apply to Swift Capital Ltd to advance me by way of loan the principal sum of Ksh ...........................................In words ..........................................at a rate of 5% P.M Or such other limit as Swift Capital Ltd may approve and in accordance with the terms and condition forming part of this application. I will pay Kshs ..........................................in Words.......................................... per month for ..........................................months or in such other installments as Swift Capital Ltd may specify.

Applicant's Name: ..........................................

Signature: ..........................................

Date: ..........................................

BUSINESS DETAILS

Applicant's Name: ..........................................

Signature: ..........................................

Date: ..........................................

REFEREE DETAILS
No. Name Tel Number Releationship
1
2
3

Applicant's Name: ..........................................

Signature: ..........................................

Date: ..........................................

CREDIT HITORY
Particular Amount
Bank
Sacco
Overdraft

Applicant's Name: ..........................................

Signature: ..........................................

Date: ..........................................

PROPOSED GUARANTORS

1.Name: ..........................................

Tel Number: ..........................................

Relationship: ..........................................

2.Name: ..........................................

Tel Number: ..........................................

Relationship: ..........................................

I declare that all the information provided as part of this application confirms to reality and I assume full responsibility for it’s accuracy. By my signature, I hereby authorize collection of references, from any source whatsoever, concerning my person, conduct and commercial credit; the issuance of reprts regarding my credit history to this organization and hereby absolve the reporting party of all responsibility.

Applicant's Name: ..........................................

Signature: ..........................................

Date: ..........................................

MODE OF PAYMENT