www.jubilantkenya.com (+254) 707 715 757
Asset loans – Cash loans - Savings – Investments
LOAN APPLICATION FORM
APPLICATION INFORMATION
Loan application No:
Branch name:
Client No:
Group name:
Loan type:
Loan series:
CLIENT DETAILS
Spouse / Co-loanee name:
Name:
ID No/Passport:
Phone No:
Nationality:
Postal address:
Town:
Residence:
Exp:
Loan amount (Ksh):
Loan term (months):
Interest rate (% per month):
Total amount (Ksh):
Monthly installments (Ksh):
ID No/Passport:
Phone No:
Nationality:
Postal address:
Town:
Residence:
Exp:
LOAN DETAILS
Grace period (months):
Penalty rate (%):
Charges (Ksh):
Purpose:
SAVINGS ACCOUNT
Current savings account balance (Ksh):
The borrower agrees to deposit the following amount into the savings account monthly during the entire term
of the loan.
Monthly savings amount (Ksh):
Loan amount (Ksh)
1st loan:
2nd loan:
3rd loan:
4th loan:
5th loan:
PREVIOUS LOANS WITH JUBILANT KENYA LTD
Year
Loan term (months) Officer comments
……………………………………………………………………………………......
Offices -:Headoffice-Nyali beach road, Suite 8, Mombasa Business Centre, Kilifi Business Centre, Msambweni Business Centre, Emali Business
Centre, Kibwezi Business centre, Mariakani Business Centre, Mutomo Business Centre, Voi Business Centre, Machakos Business Centre.
P.O. Box 81837 - 80100 Mombasa. Email: [email protected]
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www.jubilantkenya.com (+254) 707 715 757
Asset loans – Cash loans - Savings – Investments
Name:
LOAN SECURITY DECLARATION FORM
(filled by borrower)
BORROWER INFORMATION
ID No:
I, the person stated above, being of sound mind, voluntarily pledge the items listed below and others in the
additional schedule to our group and Jubilant Kenya Ltd as security for my loan:
No. Name of item
1
2
3
5
6
7
8
9
10
CLIENT SCHEDULE OF COLLATERAL
Model
Serial No. Year bought Purchase price
Estimated value
TOTAL
I further authorize the group and Jubilant Kenya Ltd to auction the items listed above to recover any monies
owed to this group or Jubilant Kenya Limited by me.
I certify that I possess and own the above listed items. I further make affidavit praying that I be recognized as
the owner of the items despite lack of the original receipts. In the event of my defaulting in payment of loan
advanced to me by Jubilant Kenya Limited, I give authority to either the above group or Jubilant Kenya Limited
to dispose of said property or any other including stock and re-service such loan any part thereof or any
balance owing from me to Jubilant Kenya Limited.
Signature of applicant:
Date:
Chief/assistant name:
Stamp of chief/assistant:
……………………………………………………………………………………......
Offices -:Headoffice-Nyali beach road, Suite 8, Mombasa Business Centre, Kilifi Business Centre, Msambweni Business Centre, Emali Business
Centre, Kibwezi Business centre, Mariakani Business Centre, Mutomo Business Centre, Voi Business Centre, Machakos Business Centre.
P.O. Box 81837 - 80100 Mombasa. Email: [email protected]
2
www.jubilantkenya.com (+254) 707 715 757
Asset loans – Cash loans - Savings – Investments
Guarantors name:
ID No:
Postal address:
Current residence:
Permanent residence:
DECLARATION FORM
(filled by guarantor/s and group members)
GUARANTOR DECLARATION
Phone No:
Relationship to loanee:
I, the guarantor stated above, declare and guarantee that I will repay this fund on behalf of the said principal
loanee should problems with repayment arise at any time and for whatever reason/s whatsoever. I further
authorize the group or Jubilant Kenya Ltd to auction the items pledged below to recover any monies owed:
No. Name of item
1
2
3
5
6
7
8
9
10
GUARANTOR SCHEDULE OF COLLATERALS
Model
Serial
Year
Purchase
number
bought
price
Estimated value
TOTAL
Signature of guarantor:
Name of group:
Meeting place:
Date:
GROUP DECLARATION
Number of active group members:
Meeting time and date:
We, as members of the stated group above, guarantee that our group has examined and verified that the
stated member has the ability to pay the full loan amount in accordance with the agreed upon terms. In the
case of loan default, we acknowledge that the group will be held liable, including the payment of late fees,
until the loan is repaid. We agree that a penalty may be applied on a daily basis in the case of a late repayment
or in the event that false information has been given. We further pledge our savings to JKL in case other loan
recovery methods have been exhausted and can be forfeited to repay the loan without notice.
……………………………………………………………………………………......
Offices -:Headoffice-Nyali beach road, Suite 8, Mombasa Business Centre, Kilifi Business Centre, Msambweni Business Centre, Emali Business
Centre, Kibwezi Business centre, Mariakani Business Centre, Mutomo Business Centre, Voi Business Centre, Machakos Business Centre.
P.O. Box 81837 - 80100 Mombasa. Email: [email protected]
3
www.jubilantkenya.com (+254) 707 715 757
Asset loans – Cash loans - Savings – Investments
DECLARATION FORM (continued)
GROUP MEMBERS AND OFFICIALS
Member Name
Savings (Ksh)
Signature
Date
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20
Chairperson:
Secretary:
Treasurer:
TOTAL AMOUNT OF SAVINGS (Ksh):
……………………………………………………………………………………......
Offices -:Headoffice-Nyali beach road, Suite 8, Mombasa Business Centre, Kilifi Business Centre, Msambweni Business Centre, Emali Business
Centre, Kibwezi Business centre, Mariakani Business Centre, Mutomo Business Centre, Voi Business Centre, Machakos Business Centre.
P.O. Box 81837 - 80100 Mombasa. Email: [email protected]
4
www.jubilantkenya.com (+254) 707 715 757
Asset loans – Cash loans - Savings – Investments
Business type:
Location:
No. employees:
BUSINESS APPRAISAL
BUSINESS DETAILS
Business name:
Ownership:
Alternative income source? YES / NO
CLIENTS’ BUSINESS AND RESIDENCE APPRAISAL
Business assets
Amount (Ksh)
Household assets
Amount (Ksh)
Cash at hand and bank
Livestock
Current stock
Electronics
Fixed assets
Furniture
Accounts receivable
Tools and equipment
Others
Others
Total business assets
Total h.hold assets
TOTAL ASSETS (Ksh):
Business liabilities
Amount (Kshs)
Household liabilities
Amount (Ksh)
Bank loans total
School fees balances
Debts from suppliers
Domestic bills
Others
Others
Total business liabilities
Total h.hold liabilities
TOTAL LIABILITIES (Ksh):
TOTAL CAPITAL (Ksh):
INCOME
Gross income from business (Ksh):
Alternative income
Source 1:
Amount (Ksh):
Source 2:
Amount (Ksh):
Source 3:
Amount (Ksh):
TOTAL INCOME (Ksh):
Business expenses
Amount (Kshs)
Household expenses
Amount (Ksh):
Rent
Food
Wages
Shelter & clothes
Water & Electricity
School fees
Other Expenses
Other expenses
Total business expenses
Total h.hold Expenses
TOTAL EXPENSES (Ksh):
DISPOSABLE INCOME (Ksh):
LOAN INSTALMENT (Ksh):
A
B
A-B
1
2
1-2
……………………………………………………………………………………......
Offices -:Headoffice-Nyali beach road, Suite 8, Mombasa Business Centre, Kilifi Business Centre, Msambweni Business Centre, Emali Business
Centre, Kibwezi Business centre, Mariakani Business Centre, Mutomo Business Centre, Voi Business Centre, Machakos Business Centre.
P.O. Box 81837 - 80100 Mombasa. Email: [email protected]
5
www.jubilantkenya.com (+254) 707 715 757
Asset loans – Cash loans - Savings – Investments
BRM CONFORMATION
FROM LOAN FORM
Clients disposable income (Ksh):
Guarantors assets (Ksh):
FROM MAMBU SYSTEM
Clients current savings (Ksh):
Loan installment (Ksh):
BRMs comments:
LOAN APPROVAL
Total collateral pledged (Ksh):
Greater than or equal to 20% of loan applied?
Approved?
YES / NO
YES / NO
We, the staff of JKL, confirm that this loan application meets the minimum requirements and therefore we
approve the facility:
STAFF APPROVAL
APPROVAL NAME
LEVEL
BRO
SIGNATURE
DATE
BRM
RM
CM
HOB
MD
Loan amount (Ksh):
Channel: MPESA / CHEQUE / BANK
ACKNOWLEDGEMEMT
Loan term (months):
Account No:
This is to acknowledge receipt of the amount stated above via the stated channel. I agree to make equal
monthly repayments of the stated amount over the entire course of the loan.
Date of disbursement:
Due date of first installment:
Signature of applicant:
Date:
……………………………………………………………………………………......
Offices -:Headoffice-Nyali beach road, Suite 8, Mombasa Business Centre, Kilifi Business Centre, Msambweni Business Centre, Emali Business
Centre, Kibwezi Business centre, Mariakani Business Centre, Mutomo Business Centre, Voi Business Centre, Machakos Business Centre.
P.O. Box 81837 - 80100 Mombasa. Email: [email protected]
6
www.jubilantkenya.com (+254) 707 715 757
Asset loans – Cash loans - Savings – Investments
TERMS AND CONDITIONS
1. This loan may be repaid, without penalty by paying the outstanding loan balance, plus any service
charges and penalties due if a payment is late, an additional penalty will be charged on the overdue
loan balance at thel rate described above.
2. Proceeds from the loan shall only be used for the purpose indicated in the loan application.
3. The borrower agrees to make savings deposits in to the savings account during the entire term of the
loan.
4. An event of default shall be defined as (a) Missing a loan payment or part of it; (b) Missing a single
savings deposit or any part of it; (c) The use of loan proceeds for another purpose other than the one
described in the loan application; (d) the change of business location or liquidation of substantially all
business assets without prior notice to group and JKL.; (e) Any material change in the facts and
circumstances represented in the loan application.
5. I, the borrower, in the event of default agree to immediately pay Jubilant Kenya Ltd the outstanding
loan balance plus any service charges or penalties together with any recovery expenses incurred in
enforcing this agreement. I hereby give Jubilant Kenya Ltd the absolute legal right and authority to
draw from my savings account to pay any obligation which is not met.
6. For purposes of this Agreement, “Personal Data” shall mean any and all non-public information and
other personal information about the borrower including identification number, Personal Income
number, financial information, any information about an individual that has been marked as private,
and any additional categories of information about individuals that from time to time are referred to as
Personal Data.
7. Jubilant Kenya Limited shall keep confidential and use its best endeavors to ensure that it shall keep
confidential the borrowers' personal data and confidential information which it may acquire and shall
not use or disclose such information to any other person except as is permitted under this Agreement
and under the law.
8. Personal data and confidential information shall not be considered confidential if it is already in the
public domain.
9. By entering into this agreement, the borrower authorizes Jubilant Kenya Limited to disclose the
relevant borrower’s personal data to credit reference bureaus, credit rating agencies and to other
agencies to assess and inform on the borrower's credit worthiness, to assist the Lender to accomplish
its objectives as a micro-finance institution and to enforce its rights under this agreement.
10. These clauses shall survive the termination or lapse of the agreement.
Name of applicant:
ID number:
I, the named applicant, have read and understood this agreement, and I accept and agree to repay all the loan principal,
service charges and penalties charged in accordance with the terms and conditions. the borrower therefore represents
and warrants that he/she is a member of the group named above. I enter into this agreement voluntarily, with full
knowledge of its effect. all information given is correct to the best of my knowledge
Signature of applicant:
Date:
……………………………………………………………………………………......
Offices -:Headoffice-Nyali beach road, Suite 8, Mombasa Business Centre, Kilifi Business Centre, Msambweni Business Centre, Emali Business
Centre, Kibwezi Business centre, Mariakani Business Centre, Mutomo Business Centre, Voi Business Centre, Machakos Business Centre.
P.O. Box 81837 - 80100 Mombasa. Email: [email protected]
7
www.jubilantkenya.com (+254) 707 715 757
Asset loans – Cash loans - Savings – Investments
AFFIDAVIT
REPUBLIC OF KENYA
IN THE MATTER OF OATHS AND STATUTORY
DECLARATION ACT CAP 15 LAWS OF KENYA
IN THE MATTER OF JUBILANT KENYA LIMITED(JKL)
AND IN THE MATTER OF……………………………………………………………………………………………GROUP
I,………………………………………………………………… of P.O BOX……………....……….of the republic of Kenya make an oath
and state as follows:1. That I am the holder of National Identity Card NO………………………….and I am the deponent herein.
2.That I am an active member of ……………………………………………………………………………group.
3. That Jubilant Kenya Limited has agreed to extend Loan facility of ksh.……………………….………..which money is
to be advanced to me as members shall approve.
4. That I undertake to do all that which is under power and ability to service such loan as may be advanced to
me.
5.That I forego and surrender for sale by way of Public Auction all my properties listed on schedule of
properties as executed by me depicting my name, signature and my identity card showing the amount of loan
advanced to me which schedule of properties shall be in the custody of Jubilant Kenya Limited and copies
by………………………………………………………….………..group.
6. That I am stopped from taking court action against the group and JKL except in event of dispute where both
parties shall appoint an arbitrator and the decision will be final.
7. That I am of sound mind and hence competent to swear this affidavit.
8. That all which is deposed herein is true to the best of my knowledge, belief and information.
Sworn by the said……………………………………………………on the …………………day
of………………………………………………………………..
BEFORE ME
………………………………………………… …………………
MAGISTRATE/COMMISSIONER OF OATHS
……………………………………………………………….…....
DEPONENT HEREIN
……………………………………………………………………………………......
Offices -:Headoffice-Nyali beach road, Suite 8, Mombasa Business Centre, Kilifi Business Centre, Msambweni Business Centre, Emali Business
Centre, Kibwezi Business centre, Mariakani Business Centre, Mutomo Business Centre, Voi Business Centre, Machakos Business Centre.
P.O. Box 81837 - 80100 Mombasa. Email: [email protected]
8