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Investment Type
Contacts
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PERSONAL INFORMATION
Applicant Name (Mr/Mrs/Miss/Dr/Prof)
National ID/Passport No.
Date Of Birth
Email Address
Resident Town
Telephone No
Marital status
Maried
Single
Devorced
Gender
Male
Female
INCOME SOURCE
Income Type:
Employment
Self Employed
Pension
Business Owner
Name of Employer / Name of your Business
Physical address: where do you work
What is your Job description
Income Range
10K - 40k
40K - 80k
80K - 120k
120K - 150k
What is Your Education Level
Primary School
High School
Certificate
Diploma
Undergraduate
Graduate
Post Graduate
LOAN PARTICULARS
Amount applied for (Kshs)
Cost of project (Kshs)
Repayment period in Months
Purpose
Personal contribution (Kshs)
Do you currently have any Debt or Liability
Yes
No
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