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Loan Application Form
Personal Details
First Name
Last Name
Email Address
National ID
County
Number of Dependants
Choose Option
1
2
More than 2
Employment Status
Employment Status
Enter employment status
Employed
Self-Employed
Loan Details
Loan Amount (KES)
Select amount
50,000
100,000
250,000
500,000
750,000
1,000,000
Purpose of Loan
Choose Categories
Business Start-ups
Business Loans
Personal Loans
Youth Innovation Funds
Repayment Period (months)
Select period
3 months
6 months
12 months
24 months
36 months
48 months
How will you use the loan?
Disbursement Details
Disbursement Method
Choose Method
Mobile Money (M-pesa)
Bank
Bank Name
Account Number
Submit Application
