Loan Application Form

Fill in all sections carefully. All information is kept strictly confidential.

Personal

Residential

Loan

Next of Kin

Documents

Consent

Section 1: Personal Details

Full Name (as per ID) *

National ID / Passport No. *

Date of Birth *

Email Address *

Phone (M-Pesa Registered) *

Alternative Phone

KRA PIN (optional)

Monthly Income (KES) Helps determine your loan limit

Employment Status *

Employed

Self Employed

Business Owner

Other

Section 2: Residential Details

Current Residential Address *

County / Town / Estate *

Nearest Landmark

Google Maps Location Pin

How to share your location: Open Google Maps → Long press your home → Tap the red pin → Tap "Share" → Copy the link and paste below.

Helps us verify your residential address.

Section 3: Loan Details

Your Estimated Loan Eligibility

KES 0

Estimated Limit

5/10

Risk Score (lower = better)

Complete your profile for accurate calculation.

Select Loan Product *

Quick loan

loan

Min

KES 1,000

Max

KES 10,000

Interest

30.00%

Durations

1mo

business Loan

The customer should atleast have a busines or A good payslip

Min

KES 5,000

Max

KES 15,000

Interest

30.00%

Durations

1mo

personal use

Loan between 1000-2000

Min

KES 500

Max

KES 2,000

Interest

30.00%

Durations

1mo

Section 4: Next of Kin / Emergency Contact (also acts as guarantor)

Full Name *

Relationship *

Phone Number *

Section 5: Documents (Required)

National ID — Front *

Click to upload or drag & drop

PDF or Image. Max 10MB.

National ID — Back *

Click to upload or drag & drop

PDF or Image. Max 10MB.

Passport Photo (recent) *

Click to upload

Image only. Max 10MB.

Payslip / Bank Statement (required if employed)

Click to upload or drag & drop

Latest payslip or 3-month bank statement. PDF or Image. Max 10MB.

Section 6: Declarations & Consent

By submitting this form, I declare that all information provided is true, complete, and accurate. Providing false information may lead to rejection or legal action.

By ticking all checkboxes and submitting, I confirm I have read, understood, and agreed to all terms above.