KIJITO COUNTY MICROFINANCE FUND

DETAILS OF APPLYING PERSONAL:

ROUP DATA:

MEMBERSHIP PROFILE:

Gender	Number of Members	Members with Disability
Male
Female
Total

BRIEF BACKGROUND OF THE GROUP:

GROUP BUSINESS ENTERPRISE INFORMATION:

BUSINESS PERFORMANCE PER ANNUM:

Or

GROUP BANK DETAILS:

GROUP BANK DETAILS:

s/n	Lending Bank/Institution	Date loan granted	Amount granted	Repayment Period	Monthly Repayments	Outstanding A mount
1
2.
3.
4.
5.
6.

LOAN REQUEST:

DECLARATION:

For Officials:

We, the undersigned, being the Owners /Directors/ Proprietor of the Firm hereby commit to repay the loan amount disbursed to the Mbegu Fund appointed Account in equal installments after the Month’s grace period.

s/n	Name	Upload ID	ID Number	Mobile Number	Signature	Date
1
2
3

DOCUMENTS SUBMITTED: