VISION:

To be the leading inancial service provider contributing

to community economic empowerment in Kenya.

MISSION:
To mobilize resources for the provision of quality,
affordable and ef icient inancial services to our
clients and other stakeholders.

LOAN APPLICATION AND AGREEMENT FORM

Please read loan agreement and declarations on part C before you ill this form Serial Number………….............................

DATE OF APPLICATION………………….........…FOSA ACCOUNT NO……..………M/NO……..…………..TSC.NO/P.NO……...………………..FORM NO……………....

A. APPLICANTS PERSONAL AND EMPLOYMENT DETAILS

Surname …….………………….....……..……....……….Other Names…………………………….....………......……………Cell Phone No…………...………………………………...

National ID No……………………………................……… Nationality……………………........………………………………KRA Pin NO………………………....…………………...

Home Address ……………………………………Current Address (Work Station)….……………......…….....………… Email Address..…………..............………………….

Employer's Name………………...................…...................Employer's Address …………………………………………. School/Workstation................................................

Designation……………....................………………………County……………...……………………………………………….Residence…………......……………………………………

Terms of Service (Permanent/Pensionable, Temporary, Contract) ………………………………………………….Retirement Date…..........……………………..........

B. LOAN PARTICULARS

LOAN TYPE

Salary Advance Settlement Fosa Flex Express Emergency Personal Fanikisha

Prime Normal Development Preferential Fixed deposit loan

I....................................................................................................................................................... hereby apply for a loan of Kshs........................................................ ( igures)

(In words) Kshs.................................................................................................................................................................................... for a period of ………………… Months to

be repaid in installments of Kshs ……………………………………………………. each month.

PURPOSE FOR WHICH LOAN IS APPLIED

1. ..............................................................................................................................................................................................................................................................

2. ..............................................................................................................................................................................................................................................................

C.LOAN AGREEMENT AND BORROWER'S DECLARATION

I hereby declare that the foregoing particulars are true to the best of my knowledge and belief. I agree to abide by the society's By-laws, Credit
Policy and Terms and Conditions. I further declare that I have understood the terms of this loan product and I hereby authorize Unison Sacco
to credit the proceeds of this loan to my Account. I do accept personal liability for the repayment of the principal and interest amounts until
full settlement is done.

In consideration of Unison Sacco Society Limited.(“The Society”) granting me the amount of loan herein applied for or as may be approved by
its Board of Directors, I hereby declare THAT,

1. I am a member of the society and shall not withdraw from the Society or omit to do anything which may result in my said membership
being withdrawn, suspended or cancelled while the loan herein is outstanding.

2. My deposits together with those of my guarantors are suf icient over and secure the loan amount applied for herein
(Delete if not applicable)

3. My current and future employers are authorized to deduct and directly remit, from my salary or wages, the amount indicated herein or as
may be advised by the Society as the monthly repayment amount until payment in full. these instructions shall remain irrevocable until
the loan amount herein has been fully repaid together with interest thereon as may from time to time be advised by the Society.

4. In the event that I am not salaried at the time of entering this agreement or I have opted to service the loan through other means other
than by the way of check off by the employer, I undertake to give and maintain such security as the society may consider adequate and to
review it from time to time as may be advised by the Society. I shall also give to my bank an irrevocable standing order for the monthly
repayment amount indicated herein, or as advised by the Society, in favour of the Society, and I shall not revoke the said standing orders
while the amount herein remains unpaid.
This form is received without any alterations or cancellations
5. I understand that the Society may, at its sole discretion, treat as a breach of loan conditions should I revoke the instructions in paragraph
3 above without obtaining the prior written consent of the Society.
6. In the event that my current employment is for whatever reason terminated while the loan herein not fully repaid, I shall immediately
and not later than 14 days notify that the Society ,and in the event that I have taken up new employment to immediately notify the
Society of the details of the new employment.
7. In the event that I should, for whatever reason, leave the service of my present employer, any sum of money due to me from the said
employer shall be used to settle any balance remaining unpaid on account of the loan amount herein.
8. I understand that I am obliged to repay the loan amount and the interest as stipulated in this agreement or as maybe advised by the
Society from time to time. In the event that I default in servicing the loan or in any manner breach the loan conditions, the Society
reserves the right to recover the amount due under this agreement by settling off against my shares, deposits or other monies held in
my account(s) with the Society or any of its af iliates, or employ any other means to recover the outstanding amounts including
attaching my property.
9. I authorize Unison Sacco Society Limited to carry out credit checks with or obtain my credit information from, a credit reference bureau.
I understand that in the event that I default in servicing the loan amount herein, the Society reserve the right to share my credit
information with other inancial institutions, public authorities and the licensed Credit Reference Bureaus, subject to any applicable law.
I warrant that in the event of disclosure of my credit information as stated above, I shall have no claim against the Society or any of its
of icers, servants, directors or agents,
and I shall indemnify the Society against any loss or injury arising out of any claim brought by myself or on my behalf or a result of such
disclosures.

D. GENERAL TERMS

It is hereby mutually agreed and declared that the following terms and conditions shall in addition to the foregoing apply to this agreement.

a) The loan amount in this agreement shall be available to the borrower on completion to the satisfaction of the Society of all formalities
appertaining to the security of the loan.

b) The borrower shall pay interest on the loan amount outstanding at the prevailing rates or at such other rate the Society in its sole
discretion determine and shall pay such interest in arrears.

c) The Society reserves the right to determine, change the rate of interest and or the basis in which it is calculated.

d) The loan repayment frequency shall be once a month, or as may be advised by the Society from time to time.

e) Fees and charges to cover administrative cost shall be paid by the borrower. such fees and charges will be in accordance with prevailing
Society tariffs.

I hereby con irm that I have read, understood and accepted the above loan terms and agreement.

Applicant's Signature ………………………………………...............................................……………....................………………Date………......…/……….......………. /………….

WITNESS: (Must be an Active Member)

Name………………………………………………………………………………...........................................................................…Member No……………………………………………..

TSC / P.No………………………………………………………………………............................................................................…..Address…………………………………………………..

Signature…………………………………………...........................................................................……………………………….. Date……………./…………………./……………………

E.SECURITY DETAILS

I offer the following security

Salary Deposits and savings Guarantors Other Specify

Conditions
For short-term loans (loans not exceeding one year), provide minimum of three (3) guarantors. For long term loans provide minimum of four
(4) eligible guarantors and for amount exceeding Ksh. 499, 999 provide more than ive (5) eligible guarantors.

CAUTION
Guarantors are advised to read all the information supplied in this form by the applicant and terms and conditions contained in order to
understand the full implication of loan guarantee.

GUARANTORS DECLARATION
In consideration of guaranteeing the above or any lesser amount that may be approved, we, the undersigned, hereby jointly and severally
accept liability for the repayment of the borrower's loan in the event of default. We understand and authorize that the amount in default be
recovered by an offset against our deposits in the Society, by attachment of our property, salary and other bene its. We understand that the
amount in default may render us ineligible for Loans unless the amount in default has been cleared in full.
I/we understand that in the event that the applicant default in servicing the loan amount herein and we also default the amount allocated,
the Society reserve the right to share our credit information with other inancial institutions, public authorities and the licensed Credit
Reference Bureaus, subject to any applicable law.

I/we warrant that in the event of disclosure of our credit information as stated above, we shall have no claim against the Society or any of its
of icers, servants, directors or agents, and we shall indemnify the Society against any loss or injury arising out of any claim brought by
ourselves or on our behalf or a result of such disclosures.
 The applicant must ill the amount applied before the guarantors ill their part.
Of icial use
Guarantors only.
Amount Approved/ Signature of
Guarantors Name M/NO ID No Guaranteed Sign Mobile No Rejected the of icer
certifying

Where collateral is used as security, the Sacco of icer to ill the following portion:
a. LR No……………………………………………………………………………………………………………….............……………………………………...………………………………….
b. Brief description of the property…………………………………………………………...............………………………………………………………………...……………………
c. Location District/Town………………………......………Sub location/Estate…………………………………….Shopping centre/Street……………........………….
d. Estimated Value of the property……………………………………………………….................……………………......………………………………………………………………

Note: Where property offered is not suf icient the borrower may be requested to provide guarantors.

F. FOR OFFICIAL USE ONLY

Guarantor's Eligibility and collateral checked &posted by……….......................................................………Sign……………………….Date…………/………./……….

G.COMMENT BY THE EMPLOYER

This applicant is employed by………..........……………………of (town)……………..……and subject to rules and loan policy of the society, I support the
application and will inform the society should the employee be transferred or discharged from the organization.

Employer's signature & rubber stamp……………………………...................…..…………......…......................…………….Date……......……/.............…/……...........………

H. CREDIT OFFICER APPRAISAL

CURRENT OUTSTANDING LOANS TO OFFSET

Outstanding loan Monthly Repayment

Lending Institution balance to offset Interest S/o/Check off Comments

Total deposits…………………………..................………………..Multiplier……........................................…… Kshs…….......…………………………………………………………

Ability (Net Salary passing through FOSA/Ability on 1/3 basic rule)…………….........................................................………………………………………………………

Amount Quali ied ………………………...............…………………Repayment Amount…………...........................…………………Repayment Period.................………….

Recovery Mode: Check off Ksh………….....................…………S/O Ksh…………….....................……………..Net Salary After appraisal……………........………………

Deferred/Rejected (Reason)………………….........................................................……………………………………………………………………………………………………………

Appraised By……………………………………………....................................………….Signature…….......................………………………Date………/………/…………………….
I. RECOVERY

Repayment Amount checks;T-Pay /Check off

Internal Standing Order

External Standing Order

Standing order by Date

Signature of person certifying data Capture Name......................................................................................Signature……………………….….Date…………..……….

Recovery Manager/Of icer veri ication Name ........................................................................................Signature………………........…............…………………….

J. BRANCH STAFF COMMITTEE

Amount Approved Kshs ................................................................................................................................ Loan Period .............................................................................

1. Branch Manager............................................................................................................... Signature...................................................Date............./.............../......................

2. Operations Manager....................................................................................................... Signature .................................................. Date............/.............../......................

3. Credit Of icer.......................................................................................................................Signature.................................................. Date............./............../......................

K.CREDIT MANAGER'S ENDORSEMENT

I recommend that this Loan Application be Approved / Rejected / Deferred to the tune of Kshs………….........………..............................................……….

at Kshs ………………………………..............................................................................…............…………………… for……………………..............................................……Months

Comments……………………………………………………………….........................................................………………………………………….........……………………………………..

Name………………………………................………......................................................................Signature…………….................................Date ……..…/………. /……..........….

L. C.E.O

Approval of amount above Kshs. 500,000. Approved Ksh………………………..........……..................for…………............................................……………… Months

Name………………………………...............……......................................................................….Signature………………………................….Date …….…/………. /…….........….

REMARKS…………………………………………......................................................................………………………………………………........…………………………………………….

M. CREDIT COMMITTEE:

Amount Approved Kshs …………………………………………………………..............................................….. Loan Period …....………………...........................…………..

1. Chairman…………………………...………………............................................................… Signature ……………………................…. Date……..…/……..…/……...........…

2. Secretary …………………......................................................................................……….. Signature …………………............……..... Date……...…/……...../…...........……

3. Member……………………………………………...……………............................................. Signature……………................................ Date……...…/……...../……..........….

REMARKS…………………………………………………………………………………………………………………………………........................................................……………………..

Introduced by: Member No..................................................................................................Signature..................................................Date……...…/.……...../……..........….

Always there for you!

This form is received without any alterations or cancellations