Loan Application Forms

Bills Discounting Loan Application

Your Name *

First

Middle

Last

Your Email *

Company Email address preferred

Your Mobile Number *

Company Business Name *

Type of Entity: (Tick as applicable) *

Sole Proprietorship
Partnership
Limited Company

Registered Company type

BRIEF DESCRIPTION OF BUSINESS and location: *

Type of goods and services sold and trade sector they are sold to

PARTICULARS OF THE CREDIT LIMIT

Duration Applied for in Months *

Number of Years in Business *

Gross average monthly revenue (turnover) Ksh* *

Number of customers who you provide credit *

Average credit terms provided to customers *

Average no. of days taken by customers to process claims *

Average projected monthly volume for invoice discounting *

Average amount of debtors outstanding at any given time *

Are your receivables encumbered to another lender? *

Yes
No

Details of Customers you wish to discount invoices

Please provide: Company Name, No. of Years doing Business with the Company, Avg. Invoice Amount, Avg. Debtor Amount Outstanding, Credit Limit Required

Phone

Loan Application Forms

Personal Loan Application Form

Staff / Salary Loan Application Form

Bill Discounting Application Form

Hire Purchase Loan Application

Cheque Discounting Application Form

Insurance Premium Finance Application (IPF) Form

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