Logbook Loan Application Form

Full Names *

ID/Passport Number *

KRA PIN *

Phone *

Email Address *

Town/City *

Registration Number *

Make & Model *

Year of Manufacture *

Estimated Value

Facility * Select… Logbook loan Trade finance (tender / LPO)

Loan Amount * KES 50,000 – 1,000,000 (up to 50% of vehicle value)

Loan Period * Select… 1 month 2 months 3 months 4 months 5 months 6 months 9 months 12 months

Loan Purpose

Copy of Logbook * Choose file PDF, JPG or PNG, max 5 MB

National ID * Choose file PDF, JPG or PNG, max 5 MB

3 Months Bank/M-Pesa Statement * Choose file PDF, max 5 MB

Statement Password (if protected)