Repeat Loan Application Form

Personal Details

Mr./Mrs./Miss/Ms.

Surname *

Other Names *

Date of Birth

ID/Passport Number *

Marital Status

No. of Dependents

KRA PIN *

Phone *

Alternative Contact Number *

Work Email Address *

Postal & Residential Address

Postal Address *

Postal Code *

Town/City *

Location *

Estate *

Building *

House Number *

City/Town *

Description/Nearest Landmark *

Employment Details

Employer's Name *

Specific Title *

Terms of Employment *

Staff Number/Payroll Number *

Employer Location/Station *

How long have you worked for your current employer?

Monthly Gross Salary *

KES

Monthly Net Salary *

KES

Loan Details

Loan Period *

Loan Amount *

KES

KES 5,000 – KES 300,000

Loan Purpose

M-Pesa Statement * Choose file PDF, max 5 MB

M-Pesa Statement Password *

1st Referee (must be a colleague)

Surname *

Other Names *

Phone *

ID/Passport Number *

Employer's Name *

Location/Station *

2nd Referee / Next of Kin (spouse, relative or friend)

Surname *

Other Names *

Phone *

ID/Passport Number *

Employer's Name *

Location/Station *

I agree to the privacy policy and terms and conditions *

Your details are sent securely to Sterling Credit and used only to assess your application.