IDB Capital Limited Online Loan Application Form.

IDB Capital Limited Online Loan Application Form.
Section A: BASIC DETAILS ABOUT THE CUSTOMER.

Fill in the Application Form Carefully in BLOCK LETTERS
1. SELECT PRODUCT FOR FUNDING.*
CUSTOMER DATA
2. APPLICANT'S NAME:*

PrefixFirst NameMiddle NameLast Name
3. PHYSICAL ADDRESS.*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
4. EMAIL ADDRESS*
example@example.com
5. TELEPHONE NUMBER (Mobile)*

CodePhone Number
TELEPHONE NUMBER (Office)

CodePhone Number
6. PHYSICAL LOCATION (Full Description) OFFICE.*
OWNRENTED
8. REGISTERED OFFICE DETAILS*
9. TYPE OF FACILITY REQUIRED (Specify)*
10. AMOUNT APPLIED FOR (Kshs.)*
( Note: At least 75% of the loan amount must be for purchases from India if Applying for Exim India Line Of Credit)
11. APPLICANT'S CONTRIBUTION TO THE INVESTMENT*
12. REPAYMENT PERIOD REQUIRED. (Years)*
13. PURPOSE FOR THIS REQUEST (Brief Description)*
14. SOURCE OF FUNDS FOR SPONSORS CONTRIBUTION.*
15. DESCRIPTION OF SECURITY.*
16. ACCOUNT HELD WITH OTHER BANKS.
a) NAME OF BANK 1.*
BRANCH.*
ACCOUNT CLASSIFICATION.*
ACCOUNT NO(S)*
SWIFT CODE.*
b) NAME OF BANK 2.*
BRANCH*
ACCOUNT CLASSIFICATION*
ACCOUNT NO (2).*
SWIFT CODE.*

17. DETAILS OF EXISTING FACILITIES FOR COMPANY OR ASSOCIATED COMPANIES.

DECLARATION

I/WE certify that the information given above is true to the best of my knowledge and belief.
NAME.*
DESIGNATION*
NOTE: Appraisal will commence on receipt of all the required documents.

All Correspondence should be addressed to:

The Managing Director,
P.O. BOX 44036, 00100
NAIROBI, GPO.
Telephone: +254 20-2247112; 20-2247142;
CELL:+254728970750
+254733221111
Fax:+254 20-318929
Email: bizcare@idbkenya.com
Website: www.idbkenya.com
Office Address:
18th Floor, National Bank Building,
Harambee Avenue,
NAIROBI.
Should be Empty: