SCHOOL FEES LOAN APPLICATION FORM

SCHOOL FEES

LOAN APPLICATION FORM
Parent's / Guardian's Details
Parent Name*

First NameMiddle NameLast Name
Phone Number*
Nationality*
Kenyan ID Number*
Passport Number
KRA Tax PIN*
If foreigner TIN/SSN
How many students are you making this application for ?*
Parent Date of Birth*

MonthDayYear
Parent Email Address*
example@example.com
Parent Residential Address*
Parent Postal Address
YesNo
What is your primary financial institution?*
This should be the bank where your receive your salary or business proceeds
If Other, Provide the name of the Financial Institution
Provide your DTB Bank Account Number
Select the DTB branch nearest to you*
Please attach the latest 6-month Account Statement from your Primary Bank Account

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SCHOOL FEES

LOAN APPLICATION FORM
Source of income
Employment Status*
Business Type
Name of Employer / Business*
Nature of Business
Designation*
Employer / Business Physical Address
Monthly Income*
3 Months' Pay Slip*

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School/ Institution Details
Student details 1
Name of school*
School Telephone No.*
School Physical Address*
School Email Address*
example@example.com
School Bank Name*
Select the school bank name
School Bank Account Number*
Input School Bank Account Number
Student Name *
Admission Number*
Grade/Class/Level*
School Fee Amount*
Fee structure/Invoice*

Please attach a Fee structure/Invoice
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Student details 2
Name of School*
School Telephone No.*
School Physical Address*
School Email Address*
example@example.com
School Bank Name
Select the school bank name
School Bank Account Number*
Input School Bank Account Number
Student Name *
Admission Number*
Grade/Class/Level*
School Fee Amount*
Fee structure/Invoice*

Please attach a Fee structure/Invoice
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Student details 3
Name of school*
School Telephone No.*
School Physical Address*
School Email Address*
example@example.com
School Bank Name
Select the school bank name
School Bank Account Number*
Input School Bank Account Number
Student Name *
Admission Number*
Grade/Class/Level*
School Fee Amount*
Fee structure/Invoice*

Please attach a Fee structure/Invoice
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Student details 4
Name of school*
School Telephone No.*
School Physical Address*
School Email Address*
example@example.com
School Bank Name
Select the school bank name
School Bank Account Number*
Input School Bank Account Number
Student Name *
Admission Number*
Grade/Class/Level*
School Fee Amount*
Fee structure/Invoice*

Please attach a Fee structure/Invoice
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Student details 5
Name of school*
School Telephone No.*
School Physical Address*
School Email Address*
example@example.com
School Bank Name*
Select the school bank name
School Bank Account Number*
Input School Bank Account Number
Student Name *
Admission Number*
Grade/Class/Level*
School Fee Amount*
Fee structure/Invoice*

Please attach a Fee structure/Invoice
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SCHOOL FEES

LOAN APPLICATION FORM
Loan Request Details
Loan Amount Requested*
Repayment Period (Months)*
Note: Applications for Local Curriculum Schools are subject to a maximum of 3 months
Interest Amount
Please note that a minimum interest of Kshs 5,000 shall be collected upfront
Monthly installment
Authority to Debit Account
By execution of this document, I hereby give my authority to debit my KES A/c No account number Branch location* for amount of KES repayment amount* on the * day of every month commencing on Date* up to and including Date towards repayment of my school fee loan.
Document Uploads
Parent/Guardian ID Document - Front / Main Passport Page*

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Parent/Guardian ID Document - Back / Visa Page of Passport*

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Certificate of Registration/Incorporation/CR12*

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Board Resolution*

For Limited Liability Companies
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Guardian/Parent Passport Size Photo*

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Photo of Parent/Guardian's Signature

Take a photo of your signature and upload
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Credit CardSalary AdvanceBusiness LoanAsset FinanceMortgage
Should be Empty:

SCHOOL FEES

Parent's / Guardian's Details

SCHOOL FEES

Source of income

School/ Institution Details

Student details 1

Student details 2

Student details 3

Student details 4

Student details 5

SCHOOL FEES

Loan Request Details

Authority to Debit Account

Document Uploads