FOSA INSTANT CREDIT APPLICATION FORM

*For Official Use Only

RECEIVED BY: NAME SIGN DATE

Member details
TSC/PF NO MEMBERSHIP NO MOBILE

PART I: INSTRUCTIONS
1.1 One must be an active member of the Back Office Service 1.5 The due date for interest calculation is 1 of every month.
Activity (BOSA) whose salary/S.A.Y.E/Pension is passing 1.6 The credit shall be paid direct to the FOSA account.
through his/ her FOSA Account. 1.7 The net salary/S.A.Y.E/ Pension must be sufficient to
1.2 The credit must be guaranteed by at least four members of cover monthly credit repayment together with
t the society whose salary / S . A. Y. E / Pension interest.
is passing through their FOSA account. 1.8 Irregular and under servicing of credit facility may lead to
attachment of guarantors of the facility for
1.3 The rate of interest shall be the one prevailing, charged
recovery.
monthly on reducing balance basis.
1.9 All other terms and conditions remain as per the current
1.4 The cut-off date of recovery is the 10 of every month. FOSA credit policy
“Applicant must read the following requirements and instructions before completing this form”
PART 2:- TO BE COMPLETED BY THE APPLICANT.
Please attach current pay slip and copy of ID card
2.1 Names (in fully)......................................................................................... Email: ................................................................................
2.2 I.D No.: ................................................ TSC No. : ......................................... Mobile No.: ...................................................................
2.3 Current Address: ................................................................... Code: .....................................................................................................
2.4 FOSA Account No.: ................................................................. Branch: ...............................................................................................
2.5 School/ institution: .....................................................County /Dept.: ............................................................................................
2.6 Employer: ......................................................... Address: ........................ Code: ...................... Tel No: .........................................
2.7 Terms of employment: Probation Permanent Contract Retired Others (specify)
..............................................................................................................................................................................................................................................
2.8 Amount of advanced applied Kshs.................................................. In words: ............................................................................
................................................................................................................................................................................................................................
Please tick the appropriate box below for credit type and repayment period. Specify if less than period
indicated.............................................................................................................................................................................................
2.9 Type of advance and period
Two-year advance, 24 Months One-year advance, 12 Months
2.10 Purpose of advance credit.
Emergency School fees Business funding Debt clearance Holiday
Farming Others (specify) .......................................................................................................................................................
2.11 I declare that the foregoing particulars are true to the best of my knowledge and belief and
agree to abide by the terms and conditions of the credit.
I hereby authorize the necessary deductions to be made from my salary/S.A.Y.E/Pension for the
repayment of credit as approved.

Copyright © Mwalimu National LTD | Revised January 2025

 2.12 I also consent to be referenced upon this application in the Credit Reference Bureau (CRB) and be
listed in the same in case of default. In the event of defaulted loans, my contact information, and
my defaulted loan details, may be shared with my guarantors, employers, debt collectors,
auctioneers, and our legal service providers. This sharing of information is necessary for the
purpose of facilitating debt recovery and ensuring the proper handling of defaulted loans.

Official Signature........................................................................................... Date ....................................................................................

PART 3:- TO BE COMPLETED BY GUARANTORS.
3.1 Amount of credit guaranteed is Kshs............................................... In words ......................................................................................
.........................................................................................................................................................................................................................................................
3.2 In consideration of granting the above credit or lesser amount that may be approved, we the
undersigned accept jointly and severally liability of its repayment in the event of the borrower’s default.
3.3 We understand the amount in default may be recovered by an offset against our deposit in the society or
by attachment of our salary/S.A.Y.E /pension/dividends or and any other credit in any account.

NO NAME MOBILE TSC/PF. ID/NO ADDRESS CODE SIGN

NO NO

1
2
3
4

PART 4:- TO BE COMPLETED BY THE APPLICANT WITH AN OUTSTANDING FOSA ADVANCE.

I wish to apply for Kshs. ............................................................................... .……to clear my advance loan to enable me to get
another one immediately.
I hereby give irrevocable authority to FOSA to recover the amount given in full plus interest at the prevailing
bridging advance loans interest rate.
Full name.......................................................................... Signature.......................................................... Date...................................................
PART 5:- FOR OFFICIAL USE ONLY.
a) CREDIT VETTING AND APPRAISAL BY CREDIT OFFICER.
I have checked the particulars on part 2,3 and 4 of this credit application and hereby confirm the same to be
correct/NOT correct.
I confirm that if the member clears the outstanding advance balance of Ksh.............................................................................
He / She can qualify for Kshs...............................................................................................................................................................................
Comments:......................................................................................................................................................................................................................

Full name:.......................................................................................Signature...........................................................Date................................................
b) CREDIT SUPERVISOR.
Amount recommended (Kshs).............................. Mode of recovery .........................Repayment period..........................................
Full name: .............................................................................Signature.....................................................Date................................................................
c) CREDIT EXAMINATION.
I have examined and satisfied myself that this credit has been granted in accordance with the conditions and
rules set by the FOSA credit policy in force.
Full name.........................................................................Signature: ........................................................Date ..................................................
d) CREDIT APPROVAL BY MANAGER.
I have examined the Credit Application in conjunction with the above recommendations and are in agreement
that:-
Credit approved Kshs................................. In words..............................................................................................................................................
Recoverable in..............................................................................................Months was properly processed and approved.
Additional comments..........................................................................................................................................................................................................
Full name .............................................................................Signature........................................................Date..............................................................
e) CREDIT POSTING.
Amount posted................................................................ FOSA Account................................................................................................................
Full name ............................................................................Signature..............................................Date............................................................

ISO 9001:2008 CERTIFIED

Copyright © Mwalimu National LTD | Revised January 2025