MWALIMU FORM FOR ADVANCE AGAINST EXPECTED 2021 INTEREST REBATE

ADVANCE AGAINST EXPECTED 2021 INTEREST REBATE

NAME:___________________________________________________________
TSC/PF NO.______________________ MOBILE NO ________________________
ADDRESS:______________________________________________________________
FOSA A/C NO:______________________________
I wish to apply for KShs._____________________ (In words)_________________________________________________________________
_______________________________________ to be recovered from my 2021 Interest Rebate in full.

I hereby give an irrevocable authority to FOSA to recover the above amount in full; plus, interest from the final Dividends declared by ADM 2022.

NOTE:
1. Between 1st October, 2021 to 31st December, 2021 advance facility will be 50% of expected rebate at an interest rate of 7.5%
2. From 1st January, 2022, members can access 75% of the expected rebate at an interest of 5%.

The qualifying amount will be based on 50% of the deposits balance as at 31st August, 2021 for Interest Rebate payable between October, 2021 to December, 2021.

Interest Rebate from January, 2022 to ADM date will be 75% using deposits balance as at 30th November, 2021 on a month-on-month basis.

MEMBER’S NAME:________________________________________________ SIGN:__________________________ DATE:_____________________

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FOR OFFICIAL USE ONLY

Amount Approved / Posted: KShs.__________________________________________________________________

Not approved:

Defaulter: FOSA Advance; Sacco Loan; Business Loan.
Name:___________________________________________________Sign:__________Date:_____________________

Approved By: Name:______________________________________________ Sign:____________________________ Date:_____________________

I hereby on execution of this form as an applicant explicitly and unambiguously consents to the collection, use and transfer, in electronic or other form, of my personal data as described in this document by the Sacco for the purposes of assessing and processing of this loan application and analysis whether in electronic or other form.

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