Application Form

Business/ Employment
Do you own a business or Are you employed
- Business Owner
- Employed
Have you borrowed from KCI before?
- YES
- NO
If YES. What was the highest loan amount you borrowed?
What was the last loan amount you borrowed?
How many times have you borrowed?
Required Loan Amount
Loan Purpose
Repayment Period
Occupation
Salary/ Income
If YES. What was the highest loan amount you borrowed?
What was the last loan amount you borrowed?
How many times have you borrowed?
Required Loan Amount
Loan Purpose
Gross Sales
How many Years or Months have you been in Business?
Where do you operate from?
e.g. "Chivhu, paFlea Market yeparank," "Gokwe Bus Terminus

Security
Loan Security and Guarantor Status
Applicant's Security Pledge
Security in the form of movable property e.g. T.V, Car,
Name of Guarantor
First Last
Age
Gender
- Male
- Female
Address
Street Address City Country
Phone
Occupation
Salary
Guarantor's Security Pledge
Security in the form of movable property e.g. T.V, Car,
Guarantor Relationship to Applicant
Guarantor ID
Copy of Guarantor's ID
Accepted file types: jpg, png, pdf, doc, docx.
Please attach the following; Guarantor's National ID

Credit Assessment
Enter relevant credit details below to be used for credit evaluation.
Referees and Declaration
State 2 contactable non-family members who have known you for at least the last two years.
First Referee
First Name Surname
Occupation
Relation to Applicant
Address
Address City
Phone Number
Second Referee
First Name Surname
Occupation
Relation to Applicant
Address
Address City
Phone Number
Declaration
I confirm that neither I nor my partner(s) have ever been declared insolvent and that the above information is true and correct. I herewith give KCI Microfinance permission to conduct a credit history check as well as any other enquiries they may deem necessary to process this application.
Confirm that the information provided above is true and correct.*
- Agree
- Disagree
Date of Application
State where application is being made from.
Specify city or town where you are making application from.
Additional Documents*
Drop files here or

Accepted file types: jpg, png, jpeg, pdf, docx.
Please attach the following: Copy of Applicant's ID, Copy of Most Recent Payslip or Proof of Income

Specify if you are applying for the first time applicant or if you have worked with KCI in the past.