Njiwa Capital

Loan Application Form

Complete all sections below. Ensure all details match your official identification documents.

Section 1

Borrower Information

Full Name *

M-Pesa Number * Registered Safaricom M-Pesa line

National ID Number *

Place of Residence *

Loan Amount Requested (KES) * Exact amount you are requesting

Purpose of Loan *

Upload Borrower's National ID *

Click to upload or drag & drop

Front and back of ID — JPG, PNG or PDF, max 5MB each

Section 2

Guarantor Information

Guarantor Full Name *

Guarantor M-Pesa Number *

Guarantor National ID *

Place of Residence *

Relationship to Borrower *

Upload Guarantor's National ID *

Click to upload or drag & drop

Front and back of guarantor's ID — JPG, PNG or PDF, max 5MB each

Section 3

Declaration & Signature

I, the borrower named above, hereby declare that all information provided is true, accurate and complete. I have read, understood and agree to the terms and conditions of this loan, including the repayment schedule, applicable interest rates, late payment penalties, and default procedures. I consent to my personal information being used for credit assessment and communication purposes. I understand that providing false information may result in immediate cancellation and legal liability.

I confirm that I have read and fully understood the terms and conditions and voluntarily agree to be bound by them. *

Borrower Signature *

Draw your signature using mouse or finger

Your digital signature confirms consent to the above declaration.

Your information is encrypted and kept strictly confidential

Loan Application Form

Click to upload or drag & drop

Click to upload or drag & drop

Application Submitted