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First name
Last name
info
Please note that your ID number will be used to unlock your Mpesa statements used for analysis of your application
ID Number
+254
Phone number
Email
+254
Alternative Phone Number (optional)
Occupation Type (This facility is only applicable to employed people for now)
Salaried Employee
Employer name
Employment start date
Net salary
Avg monthly expenses
Salary Payment Method
Cash
M-Pesa
Bank Account
Business name
Is your business registered?
Yes
No
Business incorporation type
Sole Proprietorship
Partnership
Company
Business start date
Gross Business Income (Last Month)
Total Business Expenses (Last Month)
Total Personal Expenses (Last Month)
How much did you take home? (Last Month)
Do you have any outstanding loans?
Yes
No
KES
Monthly loan obligations
Have you generated your MPESA statements before?
Yes
No
info
If you have ever received your Mpesa statements from Safaricom through email, select yes.
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