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Private Hospital Loan Form
Hospital Name * Hospital Location * Years in Operation * Average Monthly Gross Income * Average Monthly Net Income * Contact Person Firstname * Contact Person Middlename * Contact Person Lastname * Contact Person Phone * Email * Desired Loan Amount * Loan Purpose * Bank Name * Bank Account Number * Bank Branch *
Documents to be uploaded
  • 6 Months Bank Statement
  • 6 Months M-Pesa Statement (If using Till or Paybill for income collection)

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