Prospective Students | All Students |
Alumni | StaffNo. ___________________ Form No. Fin 001
Note:
Documents to support your request should be attached to the application. For furniture and white goods loan, attach quotes.
1 PERSONAL INFORMATION:
a. Name: g. Net fortnight pay:
b. Position: h. Date of next leave:
c. Date of Employment: i. No. of weeks accrued leave:
d. File number: j. Balance of previous loan:
e. Department: k. Loan amount requested:
f. Contact Phone No.
2 PURPOSE OF THE LOAN:
3 SIGNATURE OF THE APPLICANT: ________________ Date: ____________
4 RECOMMENDATION OF THE EXECUTIVE DEAN/HEAD OF SCHOOL:
The request for a Distress Loan of ______________________ Kinas
(K__________) is recommended/not recommended
EXECUTIVE DEAN/HEAD OF DIVISION: ______________ Date: ____________
5 DECISION OF AUTHORISING OFFICER:
Approved payment of a Distress Loan of _________________ Kinas (K_______)
________________________________ Date: ____________
Vice Chancellor/Pro Vice Chancellor
Registrar/Bursar* (*Delete words not applicable)
6 ACCOUNTS OFFICE USE ONLY:
a. Pay Mr/Ms ________________________________ K _______________
b. Recovery details:
Amount of Distress/Furniture Loan K _______________________
Administration charge 5% of the loan K _______________________
TOTAL K _______________________
Number of fortnightly instalments
(maximum of 6 fortnights) ______________________
Amount for each instalment K _______________________
Start date: Pay period ending _______________________
Date: __________________ _______________________
Accountant
