Salary Loan Application

Monthly check-off may not exceed 60% of your net pay. A standing order must be signed.

Salary loan agreement

The loan agreement setting out your repayment terms and obligations. Read, complete and sign it, then submit it with your application.

Download (PDF)

Employer's undertaking form

Your employer signs this undertaking to deduct and remit your monthly instalments. Have it completed and stamped, then submit it with your application.

Download (PDF)

Applicant details

Full name

National ID number

Phone number

We send your application confirmation and updates to this address.

Residential address

Date of birth

Marital status

Guarantors

Guarantor 1 full name

Guarantor 1 phone

Guarantor 1 address

Guarantor 2 full name

Guarantor 2 phone

Guarantor 2 address

Salary Loan details

Employer name

Job title

Date of employment

Payroll / staff number

Bank receiving your salary

Loan request

Amount needed (UGX)

UGX 500,000 – UGX 50,000,000

Repayment period (months)

1 – 6 months

Repayment schedule

Enter a valid amount and repayment period to see your repayment schedule.

Monthly net pay (UGX)

Used to confirm the check-off stays within 60% of your net pay. A standing order must be signed before disbursement.

What will the loan be used for?

Attach your filled and signed form (optional)

Download the agreement above, complete and sign it, then upload a scan or clear photo. PDF, JPG or PNG, up to 10 MB. You can also bring the signed copy to our office.

Attach the employer's signed undertaking (optional)

Download the employer's undertaking form above, have it completed, signed and stamped by your employer, then upload a scan or clear photo. PDF, JPG or PNG, up to 10 MB.

Monthly check-off may not exceed 60% of your net pay. A standing order must be signed.