HAVEN GRAZURI ADVANCE

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REGISTRATION FORM

Your bridge to success

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PERSONAL INFORMATION

BUSINESS ADDRESS

BUSINESS INFORMATION

CAPITAL INVESTED

EXPECTED TURNOVER

DOCUMENT UPLOADS

Upload front and back of ID (PDF, JPG, PNG)

Upload a clear selfie photo (JPG, PNG)

Upload recent utility bill (PDF, JPG, PNG)

Upload recent bank statement (PDF, JPG, PNG)

Upload vehicle logbook (PDF, JPG, PNG)

Upload title deed (PDF, JPG, PNG)

Upload any other relevant documents (PDF, JPG, PNG)

SIGNATURE

Upload your signature image (JPG, PNG)

PROCESSING FEE

💳

Processing Fee Payment

A processing fee is charged upfront before a loan is disbursed. Record the amount below and use the M-Pesa STK Push button to prompt the borrower to pay directly from their phone.

Amount collected before loan disbursement

📱 Request Payment via M-Pesa STK Push

Enter the borrower's M-Pesa phone number and the processing fee amount, then click Send STK Push to prompt them to pay directly on their phone. The phone number will be pre-filled from the Personal Information section if provided.

DECLARATION

I/We confirm that:

  • A) The information we have provided herein and the disclosure made are true
  • B) We have received, read, and understood the general terms and conditions of HAVEN GRAZURI VESTMENT LIMITEDKenya Limited and undertake to comply, observe, and be bound by the same.

GUARANTORS

Guarantor 1

Guarantor 2

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