Printed by Kalamazoo 754441-3

BANK LIMITED
APPLICATION FOR A HOME LOAN
(REGISTERED
(REGISTERED COMMERCIAL
COMMERCIAL BANK)
BANK)

BRANCH.....................................................................
ESTATE AGENT........................................................
VETTING OFFICER.................................................
DATE............................................................................

SECTION 1 (Personal details)

BORROWER CO-BORROWER

1. SURNAME/ COMPANY NAME .......................................................... ......................................................................

TITLE (MR/MRS/REV etc) .......................................................... ......................................................................

2. FIRST NAME (S) .......................................................... ......................................................................

3. DATE OF BIRTH .......................................................... ......................................................................
4. NATIONALITY .......................................................... ......................................................................
5. I.D. NUMBER (S) .......................................................... ......................................................................
6. ARE YOU A PERMANENT Yes No Yes No
RESIDENT OF ZIMBABWE?
7. TOTAL NUMBER OF DEPENDANTS INCLUDING SPOUSE
8. MARITAL STATUS .......................................................... ......................................................................
9. CURRENT RESIDENTIAL .......................................................... ......................................................................
ADDRESS .......................................................... ......................................................................
.......................................................... ......................................................................
10. POSTAL ADDRESS .......................................................... ......................................................................
.......................................................... ......................................................................
11. POSTAL ADDRESS (FUTURE) .......................................................... ......................................................................
(If your address will change in .......................................................... ......................................................................
the next few months) .......................................................... ......................................................................

12. (i) TELEPHONE NUMBER (S) Work:.............................................. Work: ...........................................................

Home:.............................................. Home: ...........................................................
(ii) CELLPHONE NUMBER (S) .......................................................... ......................................................................

13. OCCUPATION/LINE OF .......................................................... ......................................................................

BUSINESS

14. DIRECTORS (If Borrower Is A Company)

FULL NAMES DATE OF BIRTH I.D. NO TELEPHONE

(i) ............................................................... ............................... ............................. ......................................

(ii) ............................................................... ............................... ............................. ......................................
(iii) ............................................................... ............................... ............................. ......................................
(iv) ............................................................... ............................... ............................. ......................................

N.B. Please attach certified copy of Certificate of Incorporation and Memorandum and Articles of Association.

SECTION 2 (Employment and financial details)

BORROWER CO-BORROWER

1. CURRENT EMPLOYER .......................................................... ..................................................................................

From .......................................................... ..................................................................................

To .......................................................... ..................................................................................
2. GIVE DETAILS OF PREVIOUS EMPLOYERS IF CURRENT SERVICE IS LESS THAN 3 YEARS

(i) Name .................................................... ..........................................................................

From .................................................... ..........................................................................
To .................................................... ..........................................................................

(ii) Name .................................................... ..........................................................................

From .................................................... ..........................................................................
To .................................................... ..........................................................................

3. IF BORROWER IS MARRIED AND SPOUSE IS NOT CO-BORROWER

(i) Full Name(s) of Spouse ...........................................................................................................................................

(ii) Date of Birth ...........................................................................................................................................
(iii) Occupation ...........................................................................................................................................
(iv) Employer ...........................................................................................................................................
(v) Telephone Number ...........................................................................................................................................
(vi) Annual Gross Income $.........................................................................................................................................

4. DETAILS OF POLICIES

(i) The Society may require the cession of a life assurance policy, or participation in an approved mortgage
protection scheme in connection with this loan.

(ii) Details of policies which you are prepared to cede to the Society.

POLICY NUMBER SUM ASSURED ASSURANCE COMPANY

(a) ........................................... ....................................... ...............................................................................

(b) ........................................... ....................................... ...............................................................................
(c) ........................................... ....................................... ...............................................................................
(d) ........................................... ....................................... ...............................................................................

5. HAVE YOU (YOUR SPOUSE OR CO-BORROWER) EVER BEEN DECLARED INSOLVENT OR ASSIGNED YOUR
ESTATE OR REACHED A COMPROMISE WITH YOUR CREDITORS? Yes No

IF Yes, give details ..................................................................................................................................................................

..................................................................................................................................................................

If any party to this agreement is a rehabilitated insolvent; please produce the certificate of rehabilitation.

6. GIVE PARTICULARS OF ANY CIVIL JUDGEMENT OR WRIT OF EXECUTION GIVEN WITHIN THE PAST FIVE
YEARS AGAINST YOU.
.......................................................................................................................................................................................................
.......................................................................................................................................................................................................

7. GIVE DETAILS OF ANY OTHER FINANCIAL COMMITMENTS e.g. Hire Purchases, Bank loans etc.
.......................................................................................................................................................................................................
.......................................................................................................................................................................................................

8. BANKERS:

(i). BORROWER : NAME & BRANCH ACCOUNT NO.

(a) ..................................................................... .................................................................

(b) ..................................................................... .................................................................
(c) ..................................................................... .................................................................

(ii). CO-BORROWER : NAME & BRANCH ACCOUNT NO.

(a) ..................................................................... .................................................................

(b) ..................................................................... .................................................................

2
9. DECLARATION OF INCOME

(i) In support of your income declaration you should attach the following:

- Salary advice slip and/or

- Letter from employer confirming your salary.

(ii) If you are a company or self employed, you should attach copies of audited financial statements for the last two 2 years in
addition to completing this part.

(iii) INCOME DETAILS: BORROWER CO-BORROWER

$ $
Present Annual Salary .................................................... .....................................................
Annual Bonus .................................................... .....................................................
Other Income .................................................... .....................................................
TOTAL

SECTION 3 (Loan details)

1. Purchase Price $...................................................
2. Cash deposit available from own resources $...................................................
3. Amount of loan required $...................................................
4. Repayment period required ............................................Years

5. Purpose for which loan is required (purchase, building, property improvements etc)
....................................................................................................................................................................................................................
....................................................................................................................................................................................................................

SECTION 4 (Property details)

1. Exact location of the property to be mortgaged:
Stand number and township........................................................................................................................................................................
Street Address.............................................................................................................................................................................................
Town / City ...............................................................................................................................................................................................

2. (i) Nature of premises(private dwelling house, flats, shops, business premises, etc)
........ ...........................................................................................................................................................................................

(ii) Will you occupy the whole or part of the premises?..................................................................................................................

(iv) If the property is let or to be let, give details of tenancies..........................................................................................................
........ ...........................................................................................................................................................................................

3. State if freehold or leasehold.....................................................................................................................................................................

4. (i) Area of land................................................................................................................................................................................
(ii) No of storeys..............................................................................................................................................................................
(iii) Number and description of rooms...............................................................................................................................................
(iv) Construction of walls (Bricks, Blocks, etc).................................................................................................................................
(v) Construction of roofs(Tiles, Asbestos, IBR, Thatch)..................................................................................................................
(vi) Are roads made up and tarred Yes No

5. Name and address of present owner............................................................................................................................................................

........ ...............................................................................Telephone Number............................................................................................
6. In whose possession are the title deeds?......................................................................................................................................................
7. Name of Attorneys passing transfer............................................................................................................................................................
8. What other property do you own in Zimbabwe?........................................................................................................................................

3
SECTION 5 (Existing property details)
NOTE: This section is to be completed if the premises are complete and ready for occupation,
In all other cases Section 6 should be completed.

1. Has an Occupation Certificate been granted?..............................................................................................................................................

2. Is the property insured?.....................................Company.............................................................................................................................
3. Do you intend to make any structural alterations or additions to the premises?...........................................................................................

4. Services: (i) Sewerage : Mains Septic tank

(ii) Water : Mains Borehole

(iii) Electricity : Mains Other

5. State how Society’s Valuer may obtain access............................................................................................................................................

(Provide sketch diagram of property location)

SECTION 6 (Premises to be built or incomplete at time of application)

1. (a) Cost of Land $................................ (B) Fees: Architect $.........................................

(c) Construction price/estimated cost of building $............................... (d) Quantity Surveyor $.........................................
TOTAL (a + b + c + d) $

2. Advance required on completion or as building progresses

3. Are plans passed by local authority?.............................................................................................................................................................

4. Name of Architect/Engineer..........................................................................................................................................................................
5. Name of Architect/Engineer supervising construction.................................................................................................................................
6. What stage, if any, has been reached in construction?.................................................................................................................................
7. Name and address of registered Builder or Contractor.................................................................................................................................

N.B. Please attach full quotations plus a copy of the Approved Plans.

SECTION 7 (Additional information)

1. (i) Do you have immediate cash resources for transfer fees, bond registration fees and Valuation fees? Yes No

(ii) How Much? $...................................................................

2. DETAILS OF CURRENT INVESTMENTS WITH THE SOCIETY

TYPE OF INVESTMENT AMOUNT A/C NUMBER

(a) ................................................. $............................................ ......................................

(b) ................................................. $............................................ ......................................
(c) ................................................. $............................................ ......................................

(i) DETAILS OF PERSONAL REFERENCES (excluding employers and Bankers)

NAME POSITION ADDRESS TEL NO.

(a) ...................................... ......................... ........................................................ ......................................

(b) ...................................... ......................... ........................................................ ......................................
(c) ...................................... ......................... ........................................................ ......................................
(d) ...................................... ......................... ........................................................ ......................................

4
4. If this loan is being supported by a guarantee the guarantor should indicate his/her willingness to
act by giving the following details:-

(a) Full Names....................................................................................................................................................................................

(b) Residential Address.......................................................................................................................................................................
(c) Postal Address...............................................................................................................................................................................
(d) I.D Number....................................................................................................................................................................................
(e) Telephone.......................................................................................................................................................................................
(f) Signature.........................................................................................................................................................................................

SECTION 8 (Declaration)

1. I/We shall, within fourteen days from granting of this loan, place the Society in a position to proceed with the registration of a
first/additional mortgage bond over the property offered by me/us as security by delivery of the necessary title deeds (which shall be
subject to the approval of the Society’s attorneys, failing which, or for any other reason whatsoever, the Society shall be entitled to
withdraw the loan).

2 I/We confirm it is clearly understood that the report on the property by the Society’s Valuer is confidential to the Society, is intended
solely for the information of the directors in determining what loan, if any, may be made on the security and that no responsibility is
implied or accepted by the Society for either the value or condition of the property by reason of such inspection and report.

3. I am/We are aware that the Society will insure the property in terms of the mortgage bond against such risk, for such amount and with such
insurance company as the directors shall from time to time determine.

4. In the event of any loan being granted and accepted by me/us, I/We agree to be bound by the rules of the society and undertake to sign all
such documents as may be required to secure the Society and to pay all costs in connection therewith including costs of inspection.

5. I/We acknowledge liability for the administration fees and wasted costs incurred by the Society or its attorneys in the event of my/our
withdrawing from the loan granted.
6. It is understood that neither approval of the application, nor the making of a loan, nor the valuation of any property or building by the
Society’s representative shall be construed as a warranty on the part of the Society as to the value of such property or building.

7. I/We have no knowledge of white ants, borers, beetles, dry rot, decay, latent or patent defects, etc., in any building on the properties
concerned.

8. I/We declare the foregoing statements and particulars to be true and the same shall form the basis of any arrangements for a loan (if any)
made to me/us by the Society.

DATE................................................. SIGNATURE(S)....................................................... .....

.........................................................