QIVULI SALES – REPAYMENT FORM – Ummah Initiative Group

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QIVULI SALES – SAVINGS – LOAN REPAYMENT FORM

Loan Repayment Form

Date*
Full Names*
ID Number*
Name of Organization/Enterprise/Institution/Club*
County*
Sub County*
Ward*
Organizational/Enterprise/Institution/Club Business Title*
Select type of payment*
- Sales
- Savings
- Loan Repayment
Select Frequency*
- Daily
- Weekly
- Bi Weekly
- Monthly

Amount*

Sales	Savings	Loan Repayment	TOTAL

Previous Total Sales*
Current Total Sales*
Previous Savings Total*
Current Savings Total*
Previous Loan Balance*
Current Loan Balance*
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