Stima Investment Co-operative Society Limited. P.O Box 75629, 00200 NAIROBI.

Mobile: 0713 - 905195/0731 - 298917 Email: stimainvestment@stima-sacco.com JUJA LAND APPLICATION FORM This form should be completed in block letters PART "A" 1. Full name. 2. Nationality...Date of Birth..... ............ 3. Staff Number...Member Number.. 4. Identity Card Number. PIN No.. 5. Present Station ... Home Address................................ 6. Mobile No.. 8. Email: 7. Name of Kin/Nominee I/D NoDate of Birth..Relationship .. PART "B" I wish to apply for purchase of _______ (No. of Plots) located at JUJA @ Kshs 595,000.00 amounting to Kshs______________________ payable through the following ways:a) Cash/Bank Cheque/Money order for Kshs. b) Others ......................................... NB 1. I undertake to abide by the By-laws of the Society and any Rules made thereby. 2. You can apply Stima Sacco loans in their given terms. 3. You are required to pay 25% as commitment fee and Kshs1, 000.00 for the selected piece(s) of land while returning this form to the following Bank Accounts: a. Stima Investment Land A/c 5-02-09277-01 Stima SACCO FOSA b. Stima Investment Co-operative Account A/c 011 2007 088 9200 Stima Plaza Branch 4. The payment should be received by 24th August 2013 and the balance after 60 days. 5. The society will allocate plots on the basis of full payment on a first come first served basis. 6. You must provide a copy of Id, Pin number, and three passport size photos when booking. 7. Always ensure your deposit slip is received by the office and receipt issued 8. Stima Sacco members& public members to pay 10% and 20% more respectively. 9. That the purchase price is inclusive of the following services: Title processing fee & Surveying cost Murram road Barbed wire fencing. SignedDated.