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Co. ke Website http //www. helb. co. ke ENQUIRY FORM EF 1 1. NATURE OF ENQUIRY Choose appropriately i Want to start repaying loan iii Refund due to over deductions ii Loan balance statement iv Refund due to erroneous deduction Not a loanee 2. 18th Floor Anniversary Towers University Way P. O. Box 69489 00400 Nairobi. Tel 254 02 251877 246590-1 226080 226205 249268 Fax 254 02 252330 E-mail helb helb. CLIENT DETAILS Please note that the highlighted parts are MANDATORY CURRENT NAMES IN FULL NAMES AS AT UNIVERSITY NATIONAL ID no. PIN NUMBER UNIVERSITY REG no. UNIVERSITY ATTENDED DEGREE/DIPLOMA COURSE/FACULTY YEAR OF ENTRY TO UNIVERSITY v Clearance Certificate CURRENT ADDRESS TOWN POSTAL CODE TELE PHONE CELL PHONE EMAIL YEAR OF COMPLETION Please indicate where applicable 1. CHANGED UNIVERSITY/COLLEGE 2. DEFERRED STUDIES 3. REPEATED YEAR S DURING MY STUDY 3. EMPLOYMENT DETAILS CURRENT EMPLOYER EMPLOYEMENT No* ADDRESS/POSTAL CODE FAX 4. TO BE COMPLETED BY T. S*C EMPLOYEES PROVINCE DEPARTMENT 5. LOAN REPAYMENT HISTORY Please indicate repayment period NAME OF EMPLOYER PAYROLL NUMBER MONTHLY INSTALLMENT AMOUNT From PERIOD To 6. BANK DETAILS For refund cases only BANK NAME ACCOUNT NAME Signature BRANCH Date PLEASE NOTE THAT REFUNDS ARE PAID THROUGH ELECTRONIC FUND TRANSFER TO BANKS RECOGNISED BY THE KENYA BANKERS ASSOCIATION. CLIENT DETAILS Please note that the highlighted parts are MANDATORY CURRENT NAMES IN FULL NAMES AS AT UNIVERSITY NATIONAL ID no. PIN NUMBER UNIVERSITY REG no. UNIVERSITY ATTENDED DEGREE/DIPLOMA COURSE/FACULTY YEAR OF ENTRY TO UNIVERSITY v Clearance Certificate CURRENT ADDRESS TOWN POSTAL CODE TELE PHONE CELL PHONE EMAIL YEAR OF COMPLETION Please indicate where applicable 1. PIN NUMBER UNIVERSITY REG no. UNIVERSITY ATTENDED DEGREE/DIPLOMA COURSE/FACULTY YEAR OF ENTRY TO UNIVERSITY v Clearance Certificate CURRENT ADDRESS TOWN POSTAL CODE TELE PHONE CELL PHONE EMAIL YEAR OF COMPLETION Please indicate where applicable 1. CHANGED UNIVERSITY/COLLEGE 2. DEFERRED STUDIES 3. REPEATED YEAR S DURING MY STUDY 3. EMPLOYMENT DETAILS CURRENT EMPLOYER EMPLOYEMENT No* ADDRESS/POSTAL CODE FAX 4. CHANGED UNIVERSITY/COLLEGE 2. DEFERRED STUDIES 3. REPEATED YEAR S DURING MY STUDY 3. EMPLOYMENT DETAILS CURRENT EMPLOYER EMPLOYEMENT No* ADDRESS/POSTAL CODE FAX 4. TO BE COMPLETED BY T. S*C EMPLOYEES PROVINCE DEPARTMENT 5. LOAN REPAYMENT HISTORY Please indicate repayment period NAME OF EMPLOYER PAYROLL NUMBER MONTHLY INSTALLMENT AMOUNT From PERIOD To 6. TO BE COMPLETED BY T. S*C EMPLOYEES PROVINCE DEPARTMENT 5. LOAN REPAYMENT HISTORY Please indicate repayment period NAME OF EMPLOYER PAYROLL NUMBER MONTHLY INSTALLMENT AMOUNT From PERIOD To 6. BANK DETAILS For refund cases only BANK NAME ACCOUNT NAME Signature BRANCH Date PLEASE NOTE THAT REFUNDS ARE PAID THROUGH ELECTRONIC FUND TRANSFER TO BANKS RECOGNISED BY THE KENYA BANKERS ASSOCIATION. CLIENT DETAILS Please note that the highlighted parts are MANDATORY CURRENT NAMES IN FULL NAMES AS AT UNIVERSITY NATIONAL ID no. PIN NUMBER UNIVERSITY REG no. UNIVERSITY ATTENDED DEGREE/DIPLOMA COURSE/FACULTY YEAR OF ENTRY TO UNIVERSITY v Clearance Certificate CURRENT ADDRESS TOWN POSTAL CODE TELE PHONE CELL PHONE EMAIL YEAR OF COMPLETION Please indicate where applicable 1. CHANGED UNIVERSITY/COLLEGE 2. DEFERRED STUDIES 3. REPEATED YEAR S DURING MY STUDY 3. EMPLOYMENT DETAILS CURRENT EMPLOYER EMPLOYEMENT No* ADDRESS/POSTAL CODE FAX 4.

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