Agreement no.SPECIMEN
Date—
Loan Agreement
Made under the laws of Zambia between the parties named below.
1. The parties
The Lender
Vivica Suppliers trading as Vivica Loans
Registered business name No. 320210017982
TPIN 1011581746
Registered office: Plot No. 218, Kuomboka, Lusaka Province
Trading office: House No. 27, Bupinguli, Kamwala South, Lusaka
+260 973 952 990 · info@vivicaloans.com
The Borrower
Full name
NRC number
Address
Phone
Employer
2. Loan particulars
3. Repayment schedule
This schedule forms part of the agreement and is issued to the borrower with it.
4. Terms and conditions
Clauses to be inserted.
The operative terms — repayment obligation, payroll deduction authority, late
payment, default and recovery, early settlement, extension, governing law — have
not been drafted or approved. See the Terms & Conditions
page for the structure they must follow. No wording has been invented for this specimen.
5. Declarations
- The Borrower confirms the information given in the application is true and complete.
- The Borrower has read the repayment schedule above and understands the total amount repayable.
- The Borrower consents to verification of employment and income as set out in the verification consent.
- Further declarations to be added on legal approval.
6. Signatures
BorrowerName, signature and date
WitnessName, signature and date
For Vivica SuppliersAuthorised officer and date