To submit the form, first ensure all fields are completed accurately. You can send the completed form via email to submissions@centralbank.go.ke or fax it to 020-123-4567. Alternatively, you may submit a physical copy to the Central Bank of Kenya office located at Haile Selassie Avenue, Nairobi. For advice, it’s recommended to consult the regulatory body for any updates or additional requirements.

Important dates for submission may vary annually based on regulatory updates. Ensure to check the Central Bank of Kenya for any deadlines. Typically, submissions should be completed by the end of Q1 each year for timely processing.

The purpose of this form is to enable institutions to apply for a license to operate as a deposit-taking entity in Kenya. It captures essential data including institutional history, shareholding, and officer details critical for regulatory compliance. By submitting this form, institutions can seek approval from the Central Bank, ensuring they adhere to the necessary guidelines and standards for financial operations.

• 1. Type of Business applied for: Specify whether it's community or nationwide deposit-taking.
• 2. Name of Institution: Enter the full legal name of the institution.
• 3. Situation of Registered Office: Provide the location details for the registered office.
• 4. Physical Address of Head Office: Input the LR number, street, and building address.
• 5. Postal Address and Postal Code: Include the postal address and code for communication.
• 6. Telephone No: List the contact telephone number of the institution.
• 7. P.I.N. No: Enter the Personal Identification Number of the institution.
• 8. Date of incorporation and certificate no: Provide the date of incorporation and its certificate number.
• 9. Names of places of business: Indicate other locations where the business is operational.
• 10. Details of core and total capital: Present nominal and paid-up values of the capital.
• 11. Particulars of Shareholding: Submit details of shareholders including nationality and amount.
• 12. Particulars of Officers: Provide details of the current and former officers.
• 13. Names of Bankers: List the bankers with addresses.
• 14. Authority from supervisory body: State if any authority has been held or revoked.
• 15. Previous Receivership: Indicate any history of receivership or arrangements.
• 16. Government investigation: Declare if under any investigation by regulatory bodies.
• 17. Litigation involvement: Specify any current or expected litigation.
• 18. Business relationship with officers: Detail any business relationships involving officers.

Failure to submit this form on time may result in delays in obtaining the necessary license to operate. Institutions may face consequences such as fines or being barred from conducting deposit-taking operations. Timely and complete submission is crucial to avoid such issues.

• License Processing Delays: Delays can lead to operational bottlenecks and increased costs.
• Regulatory Fines: Increased scrutiny and potential fines for non-compliance.
• Operational Barriers: Failure to submit may prevent institution from legally operating.

• 1. Starting a Deposit-Taking Business: Essential for entrepreneurs who want to begin operations.
• 2. Expanding Existing Services: Current institutions looking to broaden their services.
• 3. Regulatory Compliance: To meet the requirements set by the Central Bank.
• 4. Establishing Credibility: Build trust with stakeholders through proper licensing.
• 5. Legal Operations: Ensure that the institution operates within the law.