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Please fill out the form below. All fields marked with * are required.
RSA PIN *
Pension Fund Administrator *
Title * Choose... Mr Mrs Miss
Surname *
First Name *
Other Names
Sex * Choose... Male Female
Date of Birth *
Email *
Mobile Telephone number *
Other Phone number
Residential Address *
Last Employer Name *
National Identification Number *
Type of mortgage * Choose... New Refinance
Full name of the Mortgage Lender *
Address of the Mortgage Lender *
Name of the property *
Address of the property *
Type of Property *
Total value of property *
Total value of RSA balance as at date of applying for RSA Statement *
Equity amount *
Please download the consent letter, fill it, and upload it along with the other required documents.
Download Consent Letter
Filled PFA Application Forms *
Consent Letter *
Employment Letter *
Letter of Introduction from Employer *
Recent Utility Bill *
Valid Means of Identification *
3 Years PFA Statement *
Passport Photograph *
Birth Certificate *
Name of the spouse
RSA PIN of spouse
Name of the spouse’s PFA
The amount of equity payable by each party
Evidence of Marriage
Submit Application