Page 1Page 2Page 3ACKNOWLEDGEMENT OF DEBT - 0% INTEREST LOANS1. By completing this section number 1, I (hereinafter called "the debtor"), acknowledge that I am truly and lawfully indebted to Empowered Woman Excel Savings & Co-Operative (EWESACCO) (hereinafter referred to as "the creditor") in the sum of the herein specified loan amount (United States Dollars, hereinafter called "the capital amount"). Debtor's Last Name* Debtor's First Name* Loan Amount (Capital Amount) Debtor's Physical Address Address Line 1* Address Line 2 City*State or Region --Select Country-- Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas, The Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic Of The Cook Islands Costa Rica Cote D'ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia, The Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and the McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iraq Iran Ireland Isle Of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Republic Of Kosovo Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia, The Former Yugoslav Republic Of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States Of Moldova, Republic Of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territories Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and The Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania, United Republic Of Thailand Timor-leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country* Zip Debtor's Phone Number Debtor's Email Address*2. I have an obligation to pay towards 0% Interest Loan from the specified Loan Repayment Start Date to the Loan Repayment End Date specified below Instalment Start Date Instalment End Date3. The debtor agrees to bind herself/himself to the terms and conditions of payment of the capital amount as stipulated in this Acknowledgment without reservation.4. Charges: Administration fees - 5% of the loan amount deducted on disbursement.5. Please provide the purpose of your Loan and the date of the last day of the loan repayment. Purpose of Loan Date When Payment Should Be Made In FullNOTE: The payment must be paid in Pounds cash at Women Excel offices or EWESACCO Account.6. Please provide the required information about your Monthly Instalments in this Section no. 6 fields below Loan Repayment Start Date Loan Repayment End Date Month No. 1: Due Date Instalment Amount Month 2: Due Date Instalment Amount Month 3: Due Date Instalment Amount Month 4: Due Date Instalment Amount Month 5: Due Date Instalment Amount Month 6: Due Date Instalment Amount Month 7: Due Date Instalment Amount Month 8: Due Date Instalment Amount Month 9: Due Date Instalment Amount Month 10: Due Date Instalment Amount7. A Penalty fee of 10% to be charged in loan arrears. First and second letters of demand will be issued, after which a final letter of demand is made. The account will be handed over to lawyers. Legal costs will be levied on the client. 8. ALL PAYMENTS shall be made free of exchange or other deductions at the offices of EWE SACCO (located at: 282 Herbert Chitepo Avenue, Harare) or at such place as the Creditors or its legal counsel may from time to time direct in writing.9. THE DEBTOR hereby renounces all benefits arising from all the legal exceptions in his favour including the exceptions of non-causa debiti, de duobus vel plurib. The creditor may cede, assign, hypothecate, trade with or alienate its interest in this Acknowledgement of Debt without the Debtor’s consentus rein debendi, non numeratae pecunial, no value received, error in calculation, and beneficium ordinis seu excussions, the force and meaning of which the Debtor declares himself to be fully conversant. 10. IN THE EVENT that the debtor fails to pay any sum or sums due and payable hereunder promptly on the due date, or fail to carry out any other term or conditions of this Acknowledgement of Debt, or in the event he commits an act of insolvency or being provisionally or finally liquidated, or in the event of a judgment being entered against him sounding in money in any court, the indebtedness with any legal costs and other charges aforesaid shall immediately become due and payable without further notice.11. The Debtor agrees that the creditor shall, for the recovery of the monies owing hereunder, be entitled solely at its discretion to institute legal proceedings. To this end, the Debtor agrees to pay the creditor’s legal costs on an attorney and client scale and collection commission.12. The creditor may cede, assign, hypothecate, trade with or alienate its interest in this Acknowledgement of Debt without the Debtor’s consent.13. Security Pledge Security Pledge14. Details of Next of Kin Name of Next of Kin15. Date and Time of Signature Signed At*HH:MM AM/PM On* Debtor's Name* Debtor's Signature*For Empowered Woman Excel Savings & Credit Cooperative Society (The Creditor)16. Signatories Signatory 1 Name Signatory 1 Signature Date Signed Signatory 2 Name Signatory 2 Signature Date Signed17. Witness Witness Name Witness Signature Date Signed