Start Your Fight for Freedom

Fill out this form to begin the process of securing your bail and getting back to your life.

Personal Information

Full Name

Email Address

Phone Number

We'll contact you at this number

National ID Number

KRA PIN (Personal or Business)

Optional - helps with financial assessment

Date of Birth

Arrest Details

Date of Arrest

Police Station

Name of the police station where you're held

OB Number

Occurrence Book number from police station

Case Number

If already assigned by the court

Reason for Arrest

Brief description of the alleged offense

Additional Details

Any other information that might be helpful

Financial Information

Bail Amount Set

Amount in Kenyan Shillings

Monthly Repayment Commitment

Amount you can comfortably repay monthly

Monthly Income Range

Employment Status

Employed

Self-Employed

Unemployed

Student

Primary Source of Income

Describe how you generate income (job, business, etc.)

Assets Information

List any valuable assets (property, vehicles, etc.) that could serve as collateral

Documents & Additional Information

ID Copy Upload

Click to upload or drag and drop

PNG, JPG, PDF up to 5MB

Financial Statements Upload

Click to upload or drag and drop

M-Pesa or Bank statements (PDF up to 10MB)

Optional - Upload M-Pesa or bank statements for the past 6-12 months

Next of Kin Name

Next of Kin Phone

Relationship

Health Information Optional

Any medical conditions or health concerns we should know about. You can skip this if you prefer.

Review & Submit

Please review your information

Personal Information

Name: -

Email: -

Phone: -

ID Number: -

Arrest Details

Arrest Date: -

Police Station: -

OB Number: -

Financial Information

Bail Amount: KES -

Monthly Commitment: KES -

Income Range: -

Employment: -

Next of Kin

Name: -

Phone: -

Relationship: -

I consent to HURU Bond processing my personal and financial information for the purpose of assessing my bail application. I understand that this information will be handled in accordance with HURU Bond's Privacy Policy.

I agree to the Terms of Service and understand that if approved, I will enter into a legally binding agreement with HURU Bond.

Need help filling out this form? Call our 24/7 support line: 0700 123 456