MIZORAM COOPERATIVE APEX BANK LTD.
HEAD OFFICE : AIZAWL
APPLICATION FORM FOR PERSONAL LOAN
(For Government Servant)
To,
Affix
The Managing Director/Chief/Branch Manager,
Mizoram Cooperative Apex Bank Ltd.,
________________________ Branch.
passport size
photo
2 copies
Sir,
I hereby apply for Personal Loan of `.____________________________________________
(Rupees ________________________________________________________________Only)
My particulars are given below :1.
Name (Capital letters)
: ______________________________________
2.
Father’s/Husband’s/Wife’s name
: ______________________________________
3.
Date of Birth
: ___________________________ Age:_______
4.
Address (A) Office
: ________________________Ph ___________
(B) Residence
: ________________________Ph____________
: House No. _____________________________
5.
Designation
: ______________________________________
6.
7.
Date of joining service
: ______________________________________
Confirmation/regularization
Certificate should be attached
No. of years due in service for retirement :____________________________________
8.
Purpose of Loan
: _______________________________________
9.
Terms of repayment required
: _______________________________________
10.
Salary drawn
: `______________________________________
LPC (to be enclosed)
11.
Security offered
: Salary/GPF/PF/Pension benefit/etc.
12.
Name of Nominee/Heir
: _______________________________________
Relationship
: _______________________________________
(Bank should be informed if nominee/heir is changed while loan is outstanding.)
13.
Whether availed any loan from
M.C Apex Bank Ltd. in the past
If availed,
a) Loan Account No.
b) Whether liquidated
(Yes/No)
If No,
: _______________________________________
: ____________________Date:_______________
: _______________________________________
: Bal. Outstanding ` _______________________
Due Date. ______________________________
14.
Any direct or indirect liability
: _______________________________________
to M.C. Apex Bank
: _______________________________________
-1-
15.
Any other liability to other banks
16.
Type of account operated in MC Apex Bank Ltd. with date of opening:-
17.
: _______________________________________
a) Current A/c No.
: _____________________Date_______________
b) Saving A/c No.
: _____________________Date_______________
c) Other A/c No.
: _____________________Date_______________
M.C. Apex Bank Ltd. Nominal No. : _____________________Date_______________
I agree to repay the entire Personal loan in EMI within ______________ years
(________ months). In the case of my failure to repay the loan in full within the stipulated period
for any reason, the Mizoram Cooperative Apex Bank Ltd., shall have the right to take action
against me for the liquidation of the loan in any manner as it deems fit.
(For salary drawn from our bank) I agree to transfer my monthly instalment by way of
debiting C.A / S.B A/c No. _______________ every month.
All the information given are true to the best of my knowledge and belief.
Place :__________________________
Date
:__________________________
Signature of Applicant:_______________________
Name of Applicant
:_______________________
-2-
FOR SURETY/GUARANTOR
Affix
Passport size
Photo
2 copies
I,
______________________________________________________
S/o,D/o,W/o
____________________________________ in sound mind and without any coercion, agree to
stand as guarantor to the loan to be availed by Mr./Ms __________________________________
S/o,D/o,W/o___________________________________.
I further agree that all the terms and conditions that the bank may stipulate as guarantor
shall be binding on me. My particulars are given below:
1.
Name (Capital letters)
: ______________________________________
2.
Father’s/Husband’s/Wife’s name
: ______________________________________
3.
Date of Birth
: ___________________________ Age:_______
4.
Address (A) Office
: _______________________Ph. No__________
(B) Residence
: _______________________Ph.No__________
: H/NO._________________________________
5.
Designation
: ______________________________________
6.
Date of joining service
(Confirmation/Regularisation
certificate should be attached)
: ______________________________________
7.
No. of years due in service for retirement :____________________________________
8.
Salary drawn
(LPC to be enclosed)
: `______________________________________
9.
Whether availed/availing any loan
from MC Apex Bank Ltd., or any
other source. If yes,
: _______________________________________
a) Amount of Loan
b) Date of Loan
: `_______________________________________
: _______________________________________
c) Present outstanding
d) Due date for liquidation
e) Purpose of loan
f) Name of Branch where Loan A/c
is maintained
: `_______________________________________
: _______________________________________
: _______________________________________
: _______________________________________
10.
Nature of Deposit A/c with MC. Apex Bank Ltd., with No. & Date of Opening:-
11.
a) Current A/c
b) Savings A/c
c) Others
Nominal Membership
No. ____________________Date ______________
No. ____________________Date ______________
No.____________________ Date______________
No. ____________________Date ______________
12.
Security offered
: Salary/GPF/PF/Pension benefit/etc.
Place :__________________________
Date
:__________________________
Signature of Guarantor :___________________
Name of Guarantor:_______________________
Note: 1. Guarantor should be a regular employee in the Govt. Service.
2. Undertaking from employer for salary deduction be enclosed.
-3-
Space For Bank’s Use:__________________________________________________________
1.
The application has been checked by me and found that the applicant(s) do/does not
avails/avail ____________________________________ under Account No._______________
from our Branch.
2.
________________________________________ accommodation is suggested.
Signature of Bank’s Official
The following conditions are recommended :Amount
Margin
Rate of Interest
Security
Term
Remarks/Comments :
Chief/Branch Manager
-4-
L ETTER OF AUTHORITY
(Applicant)
I do hereby authorize my employer _____________________________________
(Designation of Dept. Head) to deduct necessary monthly loan installment from my monthly
salary which is to be remitted to the Mizoram
Cooperative Apex Bank Ltd.
________________________________ Branch for credit of my loan account with the said
branch. In the case of my failure to repay the said loan in full from my monthly salary, I further
authorize my employer to arrange necessary adjustment from my gratuity, service termination
benefits, pension benefits, G.P. fund etc., whichever is/are convenient.
(Signature) :___________________
Name of the applicant :_________________________
-5LETTER OF PROFORMA OF UNDERTAKING FROM THE EMPLOYER
To,
The Managing Director/Chief/Branch Manager
Mizoram Cooperative Apex Bank Ltd.
__________________________ Branch
Dear Sir,
As
desired
by
our
employee
Shri/Smt._______________________
Designation________________________________ and as per his/her authorization given to me
to deduct for his/her____________________________ loan installment, I hereby undertake
unconditionally to credit salary cheque/cash of Shri./Smt._______________________ to
his/her_______________________ loan account with you every month commencing from the
month as per instructions received from you.
In case, the employee is transferred from our establishment/office, I also
undertake to note in his/her Last Pay Certificate (LPC) to credit his/her salary to
his/her_______________________ loan account with your Bank every month until the loan is
liquidated or otherwise advised by your bank to the contrary, even to the information of
subsequent drawing & disbursing officer (DDO) and the copy of the same along with a copy of
his/her transfer order will be endorsed to you. And in case he/she intends to relinquish his/her
service on any ground before clearing his/her dues with your bank. I hereby undertake to make
arrangement for liquidating his/her dues with you.
Until
and
unless
the
_____________________
loan
availed
at
__________________Branch by Mr./Mrs. ______________________________ is liquidated
he/she shall not draw his/her salary from banks other than the Mizoram Cooperative Apex Bank
Ltd.
Yours faithfully,
Place : _______________
Date : _______________
Signature:
D.D.O. SEAL
-6-
Place :_______________________
Date :_______________________
To
____________________________________
____________________________________
____________________________________
LETTER OF AUTHORITY FOR PAY / SALARY DEDUCTIONS.
(For Guarantor)
Sir,
I hereby request and authorize you to deduct my monthly salary and to credit the loan
account
of
Pi
/
Pu
______________________________________
S/o,
D/o,
W/o
___________________________________ Village __________________________________
with the Mizoram Cooperative Apex Bank Ltd.,_______________________________________
Branch in the case of his/her failure to repay the loan installment as I stand for his/her guarantor
/surety.
I have also executed a bond of agreement / guarantee deed with the bank authorizing
them to get the deducted amount to be credited in the said Loan Account. In case of my transfer
to other Offices / Departments, this authority will remain valid till the said loan is liquidated.
Yours faithfully,
Counter Signature of D.D.O
Signature
: ____________________
Name
: ____________________
Designation
: ____________________
-7Place :_______________________
Date :_______________________
To
The Managing Director/Chief/Branch manager
Mizoram Cooperative Apex Bank Ltd.
_________________________ Branch
LETTER OF PROFORMA OF UNDERTAKING FROM THE EMPLOYER.
(For Guarantor)
Sir,
As desired by our employee Pi / Pu ______________________________ Designation
___________________________________in connection with the Letter of authority for Pay /
Salary Deduction signed by her / him we hereby undertake unconditionally to deduct his/her
monthly salary and to credit the Loan Account of Pi / Pu _______________________________
with you in case of default in repayment by the loanee. If and when the employee is transferred
to other offices /department this undertaking shall be handed over to the subsequent drawing and
disbursing Officers as per request of the employee.
Yours faithfully,
(Signature of D. D. O.)
SEAL
NOTE
1.
2.
3.
4.
5.
6.
Loan Application hi uluk tak leh felfai taka fill-up tur a ni.
Thaichhiat leh Hnawihvar a awm tur a ni lo.
Application hi fill-up vek tur a ni a, thil ngailo nia hriatah chuan N.A. ti tala
fill-up tur a ni.
Pen tui thuhmun hman tur, rawng hrang hrang hman phal a nilo/ Black or
Blue.
Form hi Xerox-a, a dik vek hnuah copy nise a tha.
Address hi chiang taka ziah nise. House No. bakah Land-Mark eg. Near
Y.M.A Hall etc. tih ziah nise.
(NAME OF THE OFFICE)
(Deptt./Office Copy)
________________________________________________________
________________________________________________________
Letter No.______________________________________________
Date, the_____________
To,
The Managing Director/Chief/Branch Manager
Mizoram Cooperative Apex Bank Ltd.,
_______________________ Branch.
Subj: Personal Loan Application of
Pi/Pu ____________________________________
Dear Sir,
I enclose herewith the Personal Loan Application of Pi/Pu ________________________
(designation)___________________________working in section / Department
of our
Office/Department and to state as under :1)
That I have gone through all the particulars furnished in the application and the enclosed
connected papers and I do hereby certify that the informations given in the application
and the enclosed connected papers are correct.
2)
That the application is a permanent /regular employee of this office/Department and is
not due for retirement within _____________ years.
3)
That the applicant has put his /her signature in my presence.
4)
That the applicant is trustworthy and there is no information that the applicant is in
default of repayment of dues/loans by him/her to his office.
5)
That the loan applied by him /her from the Bank is recommended/not recommended for
sanction.
6)
That I undertake to deduct the monthly instalment of the loan amount with interest
thereof from the monthly salary of the applicant and deposit the same to the Bank
regularly till liquidation of the loan with interest accrued thereof.
And in case of failing to recover the monthly instalment of the loan with interest thereof
out of the salary of the applicant herein mentioned due to unforeseen circumstances, we do
hereby undertake to recover the same out of the claims payable to the applicant due from this
Office/Department.
Signature
(Designation with seal of office)
Enclosure:1)
Application
2)
Salary Certificate/LPC
3)
Quotation/Plan/Estimate
4)
Confirmation Letter (Xerox copy).
5)
Letter of Authority (Applicant)
6)
Letter of Proforma of undertaking from the Employer. (Applicant)
7)
Letter of Authority for Pay/Salary deduction (Guarantor)
8)
Letter of Authority of undertaking from the Employer. (Guarantor)
9)
Guarantor LPC
10)
Guarantor confirmation Letter (Xerox copy).
(NAME OF THE OFFICE)
(Bank Copy)
________________________________________________________
________________________________________________________
Letter No.______________________________________________
Date, the_____________
To,
The Managing Director/Chief/Branch Manager
Mizoram Cooperative Apex Bank Ltd.,
_______________________ Branch.
Subj: Personal Loan Application of
Pi/Pu ____________________________________
Dear Sir,
I enclose herewith the Personal Loan Application of Pi/Pu ________________________
(designation)___________________________working in section / Department
of our
Office/Department and to state as under :1)
That I have gone through all the particulars furnished in the application and the enclosed
connected papers and I do hereby certify that the informations given in the application
and the enclosed connected papers are correct.
2)
That the application is a permanent /regular employee of this office/Department and is
not due for retirement within _____________ years.
3)
That the applicant has put his /her signature in my presence.
4)
That the applicant is trustworthy and there is no information that the applicant is in
default of repayment of dues/loans by him/her to his office.
5)
That the loan applied by him /her from the Bank is recommended/not recommended for
sanction.
6)
That I undertake to deduct the monthly instalment of the loan amount with interest
thereof from the monthly salary of the applicant and deposit the same to the Bank
regularly till liquidation of the loan with interest accrued thereof.
And in case of failing to recover the monthly instalment of the loan with interest thereof
out of the salary of the applicant herein mentioned due to unforeseen circumstances, we do
hereby undertake to recover the same out of the claims payable to the applicant due from this
Office/Department.
Signature
(Designation with seal of office)
Enclosure:1)
Application
2)
Salary Certificate/LPC
3)
Quotation/Plan/Estimate
4)
Confirmation Letter (Xerox copy).
5)
Letter of Authority (Applicant)
6)
Letter of Proforma of undertaking from the Employer. (Applicant)
7)
Letter of Authority for Pay/Salary deduction (Guarantor)
8)
Letter of Authority of undertaking from the Employer. (Guarantor)
9)
Guarantor LPC
10)
Guarantor confirmation Letter (Xerox copy)