Lok Sabha Secretariat Co-Operative Thrift & Credit Society LTD., New Delhi Loan Application Form

Account No.: ..................................
Date: ..............................................
LOK SABHA SECRETARIAT CO-OPERATIVE THRIFT & CREDIT SOCIETY LTD., NEW DELHI
LOAN APPLICATION FORM
1. Name (in block letters): ........................................................................................................................................
2. Designation : .......................................................... Basic Pay Rs.: ......................... ....................................
3. Branch : ................................................................. Tel. No.: .....................................................................
4. Residential Address: .................................................... …………………………………………………..................
5. Date of Retirement:.............................................................................................................................................
6. Amount of loan applied for Rs .............................................................................................. (Ordinary/Emergent)
7. No. of instalments by which it is proposed to repay the loan ................... instalments @ Rs ...... . .................... each.
8. Purpose for which the loan is required ..................................................................................................................
…………………………………………………………………………………………………………………………..
9. Indebtedness to any other Co-operative Society: ................................................................................. ………….
10. Any other liability: .............................................................................................................................. ………….
11. Name of Sureties Designation Account No.
1....................................................................................................................................................... …………..
2....................................................................................................................................................... …………..
12. Nature of Sureties such as deposits etc .................................................................................................…………
13. Outstanding liabilities of the applicant to the Society :-
(a) as principal borrower......................................................................................................................………..
(b) as surety (1) Person or persons ...............................………….
(2) Amountdue .........................................………….
DECLARATION
If any fact/information furnished by me in this application is found to be false, I understand that! shall be liable to
refund in lumpsum the whole amount with penal interest failing which the case must be referred by the Secretary to
AN-I for suitable action.
SIGNATURE OF BORROWER
SIGNATURE OF SURETIES
We declare that the above entries are true to the best of our knowledge.
1………………………………………………… 2.……………………………………………………………
TO BE FILLED BY THE SOCIETY'S SECRETARY AND TREASURER
1. Date of admission :…………………………………… .........
2. Amount to the credit of the applicant:
(a) Share Money Rs .........................................
(b) Compulsory Deposit Rs ..........................................
(c) Fixed Deposit Rs. ........................................
3. Any previous loan Rs ....................................... if so, was it paid in time……………. ....
4. Any current loan............................................... if so, the amount Rs .............................
5. Paid vide Cheque No.............................. Date... ..................... for Rs..................
(HONY. TREASURER)
DECISION OF THE MANAGING COMMITTEE
1. Sanctioned or Rejected ................
2. Amount sanctioned Rs .......
3. Sureties accepted: Yes/No
4. Number of instalments.................. ……….. @Rs…………………… each.
(HONY. SECRETARY)
DEDUCTIONS
Amount Sanctioned Rs .............................................. Ordinary Loan Rs……………………………….
Less: Deductions Rs ................................................ Emergent Loan Rs………………………………
___________________________ Share Money Rs………………………………
NET AMOUNT Rs. ………………………………….. D.LL.F. Rs………………………………
CD. Rs……………………………..
Interest Rs. …............................................
__________________________
TOTAL Rs. …………………………….
__________________________

Lok Sabha Secretariat Co-Operative Thrift & Credit Society LTD., New Delhi Loan Application Form

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Lok Sabha Secretariat Co-Operative Thrift & Credit Society LTD., New Delhi Loan Application Form

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Available Formats

Account No.: ..................................

LOAN APPLICATION FORM

1. Name (in block letters): ........................................................................................................................................

2. Designation : .......................................................... Basic Pay Rs.: ......................... ....................................

3. Branch : ................................................................. Tel. No.: .....................................................................

4. Residential Address: .................................................... …………………………………………………..................

6. Amount of loan applied for Rs .............................................................................................. (Ordinary/Emergent)

8. Purpose for which the loan is required ..................................................................................................................

9. Indebtedness to any other Co-operative Society: ................................................................................. ………….

10. Any other liability: .............................................................................................................................. ………….

11. Name of Sureties Designation Account No.

12. Nature of Sureties such as deposits etc .................................................................................................…………

13. Outstanding liabilities of the applicant to the Society :-

(a) as principal borrower......................................................................................................................………..

(b) as surety (1) Person or persons ...............................………….

(2) Amountdue .........................................………….

1. Date of admission :…………………………………… .........

2. Amount to the credit of the applicant:

(a) Share Money Rs .........................................

(b) Compulsory Deposit Rs ..........................................

(c) Fixed Deposit Rs. ........................................

3. Any previous loan Rs ....................................... if so, was it paid in time……………. ....

4. Any current loan............................................... if so, the amount Rs .............................

5. Paid vide Cheque No.............................. Date... ..................... for Rs..................

DECISION OF THE MANAGING COMMITTEE

1. Sanctioned or Rejected ................

2. Amount sanctioned Rs .......

3. Sureties accepted: Yes/No

4. Number of instalments.................. ……….. @Rs…………………… each.

Amount Sanctioned Rs .............................................. Ordinary Loan Rs……………………………….

Less: Deductions Rs ................................................ Emergent Loan Rs………………………………

___________________________ Share Money Rs………………………………

NET AMOUNT Rs. ………………………………….. D.LL.F. Rs………………………………

Interest Rs. …............................................

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