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01-Personal Loan Form

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BHADRATHA

A.P. POLICE DEPARTMENT


EMPLOYEES BENEVOLENT AND THRIFT MUTUAL ASSOCIATION
Before filling up the Application form read carefully Terms & Conditions in Annexure 'B'.
(Fill up the all columns are mandatory)
Tick in appropriate box
Application Form for Personal Loan

SN Particulars Applicant 1st Surety 2nd Surety

1. *Full Name

2. *Bhadratha No.

3. *General No.

4. *Designation

5. *Unit
6. *Date of Birth
7. *Date of Appointment
8. *Date of Retirement
9. * Contact (Office)
10. * Cell number
Present
11 Residential Address
Permanent
12.
Address
*13. Applicant’s Name as per Bank Pass Book
*15. Branch Code
_____________________________________________
*Applicant’s Online Bank A/c No : * Bank Name _______________________

* Branch Name _______________________


*14. IFSC Code * Branch Address _______________________

(Enclose the applicant’s bank pass book copy or copy of cheque leaf is mandatory)

*16 Salary particulars Applicant


1st Surety 2nd Surety
.
a) Gross Salary Rs. Rs. Rs.
(including all
allowances)
b) Less: Govt. Rs. Rs. Rs.
deductions
c) Less: Non-Govt. Rs. Rs. Rs.
deductions
d) Net Salary/Take
Home Pay (a-b-c) Rs.__________________ Rs.__________________ Rs.__________________

(Rupees in words)

(Enclose Latest month payslips of the applicant, 1st surety & 2nd surety are duly
Signed and seal by the Unit officer / A.O. of the Unit are mandatory)
___________________________________________________________________________________________________
Bhadratha - Personal Loan Application Form - Pages 1 of 4
Loan amount required Rs. * for the purpose of
*17.
________________________
________________________
In words :

*19. Sanctioned cheque amount issued in favour of (Fill this column Compulsory)

(Note : The sanctioned amount will be deposited through


Applicant’s Online bank account number except all
Grameena Bank accounts. In such cases cheque should
be issued infavour of the applicant name)
18. Nomination particulars of member/borrower
(a) Name of the nominee with Address
(b) Relationship

19. Whether availed any loan from unit level Co-Operative Society_______________________
If so, mention brief Details – type of loan, amount sanctioned, _______________________
EMI and present outstanding (Enclose loan clearance _______________________
Certificate from society). _______________________

20. MEMBER DECLARATION:

A. I will repay the loan in 12/24/36/48/60/72/84/90 ( _____________ )EMIs with 11% interest per
monthly annual rests as fixed by Bhadratha even if I am not in receipt of full salary.
B. I authorize the Unit Officer to recover EMIs as fixed from my salary till the loan amount
together with interest is cleared to the fullest satisfaction of Bhadratha (Agreement typed on Rs.
100/- stamp paper and duly filled in all respects is herewith enclosed).

Station :

Date :

Signature of the Applicant Signature of 1st Surety Signature of 2nd Surety


I agree to recover the EMI amount every month from the salary of___________if Personal
Loan is sanctioned to the member till the loan amount together with interest is cleared. In case the
member is transferred to another unit, the loan EMI particulars will be mentioned in LPC for recovery
of remaining EMI amount at new station / unit.

Signature & Office Seal of the Unit Officer


===================================================================
Bhadratha Office use only
Personal Loan amount applied for Rs.
Amount Sanctioned. Cheque No.
1) Deductions Date
2) Death Relief fund
Others (Specify)
Released Amount.

Prepared by Sr. Acct./Asst Secretary Secretary

_________________________________________________________________________________________________

Bhadratha - Personal Loan Application Form - Pages 2 of 4


ANNEXURE - A'
(Not to be typed)
AGREEMENT TO BE SIGNED BY BORROWER AND SURETIES
(To be typed on Rs. 100/- Non - Judicial Stamp Paper)

We the undersigned members of the Bhadratha hereby authorize and request the A.P. Police
Department and / or Bhadratha to deduct from our salary the money that may become payable to
Bhadratha such amount as Bhadratha may claim towards repayment of principal and / or interest of the
loan or any other amount as due from us.

Sri/Smt.
______________________________________________________________________
(Applicant name)
has applied for Personal loan of Rs.______________________ on ________________________and

Sri/Smt. ____________________________ and Sri/Smt __________________________ have agreed


(1st surety name) (2nd surety name)

to be the sureties and accepting the responsibility, jointly and severally, to repay the entire amount of
loan i.e. principal and interest accrued thereon within the period stipulated.

We the sureties clearly understand our responsibility and are agreeable for effecting recovery of
the instalment amount from our salaries or other money due from the loan sanctioned to us, whenever
there are no recoveries of money from the borrower for any reason whatsoever.
We the sureties clearly understand that whenever the recoveries cease to be received from the borrower
by the society on account of resignation, discharge, retirement from service in AP Police Department or
otherwise, the amount outstanding against the borrower would be recovered from both of us or any one
of us, from the salary or other money payable to us either by the AP Police Department or the society
and we hereby give our consent for the same.

We further declare that none of us is an insolvent or field an insolvency petition. Also there is
no possibility of going into insolvency during the currency of loan applied for
We agree to abide by the bye-laws of Bhadratha and resolutions passed by the Managing Committee
and the General Body from time to time relating to payment of interest of the loans obtained by the
borrower and recovery of the full amount of loan due.

Signature of Applicant Signature of 1st Surety Signature of 2nd Surety

//Attested//

Station :

Date :

(Signature and Office Seal of the Unit Officer)


_________________________________________________________________________________________________
Bhadratha - Personal Loan Application Form - Pages 3 of 4
TERMS & CONDITIONS FOR SANCTION OF PERSONAL LOANS TO BHADRATHA MEMBERS
1. The Bhadratha member should can take any one loan from Bhadratha (i.e, Personal, Educational,
HBA, Computer Loans etc.) and the 2nd application cannot be entertained.
2. Member who intends to avail Personal loan must have put up minimum of 2 years regular service
and should have over service of 5 year for retirement.
3. Each member must provide two sureties for the loan amount. The sureties should also be
members of Bhadratha and a member should not stand surety for more than two members.
4. The members must be left with 1/3 of the gross salary as take home pay.
…………………………………………………………………………………………………………………………………………….……
5. The repayment period will be between 12 months and 90 months.
6. The present rate of interest charged for the loan is 11% per annum.
7. Personal Loan Maximum eligible amount and EMI details are as follows:-
Personal Loan Emi Details
Maximum No. of Months of recovery
Cadres Eligible
Amount 90 84 70 60 48 36 24 12

Lower Grade Employees 2,00,000/- 3273 3424 3884 4348 5169 6548 9321 17676
HCs,ARSIs,ASIs & Sr.Assts
2,50,000/- 4091 4281 4855 5436 6461 8185 11652 22095
PCs & Jr. Assts.
SIs & Office Supdt.
4,00,000/- 6546 6849 7768 8697 10338 13095 18643 35353
& above Cadre
Son’s Marriage
4,00,000/- 6546 6849 7768 8697 10338 13095 18643 35353
(For all cadres)
Daughter’s Marriage
5,00,000/- 8183 8561 9709 10871 12922 16369 23304 44190
(For all cadres)
…………………………………………………………………………………………………………...
8. The member who intends to avail Personal loan shall submit prescribed application form duly filled in
all respects to Secretary, Bhadratha through Unit Officer concerned. The application forms are also
available at Bhadratha office/ unit office on payment of Rs 5/- each.
9. If the EMI amounts are not recovered continuously for 3 months for whatsoever reasons from member
loanee, the same shall be recovered from the sureties salaries from the 4th month onwards without any
notice.
10. The EMI recovery amounts should be sent to Secretary, Bhadratha, DGP office through DD drawn on
Indian Overseas Bank, Saifabad Branch, Hyd.
11. In case of Retirement / Resignation/Removal from service for any reason whatsoever, the outstanding
amount shall be recovered from the settlement dues (except PF & Gratuity) after adjusting the other
departmental dues of member loanee. If there is a balance still outstanding, the same will be recovered
from the sureties.
12. In case the member loanee is transferred from one unit to another unit necessary endorsement will be
made in LPC mentioning No. of instalments recovered and the balance No. of instalments to be
recovered and EMI amount. The Unit Officer of the new place shall recover the balance EMI amounts
from the members’ salary every month.
13. In case the members go on deputation to other organizations, the Unit Officers concerned should inform
the new employer about the recovery of balance instalments duly mentioning in the LPCs.
14. 1.5% of loan amount sanctioned will be deducted towards Death Relief Fund. In case of unfortunate
death of member loanee, the outstanding amount will be written off automatically subject to recovery of
Defaulted EMIs.
……………………………………………………………………………………………………………………….
Check List / List of Documents to be required:-
For Domestic / Normal purpose:-
1. Personal Loan Application Form Signature of the applicant, 1st surety, 2nd Surety & Attested by Unit Officer
2. Rs.100/- Non-Judicial stamp paper
3. Latest Payslips of the Applicant, 1st Surety & 2nd Surety Attested by A.O.
4. Applicant’s Latest Physical Fitness Certificate Issued by the Police Medical Officer or Govt. Doctor
not below the rank of Civil Asst. Surgeon
5. NEFT details of the Applicant Xerox copy of cheque slip (or) Copy of Bank Pass book
For Daughter / Son / Self Marriage purpose: - (In addition to 1 to 5 as above)
6. Original Wedding card
7. Xerox copy of Arogya Bhadratha Card
8. Marriage Genuineness Certificate Attested by Unit Officer
(Name of the Girl, Date of Birth, Age, Marriage date and place should be clearly mentioned)
……………………………………………………………………………………………………………………….
_________________________________________________________________________________________________
Bhadratha - Personal Loan Application Form pages 4 of 4
ANNEXURE- ‘B’
TERMS & CONDITIONS FOR SANCTION OF PERSONAL LOANS TO BHADRATHA MEMBERS
1. The Bhadratha member should can take any one loan from Bhadratha (i.e, Personal, Educational,
HBA, Computer Loans etc.) and the 2nd application cannot be entertained.
2. Member who intends to avail Personal loan must have put up minimum of 2 years regular service
and should have over service of 5 year for retirement.
3. Each member must provide two sureties for the loan amount. The sureties should also be
members of Bhadratha and a member should not stand surety for more than two members.
4. The members must be left with 1/3 of the gross salary as take home pay.
…………………………………………………………………………………………………………………………………………….……
5. The repayment period will be between 12 months and 90 months.
6. The present rate of interest charged for the loan is 11% per annum.
7. Personal Loan Maximum eligible amount and EMI details are as follows:-
Personal Loan Emi Details
Maximum No. of Months of recovery
Cadres Eligible
Amount 90 84 70 60 48 36 24 12

Lower Grade Employees 2,00,000/- 3273 3424 3884 4348 5169 6548 9321 17676
HCs,ARSIs,ASIs & Sr.Assts
2,50,000/- 4091 4281 4855 5436 6461 8185 11652 22095
PCs & Jr. Assts.
SIs & Office Supdt.
4,00,000/- 6546 6849 7768 8697 10338 13095 18643 35353
& above Cadre
Son’s Marriage
4,00,000/- 6546 6849 7768 8697 10338 13095 18643 35353
(For all cadres)
Daughter’s Marriage
5,00,000/- 8183 8561 9709 10871 12922 16369 23304 44190
(For all cadres)
…………………………………………………………………………………………………………...
8. The member who intends to avail Personal loan shall submit prescribed application form duly filled in
all respects to Secretary, Bhadratha through Unit Officer concerned. The application forms are also
available at Bhadratha office/ unit office on payment of Rs 5/- each.
9. If the EMI amounts are not recovered continuously for 3 months for whatsoever reasons from member
loanee, the same shall be recovered from the sureties salaries from the 4th month onwards without any
notice.
10. The EMI recovery amounts should be sent to Secretary, Bhadratha, DGP office through DD drawn on
Indian Overseas Bank, Saifabad Branch, Hyd.
11. In case of Retirement / Resignation/Removal from service for any reason whatsoever, the outstanding
amount shall be recovered from the settlement dues (except PF & Gratuity) after adjusting the other
departmental dues of member loanee. If there is a balance still outstanding, the same will be recovered
from the sureties.
12. In case the member loanee is transferred from one unit to another unit necessary endorsement will be
made in LPC mentioning No. of instalments recovered and the balance No. of instalments to be
recovered and EMI amount. The Unit Officer of the new place shall recover the balance EMI amounts
from the members’ salary every month.
13. In case the members go on deputation to other organizations, the Unit Officers concerned should inform
the new employer about the recovery of balance instalments duly mentioning in the LPCs.
14. 1% of loan amount sanctioned will be deducted towards Death Relief Fund. In case of unfortunate death
of member loanee, the outstanding amount will be written off automatically subject to recovery of
Defaulted EMIs.
……………………………………………………………………………………………………………………….
Check List / List of Documents to be required:-
For Domestic / Normal purpose:-
1. Personal Loan Application Form Signature of the applicant, 1st surety, 2nd Surety & Attested by Unit Officer
2. Rs.100/- Non-Judicial stamp paper
3. Latest Payslips of the Applicant, 1st Surety & 2nd Surety Attested by A.O.
4. Applicant’s Latest Physical Fitness Certificate Issued by the Police Medical Officer or Govt. Doctor
not below the rank of Civil Asst. Surgeon
5. NEFT details of the Applicant Xerox copy of cheque slip (or) Copy of Bank Pass book
For Daughter / Son / Self Marriage purpose: - (In addition to 1 to 5 as above)
6. Original Wedding card
7. Xerox copy of Arogya Bhadratha Card
8. Marriage Genuineness Certificate Attested by Unit Officer
(Name of the Girl, Date of Birth, Age, Marriage date and place should be clearly mentioned)
……………………………………………………………………………………………………………………….
_________________________________________________________________________________________________
Bhadratha - Personal Loan Application Form

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