AFGIS

APPLICATION FORM FOR MODERN HOME INSTALATION LOAN

PART-I

1. Service No……………………… Check Suffix ……. Rank ……………………………

2. Name ……………………………………………………Section .………..……………...

3. Branch/Trade …………………. Unit……………… Accounting Unit ………..………

4. Date of Enrolment/Comm …….……………………………………….

5. Date of Retirement / Discharge [DD-MM-YYYY] …….............................................

(in present rank / present engagement)

6. Gross Emoluments ₹ …………………. Gross Deductions ₹. ……………………

7. Bank Account Particulars

Name..............................................................................
Account No.....................................................................
Bank Name…….............................................................
Branch………….............................................................
IFSC...............................................................................
(Please attach Cancelled Cheque leaf or Photocopy of front page of Bank Pass Book
showing details of the above mentioned account)
8. Mobile No ………………………….. 10. Email ID …………………………...……..

9. Amount of loan required ₹ ……………………

10. Repayment – EMI’s ……………. (Max 120 EMI subject to left over service)

11. Ownership details of house property on which loan is availed [photocopies of registered sale
deed/ Gift deed/ Sale deed of plot of the subject (owned by the applicant or jointly owned with
his/her spouse/ancestral house

……………………………………………………………………………………………………………

……………………………………………………………………………………………………………

12. Applicant’s mail in address (As per service records).

...................................................................................................................................................

...................................................................................................................................................

13. I have read and understood all the rules and regulations governing HBL-MHIL from AFGIS
given in IAP 3601/AFGIS webpage on AFNET and I shall abide by these rules and regulations.I
authorise AFCAO New Delhi to recover the Instalments of refund of HBL- MHI Loan through my IRLA.

14. The property on which I am availing HBL-MHIL is solely owned by me/ my spouse/my
parent(s).

Signature of Applicant
15. I solemnly declare that the details/information furnished by me and averments/certifications
made herein are true to the best of my knowledge and belief and have not willfully suppressed any
material information.

16. If I proceed on deputation to other department I undertake to remit the EMI by the 7th day of
every month directly to AFGIS by means of demand draft.

17. I state to certify that:-

(a) I am not re-employed.

(b) Outstanding amount of loan along with interest can be recovered from my DCRG,
encashment of leave, DSOPF/AFPPF and disability/Survival benefit and remitted to GIS.

(c) I shall refund the loan in one lumpsum together with interest if i fail to produce the
relevant documents within the stipulated time;.

(d) I am not under medical review which may lead to invalidment from service.

18. In case of default in repayment of this loan, I authorise AFGIS to deduct any sum outstanding
against me from my Survival Benefit of AFGIS.

19. I will ensure that my IRLA does not run into debit.

20. If my IRLA runs into debit due to any reason at any time I authorise AFCAO to reduce my
contribution to DSOPF/AFPPF to the mandatory minimum percentage immediately.

21. It is certified that if debit balance still exists in my IRLA even after reduction in provident Fund,
it will be made good by me immediately.

22. The house for which i have availed HBL-MHI loan is registered in my name solely/ jointly
owned with my spouse (photocopy of registry duly attested by Adjutant/ SAO is enclosed).

23. I shall submit utilization certificate within two months from the date of payment of loan failing
which I am liable to pay an enhanced penal rate of interest @ as approved by BoT on the MHIL.(as
per attached format)

24. I.hereby authorize AFGIS, in the event of my becoming N/E in IAF for any reason, i.e.
discharged/AWOL/Deserter, to recover my outstanding HBL-Modern Home Instalation Loan from the
claim due to me or my nominee(s), in the event of my death.

25. I hereby voluntarily authorise AOC, AFCAO, in the event of my becoming Non-Effective in
IAF for any reason, to pay Society on my behalf, an amount equivalent to the HBL-Modern Home
INSTALATION loan outstanding in my account and as intimated by AFGIS to AFCAO, out of my
DSOP / AFPP Fund account, encashment of accumulated leave, all kinds of Gratuity and IRLA
balance as and when such DSOP / AFPP Fund Account or IRLA or pension account are finalised.

26. I undertake that recoveries against loans/advances availed by me from all sources, including
the application under process presently, do not exceed 80% of my monthly emoluments as on date of
applying for the present advance/loan.

27. I understand that providing false information/suppression of any information on the

aforestated subject would make me liable for disciplinary action under the relevant Act/Rules in
vogue for the time being.

I have understood the terms and conditions of loan and abide by the terms and
conditions.

Signature of Applicant

2
 PART –II
AGREEMENT

THIS AGREEMENT MADE & EXECUTED THIS………..….. Day of……...................Two thousand

.........…………………between ...........................................................
.........…................................……………… (hereinafter called the borrower which expression shall
include his legal heirs, administrators, executors and legal representatives) on the one part and Air
Force Group Insurance Society, a society registered under the Societies Registration Act, 1860
having its office at Subroto Park, New Delhi- 110010 through its Authorized Representative,
hereinafter called the Society or AFGIS, which expression shall include its successors in office and
assignees on the other part.

WHEREAS the Borrower who is a member of AFGIS, HAS agreed under the provisions of the Rules
framed by the Society for grant of loans to members of AFGIS for purchase of Modern Home
Installations (hereinafter referred to as the "said rules" which expression shall, where the context so
admits, include any amendments thereof or addition thereto for the time being in force) applied to
the Society for an advance of ₹ ......................................................……… (Rupees)
........………………..............................……...........................................….. to the Borrower and AFGIS
on his representations agreed to grant loan on the terms and conditions hereinafter contained.

NOW IT IS HEREBY AGREED BY AND BETWEEN THE PARTIES HERE TO AS FOLLOWS :

1. In consideration of the sum of ₹ …..…....................

(Rupees……………………………………………………………………..…………………………………..
to be paid by the Society after the execution of this agreement for the purchase of Modern Home
Instalation articles to the Borrower in the manner as provided in the said rules, the Borrower hereby
agrees with the Society to make such deductions. :-

(a) To repay to the Society the said amount with interest calculated according to said
rules by monthly deductions from his salary as provided in the said rules and hereby
authorising the Society to make such deductions.
(b) To repay the difference to the Society forthwith within one month from the date of
payment of the said loan for purchase of Modern Home Installation if the actual price is less
than the loan paid.
2. IT IS HEREBY AGREED THAT IF THE MODERN HOME INSTALLATIONS HAS NOT BEEN
PURCHASED as aforesaid within one month from the date of payment of the said sum of
₹........................... or if the borrower within that period becomes insolvent or quits the service of the
Govt or dies, the whole amount of the loan together with interest accrued thereon shall immediately
become due and payable to the Society, failing which AFGIS may initiate appropriate proceeding
against the borrower.
3. It is agreed by the borrower that Society/AFGIS is authorized to recover and/or receive the
balance of the said advance with interest remaining unpaid at the time of his retirement /
cashiering/dismissal from service or on default from the of the gratuity/leave encashment or from any
other sources that may be sanctioned to him, survival benefits, death benefit payable to the
beneficiaries without any demur from any quarter.
4. It is also agreed between the parties that AFGIS may increase/charge interest or any other
charges, from time to time as per its rules and regulations.
5. That the application & other documents submitted and presented by borrower in this respect
in any manner is an integral part of this agreement.
IN WITNESS WHERE OF THE BORROWER and AFGIS voluntarily, with free consent put
their signature herein below.

…………………………….
Witness
` (Signature of the Borrower)
Signature………………………………
......................................................
Name …………………………………….. (Air Force Group Insurance Society)
Address …………………………………. Authorised Representative

3
 PART - III
CERTIFICATE
(To be completed by Adjutant)

1. I have scrutinised the application of Rank ………….. Name ……...............................

Branch / Trade………………. Service No. …………. and have satisfied myself of the
correctness of the facts stated therein.

2. I also certify that

(a) From the service documents/personal files it reveals that there are no disciplinary
proceedings or adverse comments or any other cases pending against the applicant
which may truncate his/her service. The details of adverse entries (in respect of
airmen/ NCs(E) only) are as follows:

Red Ink entries ………………….. Black Ink …………………..

(b) The applicant has neither applied for pre-mature release from IAF nor retirement
orders been issued.
3. Extension. of service granted vide POR No …………………..
From :

To :

4. The applicant is neither a Habitual Offender nor a Potential Habitual Offender.

5. The applicant is not ineligible to avail loan from AFGIS as per para 6(g) of AFO 2/09,
Borrowing, Lending and Indebtedness of Air Force Personnel.

Place : ...................................
Date : ................................... Adjutant & Witness

Recommended / Not Recommended

Unit : ........................
AOC/ Stn Cdr/ CO / Equiv
Date : ..........................