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From
Name
Staff No:
Member No
Designation
Dept. / Section
Tel: (R)
E-mail: Dear Sir,
The Hon. Secretary,
BPCL Kochi Refinery Employees'
Co-Operative Credit Society Ltd. No. E-213
Ambalamugal.
Tel. (O) :..........................................................
Mobile :..........................................................
I request that I may be granted a loan of ..............................( Rupees: ........................................................
..........................................................................................................................................................................)
for the purpose of ...........................................................................................repayable in...............................
equal monthly installments. Messers................................................................................................................
and....................................................................................................will be the personal sureties for the loan.
Ambalamugal Retirement on....................................
Date:............................ (Signature of the Applicant)
The agreement to be executed by me with the society and with my Employer are enclosed.
I here by declare that my basic pay is Rupees ........................................................................
DECLARATION OF SURETIES
We hereby give our consent to stand as sureties for the loan applied for by the above member.
OFFICE NOTE
The member is eligible for a loan of .....................................
He may be sanctioned a loan of ....................................
Loan No. .....................................
Cheque No .................................
Date: ...........................................
Bank: ...........................................President Hon. Secretary Director Director
PLEASE FILL IN THE APPLICATION IN ALL RESPECTS TO AVOID DELAY
Signature
Name
Staff No.
Member No.
Dept Section
Retirement on
Note:1. Loan are subject to the maximum of hundred times (100) of the basic salary or 17,00,000/- whichever is less 2. Two members should stand as sureties for each loan, provided that a member can stand surety
maximum for Rupees forty five lakhs (45,00,000/-)
APPLICATION FOR LONG TERM LOAN
To
..........................................
Beyond tomorrow
BPCL KOCHI REFINERY EMPLOYEES' CO-OPERATIVE
CREDIT SOCIETY LTD. No. E-213
: ...........................................................
: ...........................................................
: ...........................................................
: ...........................................................
: ...........................................................
: ...........................................................
: ...........................................................
: ................................................................
: ................................................................
: ................................................................
: ................................................................
: ................................................................
: ................................................................
: ................................................................
: ................................................................
: ................................................................
: ................................................................
: ................................................................
: ................................................................
1) 2)
AMBALAMUGAL, ERNAKULAM DIST., PIN - 682 302PHONE: 0484 - 2822904, 2822916e-mail - [email protected], website: bpclkrcreditsociety.org
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The Hon. Secretary,
BPCL Kochi Refinery Employees'
Co-Operative Credit Society Ltd. No. E-213
Ambalamugal.
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Date:....................
Resolution No.
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OFFICE USE ONLY
OL No.
HPL No.
EML No.
VL No.
NIDHI MONTHLY RECOVERY
RD MONTHLY RECOVERY
TOTAL RECOVERY
Outstanding
Outstanding
Outstanding
Monthly Cutting
Monthly Cutting
Monthly Cutting
Monthly Cutting
DUES BORROWER
SHARE CAPITAL BORROWER
AMOUNT APPLIED
AMOUNT SANCTIONED
EXISTING LOAN No.
RISK FUND
CHEQUE AMOUNT
BANK STANDING INSTRN.
SURETY SURETY
AMOUNT
.
Outstanding
u
The Hon. Secretary,BPCL Kochi Refinery Employees'Co-Operative Credit Society Ltd. No. E-213Ambalamugal.
LTL No. Outstanding Monthly Cutting
SURETY SURETY
EL No
TL No
Monthly Cutting Outstanding .
Monthly Cutting Outstanding
Signature
Name
Staff No.
Department
Tel.Extn. No.
: ...........................................................
: ...........................................................
: ...........................................................
: ...........................................................
: ...........................................................
DECLARATION FOR INTEREST CERTIFICATE
................................................................................................................................................................................
................................................................................................................................................................................
Signature : .....................................................
AVERAGE HOME PAY
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