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 - bpclkreccs@gmail.com, website: bpclkrcreditsociety.org

The Hon. Secretary,

BPCL Kochi Refinery Employees'

Co-Operative Credit Society Ltd. No. E-213

Ambalamugal.

Date:....................

Resolution No.

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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