LOAN APPLICATION FORM

Financial Request Loan Type:

Personal Loan (with sureties) Consolidation Loan Renovation Loan

Education Loan (Local / Overseas) Marriage / Wedding Loan Others: . . . . . . . . . . . . . . . . . . .

Loan Amount: . . . . . . . . . . . . . . . . . . . . . . Loan Tenure: . . . . . . . . . . months Purpose: . . . . . . . . . . . . . . . . .

Main Applicant's Personal Details Name (as in NRIC) in block: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NRIC Number: . . . . . . . . . . . . . . . . . . . . . Date of Birth: . . . . . . . . . . . . . . . . . No. of Dependents: . . . . . .

Marital Status: Single Married Divorced Widowed

Education: Degree/Post Grad Diploma A Level Others . . . . . . . . . . . . . . . . . . . . . . . . .

Address (as in NRIC): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Postal Code . . . . . . . . . . . . . . . . .

Residential Status: HDB Owner Private Home Owner Parents'/Relatives'

Rented. Rental: $ . . . . . . . . . . Others: . . . . . . . . . . . . . . Length of Stay: . . . . . . . . . . . . . .

Tel (Home): . . . . . . . . . . . . . . . . . . . . Tel (Hp): . . . . . . . . . . . . . . . . . . . . Tel (Off): . . . . . . . . . . . . . . . . . . . .

Email Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ordinary Associate Family

Yes No

Type of membership with TCC

Are you a member with any other Co-operative?

Are you a surety for any loans with TCC /Finance Institutes?

Are you related to any Director/Employee from TCC?

How do you know about TCC?

Main Applicant's Employment Details Employed / Salaried Self-Employed

Yes No

Commission-Earner Others: . . . . . . . . . . . . . . . . . . . . . . . .

Name of Employer: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Occupation: . . . . . . . . . . . . . . . . . . . . .

Basic Monthly Salary: . . . . . . . . . . . . . . . Other income: . . . . . . . . . . . . . . . Length of Service: . . . . .yrs ......... mths

Address of Employer: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Postal Code . . . . . . . . . . . . . . . . . . . . .

Name of previous employer: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Length of Service: . . . . .yrs ......... mths

Client No (Main): . . . . . . . . . . . . . . . .

S1: . . . . . . . . . . . . S2: . . . . . . . . . . . . . Loan Number: . . . . . . . . . . . . . . . . . . . . .

Dept: . . . . . . . . . . . . . . . . . . . . . . . . . . . Loan Posted: . . . . . . . . . . . . . . . . . . . . . .

Details

Client's Diary

Relationship Details

Updated

Checked

Checked

N.A.

Client No (Joint): . . . . . . . . . . . . . . . .

S1: . . . . . . . . . . . . S2: . . . . . . . . . . . . . Loan Number: . . . . . . . . . . . . . . . . . . . . .

Dept: . . . . . . . . . . . . . . . . . . . . . . . . . . . Loan Posted: . . . . . . . . . . . . . . . . . . . . . .

Details

Client's Diary

Relationship Details

Updated

Checked

Checked

N.A.

Cheque Released By: . . . . . . . . . . . . . . . . . . . . . . Signature of Officer: . . . . . . . . . . . . . . . . . . .

Word of Mouth EmailWebsite Social Media Others: . . . . . . . . . . . . . . . . . .

This form will take approximately 5-10 minutes to complete.

FOR OFFICE USE

No Yes, Please specify. . . . . . . . . . . . . . . . . . . . . . .

TCC-PF-058/REV01/01Apr2017 Page 1 of 4

Main Applicant's Financial Commitments Bank / Financial Institute Loan Type Approved

Limit Outstanding Monthly

Payment Balance

Term

Joint Applicant's Personal Details Name (as in NRIC) in block: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NRIC Number: . . . . . . . . . . . . . . . . . . . . . Date of Birth: . . . . . . . . . . . . . . . . . No. of Dependents: . . . . . .

Marital Status: Single Married Divorced Widowed

Education: Degree/Post Grad Diploma A Level Others . . . . . . . . . . . . . . . . . . . . . . . . .

Address (as in NRIC): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Postal Code . . . . . . . . . . . . . . . . .

Residential Status: HDB Owner Private Home Owner Parents'/Relatives'

Rented. Rental: $ . . . . . . . . . . Others: . . . . . . . . . . . . . . Length of Stay: . . . . . . . . . . . . . .

Tel (Home): . . . . . . . . . . . . . . . . . . . . Tel (Hp): . . . . . . . . . . . . . . . . . . . . Tel (Off): . . . . . . . . . . . . . . . . . . . .

Email Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Type of membership with TCC Ltd Ordinary Associate Family

Are you a member with any other Co-operative? Yes No

Are you a surety for any loans with TCC Ltd/Finance Institutes?

Joint Applicant's Employment Details Employed / Salaried Self-Employed

Yes No

Commission-Earner Others: . . . . . . . . . . . . . . . . . . . . . . . .

Name of Employer: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Occupation: . . . . . . . . . . . . . . . . . . . . .

Basic Monthly Salary: . . . . . . . . . . . . . . . Other income: . . . . . . . . . . . . . . . Length of Service: . . . . .yrs ......... mths

Address of Employer: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Postal Code . . . . . . . . . . . . . . . . . . . . .

Name of previous employer: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Length of Service: . . . . .yrs ......... mths

Joint Applicant's Financial Commitments Bank / Financial Institute Loan Type Approved

Limit Outstanding Monthly

Payment Balance

Term

TCC-PF-058/REV01/01Apr2017 Page 2 of 4

Personal References Personal Reference 1 Personal Reference 2

Name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Contact: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Contact: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Relationship to Main: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Relationship to Main: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Details of Surety / Sureties

Surety 1's Details

Name (as in NRIC) in block: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Member No: . . . . . . . . . . . . . . . . . . . . .

NRIC Number: . . . . . . . . . . . . . . . . . . . . . Date of Birth: . . . . . . . . . . . . . . . . . . . . . No. of Dependents: . . . . . . . . . . . . . . . .

Address (as in NRIC): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Postal Code . . . . . . . . . . . . . . . . . . . . . .

Tel (Home): . . . . . . . . . . . . . . . . . . . . . . . . Tel (Hp): . . . . . . . . . . . . . . . . . . . . . . . . . Tel (Off): . . . . . . . . . . . . . . . . . . . . . . . .

Email Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Relationship to main: . . . . . . . . . . . . . .

Name of Employer: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Occupation: . . . . . . . . . . . . . . . . . . . . .

Basic Monthly Salary: . . . . . . . . . . . . . . . Other income: . . . . . . . . . . . . . . . . . . . . Length of Service: . . . . .yrs......... mths

Surety 2's Details

Name (as in NRIC) in block: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Member No: . . . . . . . . . . . . . . . . . . . . .

NRIC Number: . . . . . . . . . . . . . . . . . . . . . Date of Birth: . . . . . . . . . . . . . . . . . . . . . No. of Dependents: . . . . . . . . . . . . . . . .

Address (as in NRIC): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Postal Code . . . . . . . . . . . . . . . . . . . . . .

Tel (Home): . . . . . . . . . . . . . . . . . . . . . . . . Tel (Hp): . . . . . . . . . . . . . . . . . . . . . . . . . Tel (Off): . . . . . . . . . . . . . . . . . . . . . . . .

Email Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Relationship to main: . . . . . . . . . . . . . .

Name of Employer: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Occupation: . . . . . . . . . . . . . . . . . . . . .

Basic Monthly Salary: . . . . . . . . . . . . . . . Other income: . . . . . . . . . . . . . . . . . . . . Length of Service: . . . . .yrs ......... mths

Surety 3's Details

Name (as in NRIC) in block: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Member No: . . . . . . . . . . . . . . . . . . . . .

NRIC Number: . . . . . . . . . . . . . . . . . . . . . Date of Birth: . . . . . . . . . . . . . . . . . . . . . No. of Dependents: . . . . . . . . . . . . . . . .

Address (as in NRIC): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Postal Code . . . . . . . . . . . . . . . . . . . . . .

Tel (Home): . . . . . . . . . . . . . . . . . . . . . . . . Tel (Hp): . . . . . . . . . . . . . . . . . . . . . . . . . Tel (Off): . . . . . . . . . . . . . . . . . . . . . . . .

Email Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Relationship to main: . . . . . . . . . . . . . .

Name of Employer: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Occupation: . . . . . . . . . . . . . . . . . . . . .

Basic Monthly Salary: . . . . . . . . . . . . . . . Other income: . . . . . . . . . . . . . . . . . . . . Length of Service: . . . . .yrs ......... mths

TCC-PF-058/REV01/01Apr2017 Page 3 of 4

Surety 4's Details

Name (as in NRIC) in block: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Member No: . . . . . . . . . . . . . . . . . . . . .

NRIC Number: . . . . . . . . . . . . . . . . . . . . . Date of Birth: . . . . . . . . . . . . . . . . . . . . . No. of Dependents: . . . . . . . . . . . . . . . .

Address (as in NRIC): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Postal Code . . . . . . . . . . . . . . . . . . . . . .

Tel (Home): . . . . . . . . . . . . . . . . . . . . . . . . Tel (Hp): . . . . . . . . . . . . . . . . . . . . . . . . . Tel (Off): . . . . . . . . . . . . . . . . . . . . . . . .

Email Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Relationship to main: . . . . . . . . . . . . . .

Name of Employer: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Occupation: . . . . . . . . . . . . . . . . . . . . .

Basic Monthly Salary: . . . . . . . . . . . . . . . Other income: . . . . . . . . . . . . . . . . . . . . Length of Service: . . . . .yrs ......... mths

Loan Disbursement Bank-in. Bank Name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Self-collection (Cheque)

Transfer to TCC Ltd's savings (S2) Account No: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1. I/We declare that the statements and information given by me/us is true and that I/we have not withheld any material facts.If any of the information becomes inaccurate or misleading or changes in any way, whether before this application is approvedor whilst the loan is outstanding, we shall promptly notify TCC Credit Co-operative Ltd (herein after called "TCC Ltd") of suchchanges.

2. I/We authorise TCC Ltd to obtain any information it may require from any person or relevant source, in order to process thisapplication.

3. I/We also declare that I/We have never been declared a bankrupt either in the Republic of Singapore or in any other countryand that I am/we are not aware of any bankruptcy proceedings pending against me/us in Singapore or elsewhere.

4. I/We agree that TCC Ltd has absolute discretion to decline this application, extend such other loan amount (including lowerloan amount than the amount applied for in this application) or impose other conditions on me/us as TCC Ltd may reasonabledeem fit.

5. I/We shall indemnify TCC Ltd and keep TCC Ltd indemnified at all times against and from all actions, proceedings, claims, loss,damage, costs and expenses which may be brought against TCC Ltd or suffered or incurred by TCC Ltd arising either directlyor indirectly out of or in connection with TCC Ltd accepting instructions from me/us or purportedly from me/us by way of fax or email.

Declaration & Authorisation By Applicant(s)

Signature of Main Applicant Signature of Joint Applicant

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

*Additional sureties required where applicable

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