Read MQL_loan_Form.pdf text version

MUTUAL AID QUICK LOAN

5, Guy Rozemont Square, P. Louis Tel. No. 213 6060 (30 lines) Hotline. 212 4000 Fax No. 211 2441 BRN : C10000071 Email : [email protected] Web site:www.mcsmutualaid.com

OFFICE USE LOAN NO:

Loan Type: Recast:

New:

(MQL)

APPLICATION FORM

MQL/4.4.12

CUST CODE:

Existing loan :

or New loanee :

Note Note : Your application form should be supported by the following documents: 1.0 1. Original & photocopy of your recent payslip/pension slip (not more than two months). 2. Original & photocopy of NID card of applicant (NIC with initials should be supported by Birth Certificate). 3. Photocopy of bank document showing account number and name of applicant. 4. Utility Bill (CEB or CWA or Mauritius Telecom) ­ not more than 3 months. 5. Certificate from your department stating that you are not under report nor on leave without pay (Applicable only for a new customer and for customers who have already settled their loans with the Association. Valid for one week). PART 1 TO BE FILLED IN BY APPLICANT (In Block letters) 1.1 SURNAME (MR/MRS/MISS) NAME MAIDEN NAME NID NO. DEPT/MINISTRY POST HELD MONTHLY SALARY (RS) TEL NO. EMAIL ADDRESS HOME ADDRESS LOAN AMOUNT (RS) BANK NAME BANK BRANCH BANK A/C NO. PURPOSE OF LOAN I, the undersigned, hereby apply for a loan of Rupees......................... .................................................. ................................ (Rs....................) from the Mauritius Civil Service Mutual Aid Association (MCSMAA) Ltd in accordance with Articles 1 to 6 of the By-Laws of the MCSMAA Ltd and Article 7.1.1 of the Constitution of the MCSMAA Ltd and hereby authorise the deduction of the monthly loan abatement from my salary/pension. I am fully aware of the provisions applicable under the Data Protection Act. I consent that you use, update and process the data and keep the details given to you in a database. The purpose of data collection is to process the loan. It is mandatory to provide data, else MCSMAA Ltd will not process the loan. Once the application has been processed, all data will be destroyed as per legal requirements. I hereby authorize the Association to make necessary enquiry from the Mauritius Credit Information Bureau (MCIB) regarding any loan facilities previously granted to me by any financial institution in Mauritius and to provide the MCIB with relevant information on the present loan facilities. I agree to the MCSMAA Ltd sending me an SMS regarding my loan account on my above mobile phone number. I solemnly affirm that the above mobile number submitted by me to the MCSMAA Ltd is duly registered under my name with my mobile service provider. I undertake to compensate MCSMAA Ltd in the event it becomes liable to any third party as a result of this number being false or otherwise inexact. I undertake to inform immediately in writing the MCS Mutual Aid Association in case of any changes in the personal data provided above. Signature of applicant : ..................................

Please Turn Over

PAYSITE CODE / PEN NO.

OFFICE:

HOME:

MOBILE:

REFUND PERIOD

MONTHS

2.0

PART 2 TO BE FILLED IN AND SIGNED BY APPLICANT

ACKNOWLEDGEMENT : UNDERTAKING TO REFUND BY INSTALMENTS

I acknowledge having received from the Association the sum of Rupees..................................................... ..............................as loan, subject to the conditions of my membership of the Association and its rules and By-laws. I undertake to refund this loan by equal monthly and consecutive instalments of Rs....................... in ................... months by deduction from my salary, fees and allowance accruing to me without prejudice to the refund being made otherwise and on being accepted by the Mauritius Civil Service Mutual Aid Association Ltd.; each such instalment shall be calculated as per the table of the Association and shall represent an instalment of the principal amount and of interest rate applicable and shall be paid not later than ......................................... .

The Association shall have the right, in its sole discretion and without prior notice, to change the rate of interest each time the Association's base lending rate (MBR) is altered or the margin over the MBR is altered.

Consequently, the loan maturity date may be extended or reduced to take into account fluctuations in interest rate during the loan period. However, the monthly loan instalment will remain the same. I undertake to pay all charges in connection with the loan including a premium, prior to granting of the loan. In case of any default in payment of any instalment at the due date, the entire balance of the loan together with any interest due shall become immediately due and demandable, at the option of the Association. I also undertake to refund any such loan balance, as may be required, together with any interest due in case of a Voluntary Retirement Scheme or early retirement and hereby authorise that the amount due be deducted from my gratuity, lump sum or any amount payable to me by my employer, Accountant General, SICOM Ltd or such other institutions responsible for payment of pension. I understand that on retirement I have the option to use part or whole of my retirement gratuity to make a part-payment on my loan balance so as to reduce the monthly deduction from my pension. No request for rescheduling of the loan balance will be entertained if I do not exercise the said option. I also give an unequivocal authorization to my employer to make salary deduction as requested by the Association. I hereby also declare that I am not subject to any adverse departmental report or involved in a police case and have not applied for leave without pay. I understand that in the event that the declaration is false, the entire balance of the loan together with any interest due shall become immediately due and demandable and will be recovered by judicial process in case of default of payment.

2.1

* Wording ........................................................................................................................... .......................................................................................................................................... Applicant's Signature .... ........................................................ Date......../......./.........

*Please write in words and in your own handwriting in the spaces provided: "Read and approved: good for the sum of rupees............".

3.0

FOR OFFICE USE

3.1 LOAN APPLICATION

3.2

LOAN APPLICATION SCREENING QUALITY CONTROL 3.3 MCIB QUERY /ELIGIBILITY TEST

3. 4

MAINTENANCE / EDITING

Received by : ............ Signature : ............... Date : ....../......../......

Passed Failed Performed by: ............ Signature:.................. Date: ........./....../.......

3.6 LOAN INPUT

MCIB Ref : ............... Verified by: ............... Signature : ................. Date: ....../......./........

Scrutinised by : ................................ Signature : .................. Date : ....../........./...... Name of member : ............................. Signature : ............... Date : ....../......./.......

3.5 FOR RECAST ONLY: DETAILS OF PREVIOUS LOAN

3.7 AUTHORISATION 3.8 SANCTIONED BY LOAN COMMITTEE

Loan amount: Rs..................... Number of payments :.............. Refund period :.............months Insurance Premium:Rs................ Loan abatement : Rs ............... Name : ............................... Signature : .......................... Date : ........./......../..........

JB/SB/21.3.12

Previous Loan Checker : Number: ............... ........................ Editing and input of loan Signature : ............ Maker : ..................... Signature : .................. Date : ......./..../...... Date : ....../....../......

Information

2 pages

Find more like this

Report File (DMCA)

Our content is added by our users. We aim to remove reported files within 1 working day. Please use this link to notify us:

Report this file as copyright or inappropriate

1046