MIZORAM COOPERATIVE APEX BANK LTD.

HEAD OFFICE : AIZAWL

APPLICATION FORM FOR FESTIVAL ADANCE

(For Government Servant)

Affix
passport size photo
2 copies

To,

The Managing Director/Chief/Branch Manager,

Mizoram Cooperative Apex Bank Ltd.,

______Branch.

Sir,

I hereby apply for Festival Advance of ______(Rupees ______Only)

My particulars are given below:-

1. Name (Capital letters) : ______

2. Father’s/Husband’s/Wife’s name : ______

3. Date of Birth : ______Age:______

4. Address (A) Office : ______Ph ______

(B) Residence : ______Ph______

: House No. ______

5. Designation : ______

6. Date of joining service : ______

Confirmation/regularization

Certificate should be attached

7. No. of years due in service for retirement :______

8. Purpose of Loan : ______

9. Terms of repayment required : ______

10. Salary drawn : `______

LPC (to be enclosed)

11. Security offered : Salary/GPF/PF/Pension benefit/etc.

12. Name of Nominee/Heir : ______

Relationship : ______

(Bank should be informed if nominee/heir is changed while loan is outstanding.)

13. Whether availed any loan from

M.C Apex Bank Ltd. in the past : ______

If availed,

a) Loan Account No. : ______Date:______

b) Whether liquidated (Yes/No) : ______

If No, : Bal. Outstanding ` ______

Due Date. ______

14. Any direct or indirect liability : ______

to M.C. Apex Bank : ______

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15. Any other liability to other banks : ______

16. Type of account operated in MC Apex Bank Ltd. with date of opening:-

a) Current A/c No. : ______Date______

b) Saving A/c No. : ______Date______

c) Other A/c No. : ______Date______

17. M.C. Apex Bank Ltd. Nominal No. : ______Date______

I agree to repay the entire Festival Advance in EMI within 10 months. In the case of my failure to repay the loan in full within the stipulated period for any reason, the Mizoram Cooperative Apex Bank Ltd., shall have the right to take action against me for the liquidation of the loan in any manner as it deems fit.

(For salary drawn from our bank) I agree to transfer my monthly installment by way of debiting C.A / S.B A/c No. ______every month.

All the information given are true to the best of my knowledge and belief.

Place :______

Date :______

Signature of Applicant:______

Name of Applicant :______

Space For Bank’s Use:______

1. The application has been checked by me and found that the applicant(s) do/does not avails/avail ______under Account No.______from our Branch.

2. ______accommodation is suggested.

Signature of Bank’s Official

The following conditions are sanctioned:-

Amount / Margin / Rate of Interest / Security

Remarks/Comments :

Chief/Branch Manager

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L ETTER OF AUTHORITY

(Applicant)

I do hereby authorize my employer ______

(Designation of Dept. Head) to deduct necessary monthly loan installment from my monthly salary which is to be remitted to the Mizoram Cooperative Apex Bank Ltd. ______Branch for credit of my loan account with the said branch. In the case of my failure to repay the said loan in full from my monthly salary, I further authorize my employer to arrange necessary adjustment from my gratuity, service termination benefits, pension benefits, G.P. fund etc., whichever is/are convenient.

(Signature) :______

Name of the applicant :______

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LETTER OF PROFORMA OF UNDERTAKING FROM THE EMPLOYER

To,

The Managing Director/Chief/Branch Manager

Mizoram Cooperative Apex Bank Ltd.

______Branch

Dear Sir,

As desired by our employee Shri/Smt.______Designation______and as per his/her authorization given to me to deduct for his/her______loan installment, I hereby undertake unconditionally to credit salary cheque/cash of Shri./Smt.______to his/her______loan account with you every month commencing from the month as per instructions received from you.

In case, the employee is transferred from our establishment/office, I also undertake to note in his/her Last Pay Certificate (LPC) to credit his/her salary to his/her______loan account with your Bank every month until the loan is liquidated or otherwise advised by your bank to the contrary, even to the information of subsequent drawing & disbursing officer (DDO) and the copy of the same along with a copy of his/her transfer order will be endorsed to you. And in case he/she intends to relinquish his/her service on any ground before clearing his/her dues with your bank. I hereby undertake to make arrangement for liquidating his/her dues with you.

Until and unless the ______loan availed at ______Branch by Mr./Mrs. ______is liquidated he/she shall not draw his/her salary from banks other than the Mizoram Cooperative Apex Bank Ltd.

Yours faithfully,

Place : ______

Date : ______

Signature:

D.D.O. SEAL

NOTE

1. Loan Application hi uluk tak leh felfai taka fill-up tur a ni.

2. Thaichhiat leh Hnawihvar a awm tur a ni lo.

3. Application hi fill-up vek tur a ni a, thil ngailo nia hriatah chuan N.A. ti tala fill-up tur a ni.

4. Pen tui thuhmun hman tur, rawng hrang hrang hman phal a nilo/ Black or Blue.

5. Form hi Xerox-a, a dik vek hnuah copy nise a tha.

6. Address hi chiang taka ziah nise. House No. bakah Land-Mark eg. Near

Y.M.A Hall etc. tih ziah nise.

LOAN DOCUMENT LAK TUR TE:

1.  Demand Promissory Note

2.  Mandate for Deduction

3.  Deed of Loan

4.  Loan Agreement

5.  Loan Bond

(NAME OF THE OFFICE) (Deptt./Office Copy)

______

______

Letter No.______Date, the______

To,

The Managing Director/Chief/Branch Manager

Mizoram Cooperative Apex Bank Ltd.,

______Branch.

Subj: Festival Advance (FA) Application of

Pi/Pu ______

Dear Sir,

I enclose herewith the Festival Advance (FA) Application of Pi/Pu ______(designation)______working in section / Department of our Office/Department and to state as under :-

1) That I have gone through all the particulars furnished in the application and the enclosed connected papers and I do hereby certify that the information given in the application and the enclosed connected papers are correct.

2) That the application is a permanent /regular employee of this office/Department and is not due for retirement within ______years.

3) That the applicant has put his /her signature in my presence.

4) That the applicant is trustworthy and there is no information that the applicant is in default of repayment of dues/loans by him/her to his office.

5) That the Advance applied by him /her from the Bank is recommended/not recommended for sanction.

6) That I undertake to deduct the monthly installment of the loan amount with interest thereof from the monthly salary of the applicant and deposit the same to the Bank regularly till liquidation of the loan with interest accrued thereof.

And in case of failing to recover the monthly installment of the loan with interest thereof out of the salary of the applicant herein mentioned due to unforeseen circumstances, we do hereby undertake to recover the same out of the claims payable to the applicant due from this Office/Department.

Signature

(Designation with seal of office)

Enclosure:-

1) Application

2) Salary Certificate/LPC

3) Confirmation Letter (Xerox copy).

4) Letter of Authority (Applicant)

5) Letter of Proforma of undertaking from the Employer. (Applicant)