Loan Application Form - Hfc Bank Page 3

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loan appliCation ForM
inCoMe & expenditure
hfc assessment
main
Joint
Joint
total annual
income
+
+
=
applicant
applicant 1
applicant 2
income
(Leave blank)
grOSS aNNuaL iNcOmE
OThEr iNcOmE
total annual income
main
Joint
Joint
total monthly
hfc assessment
average monthly income
+
+
=
applicant
applicant 1
applicant 2
income
(Leave blank)
NET SaLarY
NET buSiNESS iNcOmE
NET rENTaL iNcOmE
OThEr rEguLar iNcOmE
total monthly income (a)
main
Joint
Joint
total monthly
hfc assessment
monthly expenses
+
+
=
applicant
applicant 1
applicant 2
expenses
(Leave blank)
fixeD expenses
hOuSiNg LOaN rEpaYmENT
pErSONaL LOaN rEpaYmENT
OvErdraFTS
crEdiT card
hirE purchaSE
OThEr FixEd cOmmiTmENTS
variable expenses
TravELLiNg ExpENSES
EducaTiON ExpENSES
raTES aNd biLLS
rENTaL
LiviNg ExpENSES
OThErS
total monthly expenses (b)
surplus/(Deficit)
(a-b)
iMportant - deClaration & signoFF
1.
i / We agree and acknowledge that the written details on this form are true and correct and are given in support of my loan application and / or account review dated as above the
contents of which are also confirmed correct.”
2.
/We undertake to make cash/direct deduction/lodgment towards repayment of principle and interest of the loan at hFc. i / We undertake to advice hFc of any changes to pay day that
will affect the remittance of such deduction.
3.
i / We authorise hFc to obtain a consumer credit report from any credit reporting agency about me / us) which can include my credit worthiness, credit history or credit capability) and
/ or obtain from other banks of Financial institutions a banker’s report / opinion about my / our credit worthiness for purposes connected with my / our business, trade or profession. i /
We understand this information may be given and used to assess this credit application or account review, to assess my credit worthiness, to assist me / us to avoid default and to notify
other credit providers of any default by me / us.
4.
i / We acknowledge that the terms of approval of this credit application or account review will be subject to the consumer credit act and any other statutory regulations governing such
approvals from time to time.
5.
i / We understand that all legal, valuation and other costs are payable by me / us and if any such payments including insurance premiums are in arrears, hFc may debit my / our account
to pay these and levy appropriate service fees.
6.
i / We further certify that i am / we are not less than 18 years of age or an undischarged bankrupt(s).
7.
I / We confirm that there is no pending judgement / civil or bankruptcy action against me / us.
8.
I / We confirm that I / We are not suffering from any sickness that would affect my / our employment thus effecting the serviceability of the loan at HFC.
9.
i / We declare that the credit provided by hFc will be applied wholly or predominantly for the purpose of the project mentioned in this application.
10.
I / We confirm that any previous withdrawal of funds from FNPF have been declared to HFC.
11.
i / We accept that my / our account shall be reviewed annually by hFc to determine the ongoing safety of the debt with the organisation and all information that shall be required by
hFc will be provided by me / us.
12.
hFc bank to communicate to me/us electronically through emails, Short message Services (SmS) and or any other means, regarding my accounts, any news and messages including
any product(s) promotions.
My signature below evidences my stated understanding, acknowledgement, authority and consent to all matters set out in this declaration.
main applicant
joint applicant 1
joint applicant 2
Page 3/3

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