Application For Loan - Tecu Credit Union Co-Operative Society Limited
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1
2TECU CREDIT UNION CO-OPERATIVE SOCIETY LIMITED
APPLICATION FOR LOAN
NAME
: ________________________________________________________________________
Date: __________________________
(PRINT)
HOME ADDRESS: ____________________________________________________________________
Member No.
_________________________
_______________________________________________________________________________________________________
EMPLOYER: ___________________________________________________________________________________________________________
EMPLOYER’S ADDRESS: ________________________________________________________________________________________________
STATUS:
Permanent
Temporary
Tel Nos.: (Home) ___________________ (Work) _________________________
Casual
Self Employed
Contract
(Cell 1) __________________ (Cell 2) ________________________
POSITION: __________________________________________________________________________
Service with Company: ____________
I hereby apply for a loan/additional loan of ____________________________________________________________________________________
Dollars ($_____________________________)
and
agree
to
repay/increase
repayment
in
weekly/monthly
installments of
$ _________________________ each of which $ _______________________ should be put to shares.
PURPOSE OF LOAN: ____________________________________________________________________________________________________
SECURITY OFFERED:
SHARES/CHARACTER
CO-MAKER/INSURANCE
BILL OF SALE
UNITS
MORTGAGE/OTHER (Details) _____________________________________________________________________________________________
Personal Data
Outside Commitments
Date of Birth: __________/_____________/_______________________
Bank Loan: $____________________ Other: $__________________
Day
Month
Year
Single:
Married:
C/Law:
Divorced:
Separated:
House Loan: $___________________
H.P. $__________________
Other Income Per Annum: $___________________________________
TECU Co-Maker: $________________ Mbr. No. ________________
I declare that I am not indebted to any other Credit Union, Bank or Loan Agency either as maker or endorser except as stated on this form. The
statements herein are made for the purpose of obtaining the loan and are true to the best of my knowledge and belief.
_______________________________________________________
Signature of Applicant
FOR OFFICE USE ONLY
DATE JOINED C.U.: ________________________________
Remittances:
Monthly
Weekly
Fortnightly
No. of Loans in Current Year: _____________________________________
Method of Payment: Payroll
Standing Order
O.T.C.
Transfer
No. of overdue Installments over past 6 months: _______________________
Loans Within the last six (6) months
Current Remittance: Monthly/Fortnightly/Weekly
DATE
AMOUNT
PURPOSE
Shares
$
Share Deposit
$
Loan – Character
$
Loan – Vehicle
$
Loan – Mortgage 1
$
Loan – Mortgage 2
$
TOTAL
$
CO-MAKER’S PRESENT COMMITMENT: $__________________________________
Shares: $___________________
Loan: $__________________ CHECKED BY: __________________
_________________________________
LOAN OFFICER:_______________________________________________
LOAN OFFICER AND CREDIT COMMITTEE USE ONLY
Amount Approved by Loan Officer/Credit Committee at meeting held on
______________________
$_________________________________
Method of Disbursement:
Share A/C
Share Deposit Account
Cheque
ACH
LinCU
APPROVAL SIGNATURES
Comments by Loan Officer/Credit Committee:
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