Medical Loan Application Form

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Medical Loan application Form
Date: ____________
I hereby apply for a loan of Rs. ________/- (Rupees _________________________)
under the Medical Loan Scheme of the company. I require this amount for
following purpose(s)
I request you to sanction me the loan as per my eligibility. I undertake to execute
all the documents necessary for availing the loan.
_____________________
Signature of Employee
Employee Name __________________
Employee Code ___________________
For Office use only
It is verified that the employee has no loan/ only one loan outstanding as on date
and he/she is eligible for maximum loan of Rs. ____________. Therefore, a
Medical loan of Rs. _______/- (Rupees________________________________), may
be sanctioned. Further, All the necessary documents are executed therefore the
loan amount may be disbursed to the employee
____________
____________
____________
Proposed by
Verified by
Approved by

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