Medical Loan Application Form Page 4

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SCHEDULE FORMING PART OF MEDICAL LOAN AGREEMENT
I
Amount of loan
:
Rs. ________________
Rupees _______________________________
II
Applicable rate of interest :
NIL
III
Details of first disbursement
Amount
:
Rs. __________________
Cheque No.
:
_____________________
Cheque Date
:
_____________________
Bank name
:
_____________________
IV
Principal Instalment
:
Rs. __________________
V
Recovery method
:
Reducing balance
SIGNED BY THE WITHIN NAMED
Mr. _____________
_______________________
Name of Borrower
Signature of Borrower
SIGNED BY THE WITHIN NAMED
________________________
______________________________
Name of within named person
Signature for and on behalf
signing for and on behalf of
of Internet Ltd
Internet Ltd.

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