5, Guy Rozemont Square, P. Louis
Tel. No. 213 0909 (8 lines)
Fax No. 211 2441
Email : m.c.s.mutualaid@intnet.mu
 Web site:www.mcsmutualaid.com

 

PERSONAL LOAN APPLICATION FORM

Part 1 / Part 2 / Part 3

Office use : Remarks

PLA/07/08
Loan No.
           
Customer Code
           
1.0 Note : Your application form should be supported by the following documents:
(1) Photocopy of your National Identity Card; (4) Originals of recent payslips and photocopies NID cards of your guarantors;
(2) Original of your latest payslip / pension slip;
(3) Certificate from your department stating that you are not under report nor on leave without pay. (valid for one week);		 (5) Photocopy of bank document showing bank account number and name of applicant;
(6) Utility Bill(CEB or CWA or Mauritius Telecom) - not more than 3 months
(7) Items (3) & (4) above are not applicable to pensioners.
1.1 PART 1.1 TO BE FILLED IN BY APPLICANT (In Block letters)
Surname……………………………………………………………………….…….Mr/Mrs/Miss
Name: ………………………….. Maiden Name………………………………
Dept/Ministry: …………………..
Pay Site Code/Pen No.
             
Tel. No. (Office):………………….. Tel. No. (Home):……………………………………
Post Held………………… Monthly Salary Rs……………….
Loan Amount Rs………………… Refund Period…………….………...Months
Bank Name ……………………… Purpose of loan…………….………………
Bank Branch ………………………………………
Bank Account No
                           
Any outstanding loan balances with other institution: Rs ………………
Home Address……………………………………………………………………………… ………………
……………………………………………………………………………………………………
I, the undersigned, hereby apply for a loan of Rupees…………………………………………..(Rs…………….) from the above Association in accordance with Articles 1 to 10 of the By-Laws of the Association and Article 24 of the Articles of the Association and hereby authorise the deduction of the monthly loan abatement from my salary/pension.
NID No
                           
………………………………..
Signature of applicant
1.2
Customer code ……(1) GUARANTORS Customer Code ……(2)
Surname……………………………………… Surname………………………………………
Name………………………………………… Name…………………………………………
NID No
                           
NID No
                           
Dept/Ministry:………………………………… Dept/Ministry:…………………………………
Tel. No. (Office):…………… Tel. No. (Office):…………
Tel. No. (Home):………………… Tel. No. (Home):…………………
Pay Site Code:
             
Pay Site Code:
             
Address………………………………………… Address…………………………………………
1.2
PART 1.3- OFFICE USE : REMARKS
Reasons for abeyance:.................................................................... Date.……/……./……..
Action Taken: ............................................................................. Signature: ...................
2.0 PART 2 TO BE FILLED IN AND SIGNED BY APPLICANT AND GUARANTORS
ACKNOWLEDGEMENT : UNDERTAKING TO REFUND BY INSTALMENTS

I acknowledge having received from the Association the sum of Rupees…………………………………………………..  as loan, subject to the conditions of my membership of the Association and its rules and By-laws.

I, undertake to refund this loan by equal monthly and consecutive instalments of Rs………….. in  ………. months by deduction from my salary, fees and allowance accruing to me without prejudice to refund being made otherwise and on being accepted by the Mauritius Civil Service Mutual Aid Association Ltd.; each such instalment shall be calculated as per the table of the Association and shall represent an instalment of the principal amount and of interest rate applicable and shall be paid not later than …………. The said interest rate shall be tagged to the Repo rate and shall accordingly be adjusted by the same percentage change.

I undertake to pay all charges in connection with the loan including a premium, prior to granting of the loan. In case of any default in payment of any instalment at the due date, the entire balance of the loan together with any interest due shall become immediately due and demandable, at the option of the Association. 

I also undertake to refund any such loan balance, as may be required, together with any interest due in case of a Voluntary Retirement Scheme or early retirement and hereby authorise that the amount due be deducted from my gratuity, lump sum or any amount payable to me by my employer.

*Wording …………………………………………..………………………………………….…
Applicant’s Signature …. ……… ……… Date .……/……./……..

2.1 As guarantors, we bind ourselves jointly and in solido to repay in full to the Mauritius Civil Service Mutual Aid Association Ltd, any balance which may be due to the Association in respect of the loan and the interest thereon, should the borrower resign, or be dismissed from the service, or otherwise fail to repay the said loan in terms of this agreement.

*Wording …………………………………………..…………………………….…
Guarantor’s Signature (1) …. ……… ……… Date .……/……./……..
 
*Wording …………………………………………..……………………….…
Guarantor’s Signature (2) …. ……… ……… Date .……/……./……..

*Please write in words and in your own handwriting in the spaces provided :“Read and approved: good for the sum of rupees……”.

3.0
PART 3 FOR OFFICE USE
3.1 - RECEPTION
Loan application/annexed documents as per part 1.0/loan amount/guarantors eligibility
Scrutinised by :………
Signature : ……………
Date : .……/……./……..		 Scrutinised by :…………
Signature : ……………
Date : .……/……./……..		 Scrutinised by :…………
Signature : ……………
Date : .……/……./……..

3.3 - LOAN INPUT
Previous Loan Number : ………
Editing and input of loan
Processed by :…………
Signature : …………
Date : .……/……./……..

3.3 - VALIDATION
Loan application, annexed documents as per part 1.0,existing loan accounts, loan amount,guarantors eligibility & data input
Checked by:…………
Signature : ……………
Date : .……/……./……..

3.4 - LOAN PROCESSING
Previous loan closed and credit up to date
Checked by:…………
Signature : ……………
Date : .……/……./……..