5, Guy Rozemont Square, P. Louis
Tel. No. 213 6060 (30 lines)

Hotline. 212 4000
Fax No. 211 2441
Email : m.c.s.mutualaid@intnet.mu
Web site:www.mcsmutualaid.com

 

PERSONAL LOAN APPLICATION FORM

PLN1/24.4.12

Business Registration Number : C10000071


Office Use

Loan Type: Recast :     New :
Loan No.
                 
Cust. Code :
                 
1.0 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):…....…………………………………    Mobile No.:........................................
Email Address : .........................................................................................................................................................................................
Post Held………………… Monthly Salary Rs……………….
Loan Amount Rs………………… Refund Period…………….………...Months
Bank Name ……………………… Purpose of loan…………….………………
Bank Branch ………………………………………
Bank Account No
                               
Home Address……………………………………………………………………………… ………………..........................................
Relationship with Guarantor (s) (Please tick as appropriate if applicable): (1)Spouse (2) Child (3) Father (4) Mother
I, the undersigned, hereby apply for a loan of Rupees…………………………………………..(Rs…………….) from the above Association in accordance with Articles 1 to 6 of the By-Laws of the Association and Article 7.1.1 of the Constitution of the Association and hereby authorise the deduction of the monthly loan abatement from my salary/pension.
I hereby authorize the Association to make necessary enquiry from the Mauritius Credit Information Bureau (MCIB) regarding any loan facilities previously granted to me by any financial institution in Mauritius and to provide the MCIB with relevant information on the present loan facilities.
I am fully aware of the provisions applicable under the Data Protection Act. I consent that you use, update and process the data and keep the details given to you in a database. The purpose of data collection is to process the loan. It is mandatory to provide data, else Mauritius Civil Service Mutual Aid Association Ltd will not process the loan. Once the application has been processed, all data will be destroyed as per legal requirements.
I agree to the MCSMAA sending me SMS regarding my loan account on my mobile phone number.
I solemnly affirm that the above number submitted by me to the M.C.S. Mutual Aid Assn. Ltd (MCSMAA) is duly registered under my name with my mobile service provider.
I undertake to compensate MCSMAA in the event it becomes liable to any third party as a result of this number being false or otherwise inexact.
"I undertake to inform immediately in writing the MCS Mutual Aid Association in case of any changes in the personal data provided above."
NID No
                           
………………………………..
Signature of applicant
1.1 TO BE FILLED IN BY GUARANTOR/S (IN BLOCK LETTERS)
                         (1)                                                              GUARANTORS                                          (2)
Surname………………………………………....................
Name : .................................................................................
Dept/Ministry : .....................................................................
Post Held : ...........................................................................
Tel. No. (Office) : .................. Tel. No. (Home) : ...................
NID No.
                           

Pay Site Code
             

Address : .........................................................................
.........................................................................................
State Relationship with Applicant or 2nd Guarantor (Please tick if applicable)
(1) Spouse (2) Child (3) Father (4) Mother

I hereby authorize the MCSMAA Ltd to make necessary enquiry from the Credit Information Bureau (MCIB) regarding any loan facilities previously granted to me by any financial institution in Mauritius and to provide the MCIB with relevant information on the loan facilities.
I am fully aware of the provisions applicable under the Data Protection Act. I consent that you use, update and process the data and keep the details given to you in a database. The purpose of data collection is to process the loan. It is mandatory to provide data, else the MCSMAA Ltd will not process the loan. Once the application has been processed, all data will be destroyed as per legal requirements.

I agree to stand as sole guarantor and I undertake to inform immediately in writing the MCS Mutual Aid Association in case of any changes in the personal data provided above.

Date : ............................... Signature : ......................................
Surname : .........................................................................
Name : .............................................................................
Dept/Ministry : ..................................................................
Post Held : .......................................................................
Tel. No. (Office) : ................... Tel. No. (Home) : ...................
NID No.
                           

Pay Site Code
             

Address : ................................................................................
..............................................................................................
State relationship with Applicant or 1st Guarantor (Please tick if applicable
(1)Spouse (2)Child (3)Father (4)Mother
I hereby authorize the MCSMAA Ltd to make necessary enquiry from the Mauritius Credit Information Bureau (MCIB) regarding any loan facilities previously granted to me by any financial institution in Mauritius and to provide the MCIB with relevant information on the present loan facilities.
I am fully aware of the provisions applicable under the Data Protection Act. I consent that you use, update and process the data and keep the details given to you in a database. The purpose of data collection is to process the loan. It is mandatory to provide data, else MCSMAA Ltd will not process the loan. Once the application has been processed, all data will be destroyed as per legal requirements.

I agree to stand as sole guarantor and I undertake to inform immediately in writing the MCS Mutual Aid Association in case of any changes in the personal data provided above.

Date : ............................ Signature : ....................................
OFFICE USE
Cust. Code :
                 
(1) GUARANTORS (2)
Cust. Code :
                 
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 Association shall have the right, in its sole discretion and without prior notice, to change the rate of interest each tine the Association's base lending rate (MBR) is altered or the margin over the MBR is altered.

Consequently, the loan maturity date may be extended or reduced to take into account fluctuations in interest rate during the loan period. However, the monthly loan instalment will remain the same.

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, Accountant General, SICOM Ltd or such other institutions responsible for payment of pension. I understand that on retirement I have the option to use part or whole of my retirement gratuity to make a part-payment on my loan balance so as to reduce the monthly deduction from my pension. No request for rescheduling of the loan balance will be entertained if I do not exercise the said option. I also give an unequivocal authorization to my employer to make salary deduction as requested by the Association.

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

2.1 As guarantors, we bind ourselves jointly and in solido with the Applicant and also renounce to our "benefice de discussion", to repay in full to the Mauritius Civil Service Mutual Aid Association Ltd, through salary deduction, any balance which may be due to the Association in respect of the loan and the interest theron, should the Applicant resign, or be dismissed from the service, or otherwise fail to repay the said loan in terms of this agreement. We also give an equivocal authorization to our employers to make salary deduction as requested by the Association.

*Wording (1) …………………………………………..…………………………….….................................................................................
....................................................................................................................................................................................................
Guarantor’s Signature (1) …. ……… ……… Date .……/……./……..
 
*Wording (2) …………………………………………..…………………….…...........................................................................................
..................................................................................................................................................................................................
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 - Loan Application Screening

3.1 LOAN APPLICATION


Received by :………
Signature : ……………
Date : .……/……./……..

3.2 QUALITY CONTROL/ ELIGIBILITY TEST
Passed             Failed  

Performed by :…………
Signature : ……………
Date : .……/……./……..

3.3 MAINTENANCE / EDITING


Scrutinised by :…………
Signature : ……………
Date : .……/……./……..

3.4 - FOR RECAST ONLY:
DETAILS FOR PREVIOUS LOAN

Loan Amount :Rs ...............………
Number of Payments:......…………
Refund period: ………….... months
Insurance Premium: Rs ........……....
Loan Abatement : Rs .......................
Name : ...........................................
Signature : ......................................
Date : .............................................

3.5 - LOAN INPUT
Previous Loan Number : ………
Editing and input of loan
Maker :…………

Signature : …………

Date : .……/……./……..

3.6 - AUTHORISATION

Checker:…………
Signature : ……………
Date : .……/……./……..

3.7 - SANCTIONED BY LOAN COMMITTEE

Name of member:…………
Signature : ……………
Date : .……/……./……..

Note : Your application form should be supported by the following documents :
(1) Original & Photocopy of your National Identity Card; (2) Original of your recent payslip/pension slip (not more than 2 months)
(3) Certificate from your department stating that you are not under report nor on leave without pay. (valid for one week) ;
(4) Originals & Photocopies of recent payslips (not more than 2 months) and original & photocopies of NID cards of your guarantors;
(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.