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

RSF LOAN APPLICATION FORM

Part 1 / Part 2 / Part 3

Office use : Remarks

RSF/02/08
Loan No.
           
Customer Code
           
1.0 Note : Your application form should be supported by the following documents:
(1) Original and photocopy of your National Identity Card and your recent payslip;

(2) Certificate from your department stating that you are not under report nor on leave without pay. (valid for one week);
(3) Utility Bill(CEB or CWA or Mauritius Telecom) - not more than 3 months
(4)Photocopy of bank document showing bank account number and name of applicant;
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 20A 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
PART 1.2- OFFICE USE : REMARKS

I certify that the aboved customer is a member of the Retirement Savings Fund. His/her total contribution as at to date amounts to Rupees ……………………………………………………………………………………(Rs………) with accrued interest thereon of Rupees …………………… ……………… ……………… ………………… (Rs ………).

Name of Portfolio Assistant: …………… Signature : ……………… Date : ……/……./……..
1.3
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
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 agree that any loan balance together with any interest due will be deducted from my Retirement Savings Fund lump sum or any amount payable to me by my employer in case of resignation, retirement, dismissal or withdrawal from the Fund.

*Wording …………………………………………..………………………………………….…
Applicant’s Signature …. ……………………………………… 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 eligibilty
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 eligibility and data input
Checked by:…………
Signature : ……………
Date : .……/……./……..

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