Oil & Gas Development Company Limited

OIL & GAS DEVELOPMENT COMPANY LIMITED

APPLICATION FOR MARRIAGE LOAN

FROM STAFF WELFARE FUND

Name (Block Letters)Father/Husband’s Name

DesignationEmployee Number

DepartmentPlace of Posting

Date of BirthDate of Appointment

Total ServiceRemaining Service

Monthly EmolumentG.P Fund Number______

No. of Dependents______Amount of Loan/Donation______

Name of Person for whose

Marriage loan is required ______Relation______

Age______

I hereby solemnly declare that the above particulars are correct.

Forwarded bySignature (Applicant)

Head of Department/

Location InchargeDesignation

DateDepartment/Location

Address

CERTIFICATE

This is to certify that the information furnished by ______is correct as per his personal record. It is further certified that the name of ______of whose marriage loan has beenSought is included in his verification roll with date of birth as ______.

Section Incharge (Personnel)Manager (Personnel)

Secretary (SWFC)Approved by Chairman (SWFC)

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FOR USE OF WELFARE FUND SECTION ONLY

Details of previous loan(s) ______

Checked byAmount approved Rs.

Cheque No. and Date

Clearance of Treasurer

Signature of Recepient

Accounts Record

Book/Ledger No.______Page No.______Signature ______

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Note*Attested copy of current month salary slip should be enclosed.

*Application must be signed and stamped by the Head of Department/Location Incharge.

*Undertakings as per overleaf should also be given.

*Application form must be completed properly; incomplete application shall not be entertained

* New (A4 seze) application form must be used..

UNDERTAKING

I ______S/O ______, employedas ______in the Oil and Gas Development Company Limited, do herebyagree to refund marriage loan of Rs 100,000.00 (Rupees One Lac only)sanctioned to me from Staff Welfare Fund of the Company by deduction from my pay as rules of the Fund.

Further, I do hereby undertake to bind myself to refund the outstanding amount
of the marriage loan sanctioned to me from the Staff Welfare Fund in case of termination /
retirement from services of the Company before the recovery of the said loan.

Witnesses:

1.Signatue______Signature______

Name & Emp. No.______Full Name

Deptt./Place______Designation

Address

2.Signature______

Name & Emp. No.______

Deptt./Place______

UNDERTAKING OF THE SURETY

I ______S/O ______

S-No.______employed as ______in the Oil and Gas Development Company Limited, do hereby undertake and bind myself to make payment of the outstanding amount of marriage loan sanctioned in favour of Mr. ______S/O ______employed as ______in the Oil and Gas Development Company Limited, in case of termination / retirement of his services from the Company before the recovery of the said loan.

Witnesses:

1.Signature______Signature______

Name & Emp. No.______Full Name______

Deptt./Place______S-No.______

Designation______

2.Signature______

Name & Emp. No.______Address______

Deptt./Place______