MIZORAM COOPERATIVE APEX BANK LTD.

HEAD OFFICE :: AIZAWL

(LOAN APPLICATION FOR TRANSPORT OPERATORS)

AFFIX
PASSPORT
SIZE
PHOTO
2 copies

To,

The Managing Director/Chief Manager/Branch Manager

Mizoram Cooperative Apex Bank Ltd.

………………………………………..

(Through the Chief/ Branch Manager______Branch)

Sir,

I hnenah Road Transport Operator Loan `. ______(Rupees ______only ) karawn dil a, ka nihna leh dinhmun chu a hnuaia ziah lan ang hi a ni e.

1.Diltu hming (Hawrawppuiin): Pi/Pu______

2.Pa/Pasal/Nupui hming: ______

3.Pian ni leh thla: ______Age:______

4.(A) Diltu Home Address: ______

H/No.______Ph No. ______

(B) Industries awmna Address: ______

______Ph No. ______

5.Eizawnna/Hnathawh (Occupation): ______

6.Thiamna (Qualification): ______

7.Thlatin sum lakluh zat: ______

8.Loan dil chhan: ______

9.Loan dil zat:______

(Quatation atanga 75% bak dil thei ani lo)

10.Loan diltu tum ve zat tur: `______

11.Lirthei lei tum chu eng ang chi nge?: ______

12.Eng atana hman tur nge: ______

13.Khawia hman tur nge?: ______

14.Lirthei dawn hlawk lam: ______

(Sumdawnna tur anih chuan lirthei

lei phalna thil tel a ngai)

15.Lirthei lei tur atanga thlatin hlep/: ______

hlawkna beisei zat

16.Dahkham tur leh a hlut zawng: ______

17.Dahkham tur chu tu ta nge?: ______

18.Loan rulh tlak duh hun: ______

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22.MC. Apex Bank-a Account neih lai leh hawn ni te :

a) Current Account No.: ______Date: ______

b) SavingsAccount No.: ______Date: ______

c) Fixed Deposit Receipt: ______Date: ______

d) Others: ______Date: ______

23.MCApex Bank-a Nominal No.:______Date: ______

Place : ______Signature of applicant______

Date : ______Name of applicant ______

Kei ______sum puk dil tu hian Mizoram Cooperative Apex Bank Ltd.,______Branch atanga ka sum puk zawng zawng hi kum ______(ie. Thla______) chhungin a pung awm ang ang nen ka pe tla/rul vek ang tih ka rem ti a. A hmasa lama ka ziak zawng zawng hi a dik a ni tih ka pawm e. Tin, heng a hnuaia mite hi ka rawn thil tel nghal e.

Enclosure:-

1)Vehicle Quatation.

2)LSC (Xerox Copy)

3)Letter of Authority for Pay/Salary deduction (Guarantor).

4)Letter of Authority of undertaking from the Employer for Guarantor.

5)Guarantor LPC

6)Sumdawnna tur a nih chuan Permit thil tel a ngai. (Xerox Copy)

Place : ______Signature of applicant______

Date : ______Name of applicant ______

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AFFIX
PASSPORT
SIZE
PHOTO 2 copies

GUARANTOR / SURETY

Kei ______hian Pi/Pu ______

loan dil chungchanga ziakte hi ka hriatpui a. A loan dil hi tihawm nia ka hriat bakah Loan a lo hmuh chuan a ______atan hian a tangkai ngeiin ka ring a, a loan lak turah hian Guarantor/Surety-ah ka tang e.Mizoram Cooperative Apex Bank Ltd., ______Branch in emaw, a tul a tih ang ang Guarantor /Surety ka nih anga tih tur min tuk apiang tihka inpeih e. A hnuai a mi ang hi ka Particulars a ni e :-

1.Hming (Hawrawp puiin): ______

2.Pa/Pasal/Nupui hming: ______

3.Pian ni leh thla: ______Age______

4.Address : (A) Office: ______

Ph. No.______

(B) Residence: ______

H/No.______

Phone No.______

5.Designation: ______

6.Thlatin sum lakluh zat (salary): `______

(LPC thil tel a ngai)

7.Pension nana kum a la nei zat: ______

8.Loan diltu nena inlaichinna: ______

9.Kan bank MC Apex Bank Ltd., ah: ______

loan lakna a nei tawh em?

Neih tawh nih chuan,

a) Loan lak zat: `______

b) Loan lak ni: ______

c) Tuna la batzat: `______

d) Rulh tlak hun tur: ______

e) Loan lak chhan: ______

f) Khawi branch atangin nge loan a lak: ______

10. MC. Apex Bank-a Account neih lai leh hawn ni ::

a) Current Account No.: ______Date: ______

b) Saving Account No.: ______Date: ______

c) Others: ______Date: ______

11.Nominal MembershipNo.:______Date: ______

12.Dahkham sak: Salary/GPF/PF/Pension benefit/etc.

Place : ______Signature of Guarantor______

Date : ______Name of Guarantor ______

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Space For Bank’s Use:______

1.The application has been checked by me and found that the applicant(s) do/does not avails/avail ______under Account No.______from our Branch.

2.______accommodation is suggested.

Signature of Bank’s Official

The following conditions are recommended :-

Amount / Margin / Rate of Interest / Security / Term

Remarks/Comments :

Chief/Branch Manager

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Place :______

Date :______

To

______

______

______

LETTER OF AUTHORITY FOR PAY / SALARY DEDUCTIONS.

(For Guarantor)

Sir,

I hereby request and authorize you to deduct my monthly salary and to credit the loan account of Pi / Pu ______S/o, D/o, W/o ______Village ______with the Mizoram Cooperative Apex Bank Ltd.,______Branch in the case of his/her failure to repay the loan installment as I stand for his/her guarantor /surety.

I have also executed a bond of agreement / guarantee deed with the bank authorizing them to get the deducted amount to be credited in the said Loan Account. In case of my transfer to other Offices / Departments, this authority will remain valid till the said loan is liquidated.

Yours faithfully,

Signature: ______

Name: ______

Designation: ______

Counter Signature of D.D.O

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Place :______

Date :______

To

The Managing Director/Chief/Branch manager

Mizoram Cooperative Apex Bank Ltd.

______Branch

LETTER OF PROFORMA OF UNDERTAKING FROM THE EMPLOYER.

(For Guarantor)

Sir,

As desired by our employee Pi / Pu ______Designation ______in connection with the Letter of authority for Pay / Salary Deduction signed by her / him we hereby undertake unconditionally to deduct his/her monthly salary and to credit the Loan Account of Pi / Pu ______with you in case of default in repayment by the loanee. If and when the employee is transferred to other offices /department this undertaking shall be handed over to the subsequent drawing and disbursing Officers as per request of the employee.

Yours faithfully,

(Signature of D.D. O.)

SEAL

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PROFITABILITY STATEMENT FOR TRANSPORT OPERATORS

1.Income per month :

a) No. of days in a month the vehicle : ______: ______

will be on the road.

b) No. of Kilometres it will per day: ______: ______

c) Fare/Rate per Kilometers: ______

d) Average income per month: ______

e) Total Income: ______’A’______

2. Expenses per month :

Fuel cost per month XYZ where,

N

X T No. of days the vehicle will

run per month: ______

Y T Kilometers run per day : ______

Z T Cost of fuel per litre: ______

N T No. of kilometers the vehicle: ______

will run per litre

a) Motor and other taxes: ______

b) Insurance premium: ______

c) Garage Rent: ______

d) Depreciation @ 20 % per year: ______

e) Interest on Borrowings: ______

f) Maintenance expenses: ______

g) Cost of oil, spares, etc: ______

h) Driver’s Salary etc.: ______

i) Drawings of the owner (vehicle): ______

j) Others: ______

TOTAL: ______’B’______

3. Surplus : A-B

Depreciation added back: ______

4. Net Cash accruals: ______

Ratio: ______

5. Income from other sources: `______

( ______)

Signature of Applicant

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