Loan Application Form


LOAN APPLICATION FORM

 

 

  1. Name of Applicant: …………………………………………………………………………………………………………..………….
  2. Designation & ID No: …………………………………………………. Department: …………………………..…………..
  3. Location (Corporate Office/Factory): …………………………………………………………………..………………………
  4. Mob No: …………………………………………………………… E‐mail: …………………………………………………………….
  5. Permanent Address: ……………………………………………………………………………………………………………………

 ……………………………………………………………………………………………………………………..………………………………

  1. Present Monthly Salary:   ……………………………………………………………………………………………………………..
  2. Loan Amount Applied for:   Tk ………………………………………………………………………………………………………
  3. Number of Refund Installment: ……………………………………………………………………………………………………
  4. Amount of Installment:  ……………………………………………………..………………………………………………………..
  5. Reasons/Requirements for the Loan:  ………………………………………………………………………………………….

                 

………………………………………………………………………………………………..………….……………………………………………………. 

 

  1. Any Loan/Advance taken previously.           Yes      /     No
  2. If yes:

                 

Date of taking loan/Advance: ……………………………….…….  Amount: ……………………….…………………..

                 

Refunded so far (amount):    ……………………………………….   Balance amount:  ………..…………………..

 

        

 

 

 

                                                                                                                                   Signature (with date) of Applicant

…………………………………………………………………………………………………………………………………………………………..

 

  1. Recommendation of Head of Dept.                        Recommended    /   Not Recommended

 

                Any Comment: ………………………………………………………………………………………………………………………….

 

     

 

 

                                                                                                                                 Signature of Head of Department

 

    1.  

 

 

 

 

  1. Recommendation of Account & Finance Dept.  

 

There is an outstanding amount of tk ……………… against the applicant as IOU/previous loan/ any other  

 

There is no outstanding amount against the applicant  

 

Recommended    /   Not Recommended

 

 

 

 

           

 

                                                                                                Signature of Head of Acct & Finance Department

 

………………………………………………………………………………………………………………………….………………………………….

 

  1. Recommendation of Head  of HR Dept.     Recommended    /   Not Recommended

 

                Any Comment: ………………………………………………………………………………………………………………………….

 

           

 

 

 

                                                                                                                Signature of Head of Department

 

‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐

 

  1. Approval by the Management:

Approved   /   Not Approved

Approved with  ………………………………………… (any change in the amount/no of installments etc) 

 

 

 

                                                                                                        Signature of Chairman/ Managing Director


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