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. 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

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1. Approval by the Management:

Approved   /   Not Approved

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

                                                                                                        Signature of Chairman/ Managing Director