L2022

THE ANDHRA BANK EMPLOYEES’ CO-OPERATIVE BANK LTD.

Regd. & Central Ofce : Bank Street, Koti, Hyderabad 500 095
Ph: 24757022 / 24756316, Fax: 040-24756972
www.abecoopbank.com
Afx
Branch Photograph

APPLICATION FOR LOAN

Loan required Long Term Loan Medium Term Loan Contingent Loan
Tick whichever is applicable
Seperate application to be 1,50,000 Substaff
submitted for each loan
2,50,000 Clerk
Loan Amount (Maximum) Rs. 2,00,000/- Rs.2,00,000/-
3,00,000 Ofcers
Note :- For Each Loan Separate Application should be submitted.
To
The Secretary
The Andhra Bank Employees' Co-op. Bank Ltd., Hyderabad.
PARTICULARS OF THE APPLICANT
ADMISSION NO.
NAME IN FULL
FATHER'S / HUSBAND'S NAME
DESIGNATION
DATE OF BIRTH
DATE OF JOINING IN THE BANK
DATE OF CONFIRMATION
RETIREMENT DUE ON
NAME OF THE BRANCH
SOL ID
REGION
BASIC PAY RS.
SPL. ALLOWANCES
NET SALARY
PF NO.

RESIDENTAIL ADDRESS :

IF MARRIED,
NAME OF THE SPOUSE
IF SPOUSE IS EMPLOYEE,
PARTICULARS OF EMPLOYEMENT
AND DESIGNATION AND
ADDRESS PARTICULARS
COD / SALARY / A/c. NO. :
(for crediting loan amount)
CELL PHONE NO.: PAN NO.
E-mail ID
2. PURPOSE OF LOAN : Housing / Medical / Ceremonial / Consumption ( Tick your option)
(Note : If purpose is for Housing, give details of proposed expenditure :
Purchase / Construction / Repair / Renovation / Take over / ________________ (Tick your option)
& House Door No. ___________________ Location __________________________)
(Specify the Amount/
3. AMOUNT OF LOAN REQUIRED (Rs.) Maximum Eligibility)
4. Repayable in Monthly Instalments
LTL { 12
66
18
72
24
78
30
84
36
90
42
96
48
102
54
108
60
120
MTL 12 18 24 30 36 42 48 54 60
CGL 12 18 24 30 36 42 48 54 60
I,__________________________________the applicant herein authorize and agree to allow the Pay Disbursing
Ofcer of my employer, i.e., Union Bank of India to deduct from my salary / subsistence allowance, the dues of your
co-operative bank every month as per the Agreement (Bond) entered into with them (Union Bank of India). I also
agree that you may recover in one lump any sum due to your Co-operative Bank from my terminal/ retirement
benets or other sums payable to me from my employer whenever they become payable. I further agree and
authorize to recover any dues from the personal properties of my own in case my terminal/ retirement benets
are not sufcient to repay the said dues”.

I request that necessary shares for drawing the loan may be allotted to me and the amount may be adjusted
from the loan amount. You may collect other amounts also if any.

I hereby declare that I am not a member of any other Cooperative Credit Society and I have not availed
any loan from any other Cooperative Credit Society.

I declare that the information supplied above is correct to the best of my knowledge and this proposal will form
the basis of the agreement between the Bank and myself, if the loan is granted.

Place :
Date
Signature of the Applicant
The applicant is working at our Branch
Signature of employee is
ATTESTED
For Union Bank of India

Ofce Seal Branch Manager

Signature No.

Enclosures : 1) Latest 3 months Salary Slips Original

2) Identity Card attested copy
3) Copy of PAN Card / Driving License to be enclosed

DEMAND PROMISSORY NOTE

Place : ______________________
Rs. _______________ Date : ______________________

On Demand I promise to pay at Hyderabad to the Andhra Bank Employees’ Co-operative Bank Limited,
Hyderabad, or order, the sum of Rupees ____________________________________________________
together with interest on such sum from this date at _____________percent per annum with Monthly /
Quarterly / Half-yearly rests for value received.

Re 1/-
Revenue
Stamp

_____________________________

(BORROWER)
 THE ANDHRA BANK EMPLOYEE’S CO-OPERATIVE BANK LTD.,
HYDERABAD.
MEMBER / BORROWER LOAN BOND
Loan Bond executed this _________________________________day of ________________by (1) Borrower
___________________________________________________________________________Member with
Admission No. _________________________________Son/Daughter/Wife of_______________________
Aged ___________________________years profession : service (A permanent employee of Union Bank of
India) residing at ________________________________________________________________________
2. I, namely (borrower)_________________have received from the said Bank, a loan of Rs.________(Rupees
___________________________________________________________________________for (purpose)
___________________________________________________________. I promise and undertake to repay
the said amount with interest at_____________percent per annum in ________________Monthly
Installments commencing from ______________________(each installment being payable on or before the
10th of the month succeeding to which it relates). I undertake to repay this loan before _______________. If I
fail to pay any instalment of loan or interest, I bind myself to pay additional Interest at _____________percent
per annum from the date of default to the date of payment. I further agree that for default of payment of
instalment(s) of loan or interest, the Bank may preclose the loan account and proceed to recover the
amount legally with interest at _______________________percent per annum on the total amount of Principle
and Interest, and Interest thus due from date of closing the Loan Account to the date of recovery of the
amount in full, together with costs etc., the Bank may incur therefore from the monthly Salary/subsistence
allowances, or terminal/ retirement benets payable to me or from properties belonging to me.
I further hereby agree and authorize to recover any dues including the above said loan amount with
interests from the personal properties of my own in case the terminal/ retirement benets are not
sufcient to the said dues.
3. I hereby declare that I am not a member of any other Cooperative Credit Society and I have not
availed loan from any other Credit Cooperative Society. In case if my declaration in this regard
is found to be false I agree to repay the entire Loan amount alongwith the penal interest as
decided by the Bank.
4. I agree to abide by the Bye-laws and rules of the Bank now in force and those that may be
amended or enacted hereafter from time to time.
Witness (Shall be the member of Staff)
(MANDATORY) 1) 2)
Signature ___________________ Signature ____________________
_______________________
Name ____________________ Name _______________________
BORROWER’S
Occupation ________________ Occupation __________________ SIGNATURE
PF No._____________________ PF No.______________________

The Andhra Bank Employee’s Co-operative Bank Ltd.,

Regd. & Central Ofce
HYDERABAD - 500 095. A.P.

I, __________________________________________________________________________________
Son of / Wife of _________________________________, member Admission No. ____________________
of the THE ANDHRA BANK EMPLOYEES' CO-OPERATIVE BANK LTD., PF No. ______________________
of Union Bank of India do hereby nominate the following as the person/persons to whom my Share Capital or
interest on the Share Capital of the Andhra Bank Employees' Co-operative Bank Ltd., shall be transferred or the
value thereof or any other sum payable to me shall be paid in the event of my death.

Sl. Name of the Age on the Relationship Occupation Address

No. nominee date of nomination to the member
1.
2.

As witness whereof, my hand, this __________________________________________________ day of

Two thousand and _______________________________________________________________

1) 2)
(Signature of witness) (Signature of witness) (Signature of Shareholder/Applicant)
PF No. PF No. Admission No.
PF No.

Place : ATTESTED
Date : For Union Bank of India

OFFICE SEAL Branch Manager

To

The General Manager

Union Bank of India
Central Ofce
Mumbai.

Dear Sir,

Reg. Recovery of loan amounts from my Terminal / Retirement Benets :

I am a member of the Andhra Bank Employees’ Co-operative Bank. I have availed loans under
various schemes of the Bank from time to time as per the rules applicable and authorize you to recover
all / or any instalment of Share Capital, Loan or Loans and all other sums that may from time to time and
at any time become due/payable by me to the said bank from my monthly salary and pay such sum or
sums to the said Bank towards the instalment of Share Capital, loan or loans or other sums that may be
due payable by me to the said bank.

I also hereby authorize you in the event of my Resignation, Retirement Voluntary or otherwise,
death or my ceasing to be in service of Union Bank of India for any reasons whatsoever, to deduct from the
balance standing to my credit in the P.F. account, Gratuity, Commutated portion of Pension or Pension due
to and available to me or to deduct from any other amount whatever due and payable to me by Union
Bank of India and pay the amount to the Andhra Bank Employees Co-operative Bank Ltd.,

I hereby agree and declare that a demand from an authorized representative of the said bank,
certifying the amount due by me would be sufcient proof of my liability and receipt passed by the said
bank shall be sufcient to discharge you from payment of the amount to me.

I hereby further declare that this authorization shall be irrevocable.

Yours faithfully

SIGNATURE OF THE BORROWER

Name :

Place : PF No. :

Date : Admn. No. :

Witness (l) :

1. Name :

2. Signature :

3. PF No. :

Witness (II) :

1. Name :

2. Signature :

3. PF No. :