APPLICATION FORM FOR DEMAND LOAN AGAINST BANK'S

CONTRIBUTION TO PROVIDENT FUND

Branch:
To
The General Manager (Operations)
Head Office, Thiruvananthapuram.

Deputy General Manager,

_____________ Zonal Office,
____________________.
(Through: ________________________________________________)

Dear Sir,
DEMAND LOAN AGAINST BANK'S CONTRIBUTION TO PROVIDENT
FUND
I hereby apply for an advance by way of Demand Loan to the extent of Rs.
__________ (Rupees __________________________ only) under the scheme for
grant of clean demand loan against the Bank's contribution to provident fund
as per Staff Cir. No:62 of 1989 dated 22nd June, 1989.
2. My service particulars are given below.
1.
2.
3.
4.
5.
6.

Name in full
Designation
Employee Code
Date of joining the Bank
Date of confirmation
Particulars
of
salary
&
deductions
Basic Pay
Special Allowance
Dearness Allowance
City
Compensatory
Allowance
Total
Deductions:P.F.Contribution
LIC Premium
Provident Fund Loan
Consumer Loan
Vehicle Loan
Housing Loan
Income Tax
Any other deductions from
salary (Specify)

Rs.
Rs.
Rs.
Rs.
Rs.
Rs.
Rs.
Rs.
Rs.
Rs.
Rs.
Rs.
Rs.
Rs.
Rs.
Rs.

Net Salary

Rs.

3. The loan is required for the purpose of meeting the margin money/my
own investment in the housing project. * (Delete whichever is not
applicable).
4. Withdrawal from the provident fund for the same purpose which is
permitted only once in service has been applied for/availed by me as per
Provident Fund Department Section No:
dated the
for Rs.
5. The housing loan was taken by me from our ________
branch on
________.
6. The following documents are forwarded herewith in support of my
application.
My last provident statement.
A copy of the statement showing the requirement of margin money
or own investment submitted in connection with the Housing loan
and/or the sanction letter for the housing loan.
7. I hereby undertake and agree that the loan with interest may be
recovered from my salary in not exceeding ____ monthly instalments.
8. A lien may be noted against the balance standing to my credit in the
Provident Fund account from time to time for this loan. In the event f my
ceasing to be in Bank's service before the loan is liquidated, the balance
outstanding in interest due, if any may be adjusted out of the Bank's
contribution to the fund. If the Bank's contributions are not available to
liquidate the balance outstanding for any reason what so ever, the same
may be recovered from my own contributions to the provident fund. I/We
hereby accordingly authorise the Trustees and to that extent, it shall be a
valid discharge to the Trustees against all claims whatsoever in respect of
the said fund.
Yours faithfully,

(Signature of the employee)

I/we agree to the above terms and conditions.

(Signature of the Nominee(s)).

The particulars furnished above are correct.

(Branch Manager/Head of the Department)

FOR USE AT HEAD OFFICE/ZONAL OFFICE

1.
2.
3.
4.

Total Service of the Applicant

Substantiative salary per month
Provident Fund balance as on:
Remarks

Rs.
Rs.

Scrutinised & Recommended.

Controller/Office Manager
Date:
Sanctioned on the above terms and conditions.

General Manager (Operations)/Zonal Manager

Date: