SCHOOL FEE LOAN APPLICATION FORM.

NAME OF EMPLOYEE: SERAH NARAKOU-AIBUI EMPLOYEE CODE: 01053

GROSS SALARY: K2, 981.40

NET SALARY: K1, 572.85

BRANCH NAME: HEAD OFFICE

PHONE / FAX: 472 3730

YEARS OF SERVICE: 16

PAYING OF ANY CURRENT LOAN: NIL

HOLIDAY PAY OWING K

LSL PAY OWING: K

TOTAL LOAN REQUIRED: K300.00 plus 10% Interest

NO. OF FORTNIGHTS TO REPAY: 3 F/N AT K110.00 PER FORTNIGHT

NAME OF STUDENT NAME OF SCHOOL FEES.

1.) SHEENA AINUI - GRADE 9A…… LAE SECONDARY SCHOOL K 300.00……………

2.)………………………………………… ….................................... K ……………………

3.)…………………………………………. ….................................... K ……………………

4.)………………………………………… ….................................... K ……………………

TOTAL SCHOOL FEE(S): K 300.00…………

The employee agrees that should the emplyee leaves the company for whatever reason the
company can deduct any outstanding balance from the employee's statutory entitlements.

Employee Signature: ……………………………. Date:………/………/………….

For Office Use Only:

School(s) / Institution(s) document attached: YES / NO

Amount Of Loan: ………...…..…...…… Interest: …………………. Total: K ………………….

Accepted: …………………………….. Rejected: ………………………..

Signature: …………...……………..... Date: ……..…/…….…/…....…...