NF 425/04-2019/SESHAASAI

Application for Advances to Employees sfsz fri H.

vR/From : Credit Report No.
fraia/ Date : Z6Csada
(4 3tT RÍW 4./Name &Staff NÍ.) 69/636 taT Ä/ To :
eTR/Designation :..Clere ******.
A.ti.4z/D.P.Code
TT/rteru/Branch/Office : K3 92 The Div. Manager/Sr. Manager/Manager
Lct.A.e.
ta frgm tàfafe/Dateof jolning Bank
:o2Ao hr a/CANARA BANK.
JASRUKI40.
|ar Argfr f frfa/ Date of retirement:
fya TETG4/ Dear Sir,

month of .APKI 2O4

HTS T T4 frar/ Salary particulars for the
He aA/Gross Salary afaut/ Deductions
7.
4.6.SPF
Basic Pay
3360 /SWF
3T../1.T.
Spl. All.
1323? 4 5./PT.

D.A. T4./FA
fA. T/PF Loan
H.R.A. 4646.k3 F.E.7, /SWF Loan
F.4./DPN Salary Particulars Certified
C.C.A. . . /DUAL

Other Allowances |.R.Æ/HL For CANARA BANK,

.A,T,/LHY
(Specify)
34A/0hers (Specify)

19o.loe
4a/FaCANARA BANK
à dna

Oficeri 7senior Manager

S.P.NO. o 948
71308-9 as () Net ome Salary (A-B)
Total (A) Total (B)

Banks/Financial Institutlons to be shown separately). (6vu/Rupees)

Details of liabilities, if any (with our Bank &other
sferfa
Liability Overdue/ Rate of Security Repayment
Narne of the Bank Nature of Limit Tenable As on . Arrears Interest condition
branch/institution Limit 7 8 9
3 6
1 2

Taspu

F4.3./P.T.0.
3. 2T nTE/r ZT T/Master Card/ Visa Card Particulars
Overdues, if any
Master Card / VISA Card Number Present Liability
Valid Till

atu aqhat/Financial Requirements:

gfanfa Repayment Condition
Securtty in the Purpose
Limt (if any)
Nature of Advance Details name of
(Loan/OD etc.) of Security

clees

ir rfta HAÆ/declare that : /Frdu s.t. fai

. T.4,T./2.3.4.j .(mention date/s)
Ha15.. **********
Ihave availed LHV/DUAL/Car
loan/DPN Loan/Clean 0D on ....
AATTrcset feit/è
mtqu.3.a.&.
ii) /qurt/t option to avail DUAL as per
Old/New Scheme.
Ihave exercised/am exercising my
specified overleaf.
other credit facility with anyother branches/banks/Fls except those
Ihave not availed any
facilities, including VISA/Mastercard.
overdue/arrears llability and any irregularity under any credit
Ido not have any
chargesheeted/suspended.
Iconfirm that Ihave not been
encuabrences/already
the securities mentíoncd above are free fçom
are true and correct and facitities.
Iconfirm that the above particulars from availing anyof the credit
pledged to Bank a confirm that Iam not disqualified
3TdGE RAT/Signature of Applicant
eais/Date : /9/0S /204
Credit Report No.
BRANCH USE
FrgT 3Um/FOR ajs/Date
given
recommended/sanctíoned. We confirm that liability particulars
RECOMMENDATIONSs/SANCTION: The following limit/s is/are
by the employeee&
are corect
f gfarr Repayment
afT Rate of
Margin Securlty Value
Amount Interest
Nature of Advance

employee.
in other borrowal accounts of the
There is/are no Irregularities
ffataritamfrarat
) 7aargt

account of the employee.

credtted to the Clean 0D account only If availed, otherwise DDauthority letter to debít his/her $8 account when a
and
Salary is being Clean OD/OD whenever overdrawn OD/ OD account wll be obtaincd.
Letter of undertaking to regularise where he/she mafntafns clean
request is received frorn the branch

aafe
IT
19 óflos0ny
/Date T/Seal Brasch Manager /Senlor Manager
Dtvlsional Manager Asst. General Manager