FORMAT OF APPLICATION UNDER BANK LOAN INTEREST SUBSIDY SCHEME FORM III ( To be submitted in duplicate) Identity card No. : NR No. : From Dist. Register No. Name of Ex-Serviceman Identity Card No. Dated : Regimental No. Rank Address : To The Deputy / Assistant Director of Ex-Servicemen's Welfare, Sir, Sub: Bank Loan Under Bank Loan Interest Subsidy Scheme Requested. . I request you kindly to recommend for getting Bank Loan from( Name of the Bank with address) ......................... . ................ . Rs. ................. . for doing ............................... .. ( Name of the Business) .................................... 2. I have gone through the rules and conditions of bank Loan under the above scheme and I agree to abide by the rules and conditions. 3. I certify that I am not a loanee of the Amalgamated Funds, Chennai, and I have not received loan previously from any of the banks under Bank Loan Interest Subsidy Scheme, I certify that I have not applied to any other bank for a loan which is still under consideration. I also undertake that till the result of this application is known, I will not apply to any other Bank. 4. I certify that I was/am reemployed with .................................... ......... from ....... to ...........and getting civil pension of Rs. ......... 5. I also certify that I have not been blacklisted. 6. I agree to receive the loan amount from the Bank only after the approval accorded by the Secretary, Amalgamated Funds, Chennai and within 6 months from the date of approval accorded for interest subsidy or else I will forego interest subsidy. 7. I have noted that I will forfeit my claim for interest subsidy if I am in continuous default of repayment to the Bank for 3 consecutive months / instalments or if I fail to conduct the business for which the bank loan is obtained. 8. I have also noted that I will forfeit the interest subsidy if I do not claim the interest subsidy from the Amalgamated Fund, Chennai with a certificate from the Bank concerned in the prescribed form regarding prompt payment of each instalment with interest on due date and in any case not later than 6 months from the last date of scheduled repayment prescribed by the Bank. Yours faithfully, Signature of Applicant FORMAT FOR BANK LOAN INTEREST SUBSIDY SCHEME ( to be sent in DUPLICATE to AMALGAMATED FUNDS) Part I ( To be filled in by the Bank) 1. Name and Address of Bank . 2. No. Rank, Name and Address of Ex-Serviceman to whom Loan is being sanctioned . 3. Father's name . 4. Business for which the loan is sought . 5. Location of business and experience if any in the business . 6. Amount of loan sought . 7. Amount of loan sanctioned . 8. Rate of interest charged by the bank . 9. Mode of repayment of loan ( Enclose scheme of repayment) . 10. Date of Disbursement of loan . 11. Date of Commencement of Repayment . SEAL : Date : Signature Manager of the Bank PART II 1. Certified that Ex.No. Rank: Name S/o whose particulars are given below is eligible under the Bye-laws of the Amalgamated Funds to receive a loan under the Bank Loan Interest Subsidy Scheme (BLISS) PARTICULARS OF EXSERVICEMAN (a) Unit . (b) (i) Date of enrolment . (ii) State from which enrolled . (c) Date of discharge . (d) Cause of Discharge . (e) Total Service . (f) Character . (g) Identification marks : (i) (ii) (h) Date of birth / Age on enrolment or Discharge . (i) Employment after discharge . 2. Certified that the Ex-Serviceman is / is not a loanee from Amalgamated Funds. 3. Certified that the Ex-Serviceman is / is not a defaulter in repayment of loans from Amalgamated Funds. 4. Certified that the Ex-Serviceman is / is not a black listed person. 5. Certified that the above Ex-Serviceman has not been recommended for loan to any other bank which is still under consideration. File No. Deputy/Assistant Director of Ex-Servicemen's Welfare, OFFICE SEAL D.S.S. & A Board Date : ........ District PART III ( For use in OFFICE OF THE AMALGAMATED FUNDS) 1. Confirmation regarding non - availment of loan from other Bankers . 2. Differential interest reimbursable by Amalgamated Fund subject to the conditions already communicated . 3. Approval of amalgamated Fund for sanctioning of the loan by the Bank under BLISS of Amalgamated Fund . 4. The Approval accorded will hold good for six months from the date of approval and if loan is not availed by the Ex-Serviceman within this time the approval will automatically lapse. BLISS No. Secretary, AMALGAMATED FUND Directorate of Ex-servicemen's OFFICE SEAL : Welfare, Chennai - 600 003 Date: FORM FOR CLAIMING INTEREST SUBSIDY From To The Secretary, Amalgamated Fund, No.22, Raja Muthiah Salai, Kannppar Thidal, Chennai - 600 003. Sir, I .......................... have repaid the loan instalments on or before the due date. The certificate issued by the Bank to this effect is appended. I request that the interest subsidy due to me may kindly be released through my account with the Bank, the details of which are given below : Name and address of bank : Place: Signature of applicant Date: CERTIFICATE BY BANK File No. AF. This is to certify that ................... to whom the interest subsidy under BLISS Scheme has been approved has regularly repaid the instalments on or before due date as indicated below Amount due Amount paid Instalment -------------------------------Date of ------------------------------Remarks due( Month/ Principal Interest payment Principal Interest Year) 1. 2. 3.4. 5. 6.7. Place: Signature of Manager Date:
