SECTION B

TO BE COMPLETED BY THE LOAN GUARANTORS

LOAN GUARANTORS FORM

FIRST GUARANTOR A
The undersigned hereby undertakes to stand as guarantors, and to be legally bound by the terms
and conditions granted by the GRACEVILLE Co-operative Society
LOAN APPLICANT:
SURNAME
LOAN AMOUNT: (N)

OTHER NAMES

WORDS:.........................................................................................................................................

GUARANTORS NAME IN FULL:

SURNAME
RESIDENTIAL ADDRESS:

OTHER NAMES

COOPERATIVE MEMBER ID/NUMBER:

PHONE NUMBER
MONTHLY CONTRIBUTION TO GRACEVILLE CO-OPERATIVE:
TOTAL CONTRIBUTION TO DATE:
TOTAL BALANCE IN SAVINGS LESS LOANS:
OUTSTANDING LOAN REPAYMENT:
A. AMOUNT:
B. DATE OF LAST INSTALLMENT:
C. TOTAL SAVINGS BALANCE:
D. SHAREHOLDING:

I , hereby agree to be liable to the above loan in the event of a default with my savings with the
Society or any property as may be deemed fit by the Society to be used to repay the loan in the
event of a default.
GUARANTORS SIGNATURE&DATE:
AFFIX STAMP HERE

LOAN GUARANTORS FORM

FIRST GUARANTOR B
The undersigned hereby undertakes to stand as guarantors, and to be legally bound by the terms
and conditions granted by the GRACEVILLE Co-operative Society
LOAN APPLICANT:
SURNAME
LOAN AMOUNT: (N)

OTHER NAMES

WORDS:.........................................................................................................................................

GUARANTORS NAME IN FULL:

SURNAME
RESIDENTIAL ADDRESS:

OTHER NAMES

COOPERATIVE MEMBER ID/NUMBER:

PHONE NUMBER
MONTHLY CONTRIBUTION TO GRACEVILLE CO-OPERATIVE:
TOTAL CONTRIBUTION TO DATE:
TOTAL BALANCE IN SAVINGS LESS LOANS:
OUTSTANDING LOAN REPAYMENT:
A. AMOUNT:
B. DATE OF LAST INSTALLMENT:
C. TOTAL SAVINGS BALANCE:
D. SHAREHOLDING:

I , hereby agree to be liable to the above loan in the event of a default with my savings with the
Society or any property as may be deemed fit by the Society to be used to repay the loan in the
event of a default.
GUARANTORS SIGNATURE&DATE:
AFFIX STAMP HERE

SECTION C
TO BE COMPLETED BY THE PWB CO-OPERATIVE SOCIETY TREASURER FOR THE
CONSIDERATION OF GRACEVILLE Co-operative Society MANAGEMENT COMMITTEE

LOAN APPLICANT BASIC INFORMATION

I.

DURATION OF MEMBERSHIP: .

II.

TOTAL SAVINGS (TO DATE):

III

MONTHLY CONTRIBUTION:

IV.

SHAREHOLDING:

V.

OUTSTANDING LOAN/BALANCE (IF ANY) N:

VI.

NET MONTHLY PAYMENT:

VII.

PERSONAL LEDGER NUMBER:

VIII. MODE OF PAYMENT

IX. ACKNOWLEDGED COPY OF STANDING ORDER FORM FROM THE BANK:

B.
PRINCIPAL AMOUNT TO BE LOANED:
NUMBER OF INSTALLMENTS:
D.
1.

PERIOD OF REPAYMENT
COMMENCEMENT DATE:

2.

DATE OF LAST INSTALLMENT:

E.

INTEREST RATE:

F.

TOTAL AMOUNT REPAYABLE: (N)

G. FIRST (1ST) INSTALLMENT PAYMENT: (N)

H. SECOND &SUBSEQUENT PAYMENTS: (N).................................
(N) ..........................
I. TOTAL NUMBER OF
REPAYMENT:
...........................................................................
J.
TREASURERS SIGNATURE &DATE:

SECTION D
TO BE COMPLETED BY THE CREDIT COMMITTEE MEMBERS

A. LOAN AMOUNT
B. APPOVED/ NOT APPROVED
C. AMOUNT APPROVED:
D. SIGNATURE&DATE:
PRESIDENT:
SECRETARY:
MEMBER
MEMBER:
MEMBER