Professional Documents
Culture Documents
NAME: ACCOUNT #:
5. LOAN PURPOSE Branch: Kingstown Other_______________
6. CONFORMITY WITH REGISTRATION FORM (Fill a new REG form if yes to first two questions)
The Member’s address is the same as the Registration Form? Yes No
The Member’s occupation is the same as the Registration Form? Yes No
The Member’s status and Spouse Occupation are the same as the Registration Form? Yes No
The member’s shares add to Co-maker’s shares cover 100% of the loan? Yes No
Autos: Model: Year: Hire Purchase, Credit Card, other: (Where) Past
I solemnly swear that all the information provided on this document are true and correct and I authorize
SVGTCCU LTD to do any verifications it deems useful in order analyze my loan application. I am not indebted
to any other credit union, bank or hire purchase, either as maker or endorser, except as shown. In witness
whereof, I have signed.
______________ ___________________________________ __________________________________________
Date Loan applicant’s signature Loan officer’s signature