National Water Supply and Drainage Board

Engineering Assistants’ union

Educational Purposes - Loan Application

Loan No:

1. Full Name :- .............................................................................................................

2. NIC Number :- .............................................................................................................

3. Employee Number :- ..............................................................................................................

4. Designation / Grade :- ..............................................................................................................

5. Office / Workplace : -.............................................................................................................

6. Course Name :- .............................................................................................................

a. University or Institute Name :-……………………………………………………..……………………..

b. Course Duration :-……………………………………………………………………………..
c. Total Course Fee :-………………………………………………………..……………………
d. Job Relevant Course or Not :-…………………………………………………………….……………….
e. Course Selected Letter Attached :- (Yes ) (No)

7. Whether money has been obtained from this scheme in the past: -.............................................

a. If so, the loan amount and the date: -..................................................................................

b. The date on which the payment was made: -.......................................................................

8. Guarantor Details
(Guarantor should be a member of the Engineering Assistants’ Union)

I. Name of the guarantor :- ..............................................................................................

II. Employee Number :- ...............................................................................................
III. Place of work :- ...............................................................................................
IV. Signature of the Guarantor :- ..............................................................................................

.................................... ........................................

Date Signature of the Applicant

Rs. ……………………………………………. I approve the payment of the loan amount.

.................................. .....................................

Chairman / Secretary Treasurer

1
Additional General Manager (Finance)

Reduction of the loan instalments of the guarantor

I wish to inform you that I agreed to guarantee the facility sought by the above named applicant. My
particulars are given for your Consideration.

I hereby approve to deduct any arrears from the loan obtained by Mr. / Mrs. /
Miss……………………………................ (EMP)………………………………….) from the Welfare Schemes of the
Association of Engineering Assistants of the National Water Supply and Drainage Board and deduct
the arrears from my salary and pay to the above society in case of resignation or default.

01. Full Name :- .....................................................................................................................

02. Designation :- .............................. 03. Employee Number: -.......................................

04. Workplace :- ..................................................................………………………………………..……….

............................................ .................................................

Date Signature of the Guarantor

Additional General Manager (Finance)

Recovery of loan instalments from salary

I have obtained a Loan Instalment of Rs…………………………………. from the Welfare Schemes of the
Engineering Assistants’ Union of the National Water Supply and Drainage Board. I request you to
deduct the loan instalment of Rs……………………………. from my salary, and pay that to the society in
Ten (10) months starting from the month of ……………… in 20…………

01. Full Name :- ....................................................................................................................

02. Designation :- .............................. 03. Employee Number :- ......................................

04. Workplace :- ..................................................................………………………………………….…….

............................................ ............................................

Date Signature of the Applicant