OPEN - ESDS

To alJ spenders with instdnents
(coded 1-6 ●t 85(a))
A
‘~J
85 (mat’d) Per. No.
(c) When did you obtain
the loan?
33
........... ........... ........... ........... ........... ........... ........... ...........
1 I I I I
Month Lofik MT :282) C+og SE
........... ........... ........... ............ ......... ... ..... . ........... ...........
Year 19 ........... ........... ........... ........... ........... ........... ........... ...........~1
(f’) What item or services did
you obtain with the loan?,~. ....... ... . ......... ..... . ......... ...... ...... ................ ........................
I I I I I
(i) How much was the cash price of
........... ...... (the goods or service) \
including any down
part exchange?
payment or
—
Lcfl S HP (27 4) Q@ 51 .
............. ........ .............-........ ............. ........ .............. ........ Ask bj
I I I I I
(j) How much was allowed in
Lff+R TEX (2QO) @% 5~
part exchange? 4 .............-........ .............. ........ .............. ........ ............. .......
I I I I I
,k) How much, if anything, did you 1 I I I I
have to put down in addition to /
the amount borrowed excluding
any part exchange?
LOAN DEP (U? 1) Q08 SK
.............. ........ ............. ........ ............. ........ ............. ........
To W with has from DHSS social I I 1 I I
fund (ctxjd 6 at 85(a)) I I I I I
I I I I 1
(m) Which benefit? d , ...-— .. .... .... ... ... . ......... .... .. .. .... . .. ........................
.. . . .....,.... . . ...........,...... . .... .. .. . ...... .. . .. ........
Pk& A 3
Ask m
kk (g)
(g) Was the item new or
second hand New _
S/hand-
]
Z DJo:ITEN (+ QoO
J
Sq
2 Ask (b)
DNA _ 3 3 3 3 , }
(h) What is the type of firm from
which the item or service was
obtained? ........................ ........................ ........................ ........................ Ask (i)
Ask (k)
Ask (1)
DNA.
(f) Do you pay the loan
repayments by
Others-
I
I
I
I
I
N
I
I
I
N
I
I
I
I
I
/
Go to 86
deduction from benefit? w
direct payment to DHSS?W
v
1
2
b~+ HSs (2$31Q08
h
5L
1
2
-
-
*
M (m)
Go to 86
.
33