Advance Application Form - samro
Advance Application Form - samro
Advance Application Form - samro
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MEMBER ACCOUNT NUMBER:<strong>Advance</strong> Check List**Please ensure that the following is complete in your <strong>Advance</strong> <strong>Application</strong>.Tick the block on the right hand side to confirm.Office Use:1. Acknowledgement of Debt• All information is filled in correctly• You understand and signed the application2. <strong>Advance</strong> <strong>Application</strong> <strong>Form</strong>• All fields are filled in correctly with correct spelling3. Member Banking Details• All information is filled in correctly• You signed on the appropriate field4. Documents Attached• Copy of your ID• Bank Statement• Payslip• Affidavit (if unemployed)
MEMBER ACCOUNT NUMBER:Name and Surname:(As per ID document)(Proof of ID to be provided)ADVANCE APPLICATION FORMResidential Address:(Proof of address to beprovided)Code:Contact Number:Amount Requested: RReason for <strong>Advance</strong>:BANKING DETAILSBank Name:Account Number:Branch Name:Branch Code:ADVANCE HISTORY: (last three advances – office use)Date Amount Reason Condition for Approval /Reasons for DeclineSignature of ApplicantDate
MEMBER ACCOUNT NUMBER:Approved ByFOR OFFICE USE ONLYREQUIRED DOCUMENTSDateFOR FINANCE USE ONLY1. Acknowledgement of Debt2. <strong>Advance</strong> <strong>Application</strong> <strong>Form</strong>3. Member Banking Details4. Identity Document5. Payslip6. Affidavit if unemployed7. Bank Statement8. Motivation of <strong>Advance</strong>Checked by: Date Received: Date Sent to Finance:
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