INDUSTRIAL SECURITY SERVICES LIMITED EMPLOYEES CO-OPERATIVE SAVINGS AND CREDIT SOCIETY LTD
REG.NO.7818/RCS
EMERGENCY LOAN APPLICATION FORM
DATE………………….
PART TO BE FILED BY THE MEMBER
Name…………………………………………………………………Emp.No………………………………………………………………………..
Department……………………………………………Account No……………………………………………………………………………..
Salary: Ug. Shs…………………………………………………………………………………………………………………………………………
AMOUNT SAVED…………………………………………………contact Tel………………………………………………………………...
Monthly saving ug. Shs…………………………………………………
Amount applied for ug. Shs……………………………………………………….(Amount in words)……………………………..
……………………………………………………………………………………………………………………………………………………………….
Duration of the loan applied for………………………………………………………………………………………………………………..
Purpose of the loan applied for…………………………………………………………………………………………………………………
Date when last granted a loan…………………………………………………………………………………………………………………..
Loan balance (coop) if any ug.shs:…………………………………………………………………………………………………………….
Signature of applicant……………………………………………………………………………………………………………………………….
PART B TO BE FILED BY (any of the three). ACCOUNTANT/TREASURER/CHAIRMAN.
Amount of loan granted………………………………………………………………………………………………………………………….
Duration of loan……………………………………………………………………………………………………………………………………….
………………………………………………………….. Date………………………………………..
GUARANTORS
N/NO. NAME DEPARTMENT EMP.NO. A/C NO. SIGNATURE
1
2
3
I……………………………………………………..hereby accept the emergency loan granted to me and agree to pay it back in
four months(4) months from the date of receipt of the loan.
…………………………………………………………… ………………………………………………………..
MEMBERS SIGNATURE DATE
INDUSTRIAL SECURITY SERVICES LIMITED EMPLOYEES CO-OPERATIVE SAVINGS AND CREDIT SOCIETY LTD
REG.NO.7818/RCS
NORMAL LOAN APPLICATION FORM
DATE………………….
PART TO BE FILED BY THE MEMBER
Name…………………………………………………………………Emp.No………………………………………………………………………..
Department……………………………………………Account No………………………………………………………………………………
Years worked in ISS LTD………………………………………Amount saved……………………contacts………………………….
Amount applied for………………………………………………… (Amount in words) ……………………………………………….
………………………………………………………………………………………………………………………………………………………………..
Duration of the loan applied for………………………………………………………………………………………………………………..
Purpose of the loan applied for…………………………………………………………………………………………………………………
Date when last granted a loan…………………………………………………………………………………………………………………..
Loan balance (coop) if any ug.shs……………………………………………………………………………………………………………
Are you a guarantor of any loan?..................................................................................................................
I hereby authorize ISS Ltd to recover the loan interest and other charges directly from my salaries and
other dues and remit the same to the credit society
Signature of applicant……………………………………………………………………………………………………………………………….
PART B TO BE FILED BY THE GUARANTORS
I a member of ISS SACCO Society here by voluntarily commit myself as a guarantor for the loan applied for
above if granted in full or part I undertake to pay the loan balance and interest accruing should the
applicant default.
GUARANTORS
N/NO. NAME DEPARTMENT EMP.NO. A/C NO. SIGNATURE
1
2
3
4
PART B TO BE FILED BY THE CREDIT COMMITTEE
Amount of loan granted……………………………………………………. Duration of loan…………………………………………….
Chairman credit committee (signature)……………………………………...Date………………………………………………………
Committee secretary…………………………………………………………………...Date………………………………………………………
INDUSTRIAL SECURITY SERVICES LIMITED
Tel: (043) 121918/131769 P.O. Box 1482
Fax: (043) 121920 JINJA.
FULL AND FINAL PAYMENT.
TO: ACCOUNTS
FROM: PERSONNEL/ADMIN DEPARTMENT.
Re: Guard……………………………………………………...Emp. No………………………………. Date of Joining……………………………….
Resignation Date……………………………………. Relieving Date……………………………………………………………………………………
Full and final payment may be released to the above-named guard.
1. Uniforms Returned……………………………………………………………………………………………………………………………….
2. No………………………………………………………………………………...Worth…………………………………………………………….
Identity card………………………………………………………………………………………………………………………………………...
3 Medical Expenses………………………………………………………………………………………………………………………………...
4. Notice pay to be recovered is……………………………………………………………………………………………………………………
5. (a) Sacco Loan………………………………………………………….Shillings………………………………………………………………….
(b) Canteen……………………………………………………………..Shillings………………………………………………………………………….
(c) Finance Advance if any?...............................................................................................................................
(e) N.S.S.F Number……………………………………………..Yes………………………No…………………..Sign…………………………….
(f) Education KsL School Fees………………………………………………………………………………………………………………………..
Amount payable to him/her are to base on:-
1. Day worked in…………………………………………days. U. Shs……………………………………………………………………………
2. Annual Leave…………………………………………...Months………………………………….U.Shs…………………………………..
3. Uniform Deposit……………………………………..Months…………………………………..U,Shs……………………………………..
4. Training Deposit……………………………………..Months…………………………………..U.Shs………………………………………
5. Notice Pay…………………………………day paid/recovered U.Shs……………………………………………………………………
6. Transport/Facilitation/burial expenses………………………………………………… U.Shs………………………………………
Authorized by………………………………………………………… Received by……………………………………
End: (1) Personal file
(2) Money card for the month of………………………………………………………………………………………………………
