CITIZENS ECONOMIC EMPOWERMENT COMMISSION Personal Loan Application Form (Copy of latest pay slip to be attached)

1. Full Names: Kelly Chuunga Manager 2. Directorate: Finance 3. Monthly Basic Salary K18,000,000

Job

Title:

Finance CEEC 3

and

Budget

Grade:

30% of Basic Pay:

K5,550,000

4. I wish to apply for a Personal Loan amounting to K.. to be

recovered within Months (Not to exceed 24 months). The Personal Loan shall attract 12% simple interest or such a rate as may be determined from time to time by the Commission. I confirm that in the event of permanent separation from the Commission the loan shall be deducted at once from my gratuity. SIGNATURE ........ DATE.....

1. I confirm/not confirm that the Loan application is in accordance with the

conditions of service.(To be completed by HR) SIGNATURE .... DATE.....

2. Monthly Recoveries (To be completed by Finance)

Current Deductions Description 1 Salary Advance 2 NAPSA 3 PAYE 4 Loans Deduction (Personal/Car/Study) 5 Other Deductions Total Deductions Gross Pay Net Pay per Month % of net take home pay Amount

K K K

I do confirm/not confirm the availability of funds and accuracy of the above computations (To be completed by the Director of Finance). SIGNATURE ........ DATE.....

3. Approved/Not Approved (To be completed by the Staff Loans Committee

Chairperson) Personal Loan amounting of K. has been approved to be recovered in.... monthly installments or upon permanent separation from the Commission.

SIGNATURE ........

DATE.....

CITIZENS ECONOMIC EMPOWERMENT COMMISSION

APPLICATION FOR MOTOR VEHICLE LOAN

(Copy of latest pay slip to be attached)

5. Full Names: Kelly Chuunga Manager 6. Directorate: Finance 7. Monthly Basic Salary K18,000,000

Job

Title:

Finance CEEC 3

and

Budget

Grade:

30% of Basic Pay:

K5,550,000

8. I wish to apply for a Motor Vehicle Loan amounting to K160,000,000 at 10% simple interest to be recovered within 30 months (Not exceeding thirty six
months) or upon permanent separation from the Commission. I hold a full Provisional/license No: 82150/2/1 (copy should be attached) issued at ZRTC (Lusaka) on the 03/03/1999 which is currently valid in Zambia for Class(es) C as defined in the Roads and Road Traffic Act. SIGNATURE ........ DATE:

09/01/2012

9. I confirm/not confirm that the Loan application is in accordance with the

conditions of service.(To be completed by HR) SIGNATURE .... DATE.....

10. Monthly Recoveries (To be completed by Finance)

Current Deductions Description 1 Salary Advance 2 NAPSA 3 PAYE 4 Loans (Personal/Car/Study) 5 Other deductions Total Deductions Gross Pay Net Pay per Month % of net take home pay Amount

Deduction K K K

I do confirm/not confirm the availability of funds and accuracy of the above computations (To be completed by the Director of Finance). SIGNATURE ........ DATE.....

11. Approved/Not Approved (To be completed by the Staff Loans Committee

Chairperson) Motor Vehicle Loan amounting of K has been approved to be recovered in.... monthly installments or upon permanent separation from the Commission. SIGNATURE ........ DATE.....

CITIZENS ECONOMIC EMPOWERMENT COMMISSION

APPLICATION FOR STUDY LOAN

(Copy of latest pay slip to be attached)

1. Full Names: Kelly Chuunga Manager 2. Directorate: Finance 3. Monthly Basic Salary K18,500,000

Job

Title:

Finance CEEC 3

and

Budget

Grade:

30% of Basic Pay:

K5,550,000

4. I wish to apply for an Education Loan amounting to K200,000,000 to study

the following course as per attached quotation. The Loan shall be recovered within 24 Months (Not to exceed 24 months). I confirm that in the event of permanent separation from the Commission the loan shall be deducted from my gratuity. SIGNATURE ........ DATE.....

5. I confirm/not confirm that the Loan application is in accordance with the

conditions of service.(To be completed by HR) SIGNATURE .... DATE.....

6. Monthly Recoveries (To be completed by Finance)

Current Deductions Description 1 Salary Advance 2 NAPSA 3 PAYE 4 Loans (Personal/Car/Study) 5 Other deductions Total Deductions Gross Pay Net Pay per Month % of net take home pay Amount

Deduction K K K

I do confirm/not confirm the availability of funds and accuracy of the above computations (To be completed by the Director of Finance). SIGNATURE ........ DATE.....

7. Approved/Not Approved (To be completed by the Staff Loans Committee

Chairperson) Study Loan amounting of K. has been approved to be recovered in.... monthly installments or upon permanent separation from the Commission. SIGNATURE ........ DATE.....