EZZI QARDAN HASANA TRUST

Transcription

1 PERSONAL INFORMATION (Applicant) EZZI QARDAN HASANA TRUST APPLICATION FORM Online Ref No App No File No ITS ID Name in Bank Jamaat First Name Last Name Birth Date Cell No Correspondence Address Permanent Address Middle Name Title Residence Phone Affix Your Photo Here (if requested) Mailing Address Qualifications: Current Occupation Business Self-Employed Professional Salaried Professional Employee House-wife Student Unemployed Other Name of firm/organization Address of Firm/Organization Position in Firm/Organization Established Since/Work Experience Type of Business Proprietorship Partnership Company Other Industry Previous Occupation Details(if any) Family/Financial Status Information Monthly Gross income Monthly Expenses No. of Family Members: No. of Dependents Age of Dependent 1 Age of Dependent 2 Age of Dependent 3 Age of Dependent 4 Age of Dependent 5 Name of Other Earning Members Monthly Gross Income Page 1 10

2 QARDAN HASANA PURPOSE 1. Business Expansion 2. New Business 3. Education 4. Medical 5. Residence 6. Deeni/Personal (Please refer to your relevant section for providing further details) Requested Qardan Hasana Amount ($) Repayment Plan Repayment Starting Date (DD/MM/YY) Number of Months 1. Repayment No. of Months Installment Amounts 2. Repayment No. of Months Installment Amounts 3. Repayment No. of Months Installment Amounts Security Guarantors (min 2 or as per EQHT policy) 1 Jamaat ID: Full Name Ph. Res Cell Sign 2 Jamaat ID: Full Name Ph. Res Cell Sign 3 Jamaat ID: Full Name Ph. Res Cell Sign 4 Jamaat ID: Full Name Ph. Res Cell Sign Rehen Value (In $) Rehan Description Page 2 10

3 PREVIOUS QARDAN HASANA (if any) or Current (Trust, Individual) Previous QH Taken Yes No If Yes, Organization/Individual Name Purpose Previous QH Amount Repaid on Time Previous QH Delay Reason Previous QH Repaid Previous QH Date Previous QH Balance DETAILS REGARDING PURPOSE (Please fill details in your relevant section only) 1. Expansion of Existing Business Purpose Information: Business Details Limitations in Current Business Qardan Hasana will be utilized for Personal-Investment If Partner, Investment Amount Qardan Hasana Taken from Family and Friends Capital Business Net Worth Sales Per Month Cost of Goods/Products Per Month (A) In Current Business (B) For Expansion (A+ B) Financial Projections Per Month (In $) (A) Current (B) Expected Increase By (A+ B) Page 3 10

4 Business Expenses Per Month Net Profit Per Month Details of new business (attach extra pages as required): 2. New Business Purpose Information: Business Details Previous Experience Personal-Investment Financial Projections Per Month (In $) Capital Sales Per Month Cost of Goods/Products Per Month Business Expenses Per Month Net Profit Per Month Details of new business (attach extra pages as required): Page 4 10

5 3. Education Name of Student Age ITS ID Past Record of Student Year Grade Comments High School College/University Post-Graduation Other: Studies for which application is being submitted Cost of Study Name of the Course Name of Institution/Place Country Attach additional details of program or course on additional pagers 4. Medical Illness Consulting Physician Treatment Recommended Cost of Treatment Additional details (attach extra pages as required): Page 5 10

6 5. Residence Current Residence Information Area Sq. Ft. No of Rooms No of Bathrooms/WC Type Owned Rent Reason: Renovation 5.2 Purchase Construction 5.1. For Renovation Area of House (Sq. Ft.) Renovation Details Cost of Renovation 5.2. For Purchase New Residence Information Area Sq. Ft No of Rooms No of Bathrooms Estimated purchase Price Planned purchase date Potential Locations Additional Details (attach extra pages as required): Page 6 10

7 5.3. For Construction Reason for New Construction Additional Information Cost of Land Area of Land (Sq. Ft.) Address Construction Area (Sq. Ft.) Cost of Construction No. of Rooms No of Bathrooms/WC Additional Details (attach extra pages as required): 6. Deeni/Personal 6.1. Ziyarat Past Ziyarat Record Ziyarat Cost of Ziyarat (In $) 6.2. Home Appliances/Vehicle Select Home Appliances Fridge Washing Machine Furnace AC Microwave Other: Select Vehicle Bike Car Van Truck Tracto Cost (In $) Page 7 10

8 6.3. For Marriage Date of Marriage Expected Cost (In $) 6.4. For Any Other Purpose Specify Reason Cost (In $) Applicant's Signature and Confirmation: 1 The above information has been filled by me and is true to the best of my knowledge. 2 Any concealment/misinformation of details will debar me from receiving Qardan Hasana. 3 I authorize the management of Ezzi Qardan Hasana Trust to share and send information pertaining to my application and all further correspondence by or other appropriate means. Applicant Signature: Date: Page 8 10

9 To: The Members of Ezzi Qardan Hasana Trust GUARANTEE BOND We the Guarantors (Guarantor 1 to 4 as per requirements) the undersigned, hereby send Greetings and agree and declare as follows: In consideration of Ezzi Qardan Hasana Trust, having at our request agreed to advance to (applicant), hereinafter referred to as the borrower a sum of $ hereinafter referred to as Qardan borrowed. We the said (hereinafter referred to as the Guarantors ) hereby jointly and severally guarantee and undertake to pay to Ezzi Qardan Hasana Trust, the said sum of the Qardan borrowed and all costs, charges, and expenses within three days of demand in writing made by Ezzi Qardan Hasana Trust, by any of its trustees or assigned administrators without any demur or objection. We hereby jointly and severally agree and undertake that the undertaking hereby given shall be binding on us principal debtors and only sureties and shall be binding also on our respective estates, heirs, executors and administrators. Provided always and it is hereby declared, that this guarantee shall be void on the borrower paying the said amount of Qardan borrowed to Ezzi Qardan Hasana Trust according to the terms of the loan agreed upon between Ezzi Qardan Hasana Trust and the borrower, But subject as aforesaid, nothwithstanding anything to the contrary contained in any agreement between Ezzi Qardan Hasana Trust and the borrower and notwithstanding any time, indulgence, accommodation or facilities granted or that may be granted by Ezzi Qardan Hasana Trust, to the borrower with or without our knowledge or consent. The guarantee and undertaking hereby given shall be binding upon us absolutely and shall not be affected or released or discharged by any such act or any omission on the part of Ezzi Qardan Hasana Trust, or its trustees or assigned administrators, or by any agreement between Ezzi Qardan Hasana Trust, and the Borrower, or by variation of any of the terms of the loan agreement made between Ezzi Qardan Hasana Trust, and the borrower. And we hereby further agree and declare that this guarantee shall be irrecoverable and continuing in nature and may be invoked by Ezzi Qardan Hasana Trust against us without resorting to any security which it may hold and without first exhausting the legal or contractual remedies of Ezzi Qardan Hasana Trust, against the Borrower. We further agree and declare that though we have no right to question or raise any dispute about Ezzi Qardan Hasana Trust s right or power to invoke or enforce this Guarantee. Ezzi Qardan Hasana Trust may at their discretion refer any question touching the amount due or payable by us to Ezzi Qardan Hasana Trust under the Guarantee or our liability hereunder to His Holiness the Dai-al-Mutlaq or any other person nominated by him for arbitration and we hereby agree to submit to the arbitration of His Holiness the Dai-al-Mutlaq or the person nominated by his Holiness the Dai-al-Mutlaq and/or the person nominated by him as arbitrator shall have summary powers to determine the Page 9 10

10 question of dispute referred to him for arbitration and his award shall be final, conclusive and binding upon us. In witness whereof we the Guarantors above named have hereunto affixed our respective hands at (city) this (day) of (month) of 20. Signature: Guarantor Name: Guarantor 1 Guarantor 2 Signature: Guarantor Name: Ph: Witness Signature: Witness Name: Ph: Witness Signature: Witness Name: Signature: Guarantor Name: Guarantor 3 Guarantor 4 Signature: Guarantor Name: Ph: Witness Signature: Witness Name: Ph: Witness Signature: Witness Name: Page 10 10