MINISTRY OF FINANCE PUBLIC SERVICE ADVANCES FUND The following documents should be submitted to Treasury when applying for loan/service (Tick where appropriate) (i) (ii) (iii) (iv) (v) (vi) (vii) (viii) (ix) (x) (xi) Release letter/approval of custodian Original receipt (ERV) of valuation fee Original certificate of allocation of public vehicle Original Tax Identification Number Original motor vehicle/cycle valuation report form Current salary slip Three copies of application forms for advance Original TRA returns (pay in slip, customs declar. form Stamp duty to be attached to each form Original receipt (ERV) of Service Charge (3%) Original receipt (ERV) of Protection Fund (1%)
UNITED REPUBLIC OF TANZANIA N FORM NO. PSAF. 03 APPLICATION FOR AN ADVANCE/LOAN FOR THE PURCHASE OF A USED GOVERNMENT MOTOR VEHICLE/MOTOR CYCLE (TO BE SUBMITTED TO THE PMG IN TRIPLICATE) PART A: FOR COMPLETION BY THE APPLICANT: 1. Personal Particulars: Full name..... P. O. Box. Date of Confirmation.. Expected Date of Retirement. 2. Present Monthly Salary:- Gross Tshs...Net Tshs.... 3. Physical Address: Plot /House No Block...Area.... Street District....... Tel. No Mobile No... Employment Particulars: Department. Tel No... Vote Sub Vote Terms of Service Designation.. Salary Scale.....Check No.. 4. Particulars of Used Motor Vehicle/Motor cycle for which advance is sought: Make Type Grade.year: Model: CC.. Registration. 5. Purchase price of Vehicle/Cycle... 6. Amount of Advance required: Tshs.. 7. Number of months over which it is desired to repay the loan/advance (not exceed 72 months). 8. Service charge of 3% will be added to the loan amount, and Method of loan repayment will be deduction from monthly salary as per loan agreement. 9. Certificate/Confirmation: I certify that the above particulars are correct and confirm to ensure recoveries are made effectively as per the loan agreement... SIGNATURE OF APPLICANT Date. /. /... 1
PART B: FOR COMPLETION BY THE APPLICANT S EMPLOYER (PERMANENT SECRETARY, HEAD OF INDEPENDENT DEPARTMENT, REGIONAL ADMINISTRATIVE SECRETARY) 10. I Certify that :- (a) To the best of my knowledge and belief, the above particulars are true and correct. (b) I consider that the Officer falls under category (a) or (b) of that qualification for Motor Vehicle Advanced/loan. (c) In my opinion the vehicle is suitable for the purpose for which it is required and furthers that it is suitable for rural or urban use. (d) The applicant has no outstanding advance/loan for purchase of a motor vehicle or Motor Cycle or maintenance of a motor vehicle. (e) In my opinion the applicant will be able to afford the cost of running and maintaining the vehicle and of the repayments on the advance for which he is applying and I recommended that it be grated. 12. Additional Comments if any:... ACCOUNTING OFFICER Date: / /. PART C: FOR COMPLETION BY PMG OR APMG 13 An advance/loan of Tshs. Approved / not approved. 14 Repayment period: months. 15. Chattels Transfer Instrument required / not required Additional Comments and Instruments, if any:........ SIGNATURE OF PMG/APMG Date: /./.. 2
PART D TANZANIA CIVIL SERVICE AGREEMENT FOR AN ADVANCE/LOAN FOR THE PURCHASE OF A MOTOR VEHICLE/ CYCLE. Agreement made this / / (D/M/Y) Between (Full name and designation ).. (Hereinafter called the Borrower on the one part) and the Government of Tanzania (hereinafter called the Government) on the other part, whereby it is agreed as follows:- (1) The borrower agrees to purchase a motor cycle/vehicle (Make and Type of Vehicle.) of a value not less than the amount to be advanced by the Government. (2) The Government agrees to advance/loan to the borrower a sum of TShs. (3) The borrower agrees to repay the sum advanced/loan together with the service charge of 3% upon the said sum as and when directed by the Government. (4) The borrower agrees to repay the loan between...../..(month/year) and../...(month/year) (5) The borrower agrees to provide information to the Public Service Advances Fund if salary deduction for the advances/loan recovery does not start/stop contrary to agreement stated above. (6) The borrower hereby agrees to be held responsible for failure to repay the sum advanced within the prescribed repayment period. A penalty of 5% shall be charged for any late loan recovery. (7) The borrower hereby agrees:- (a) (b) not to sell, transfer or dispose in any other way of his property in the said motor cycle/ vehicle without permission in writing of the Government, until the whole of the sum advanced and service charge due thereon has been repaid; to take out a policy of insurance on the said motor cycle/vehicle for a sum not less than the amount advanced and then owing and for the period during which the sum advanced is directed to be repaid, in respect of the following risks:- 3
(a) Accident (by road, rail or steamer) theft, fire, Third Party risks (unlimited). (b) To execute an instrument of chattels transfer under the Transfer ordinance (Cap.210) in favour of the Government if and when required to do so by the Accountant General; (c) Not to take the said motor cycle/vehicle out of Tanzania without the approval of the Accountant General. (8) If the borrower shall die or leave the service of the Government before the sum advanced by the Government is repaid in full together will any service charge due and owing thereon, then and in that case the whole of the balance of the said sum and service charge shall be forthwith payable by the borrower or his executors or administrators, as the case may be.... SIGNATURE OF APPLICANT Date / /... WITNESS OF THE BORROWER: WITNESS our hands the day and year above written. Signed by the said (Name of Borrower). in the presence of Witness (Name of Accounting Officer) Signature of Witness. Address: Occupation:. WITNESS OF THE GOVERNMENT: Signed by: (On behalf of the Government as foresaid in presence of:. Signature of Witness:.. Of Treasury, Dar es Salaam... Signature of Office Signing on behalf of the Government 4
PART E TANZANIA CIVIL SERVICE Chattels Transfer Ordinance (Cap.210) (MOTOR VEHICLE / CYCLE). FOR USED MOTOR VEHICLE/CYCLE ONLY INSTRUMENT (Section 22) I.of (a) (hereinafter called the Grantor) being the owner of the Chattels mentioned in the Schedule hereto, in consideration of the sum of shillings.. Lent and advanced to me by the Government of Tanzania (hereinafter called the Grantee) hereby assign and transfer the same to the said Government of Tanzania by way of Mortgage to secure the payment of the said sum of Shillings with service charge thereon at..per centum in the meantime and so long as the same or any part thereof remains unpaid, in monthly installments of Shillings (b). Commencing with the month of 20. or such sums as the Grantee may from time to time direct. Provided always that in the event of the death of the grantee or the termination of his services with the grantee or the receipt or the giving of notice of such termination by the grantee before the loan and the service charge accrued due thereon, be repaid in full then and in any such event the whole of balance of the loan then outstanding and all service charge accrued due thereon, be repaid in full; Then the whole of the balance the loan then outstanding and all service charges accrued due thereon shall be paid to the grantee forthwith. (a) State residence and occupation; (b) The amounts inserted here must be the monthly principal and service charge installment combined. 5
The Guarantor hereby further agrees: - (i) (ii) (iii) (iv) (v) (vi) That the grantee may deduct from the grantor s salary and other emoluments the installments and moneys payable by way of repayment of the loan and service charge or otherwise under this instrument. To insure the vehicle and at all times while this instrument remains in force to keep the vehicle insured against loss or damage by accident (by road, rail, or steamer), theft or fire such insurance to be effected in the name of the grantee and to be for an amount no less than the amount of the principal and service charge at any time outstanding under this instrument and, at the request of the grantee, to hand over to and deposit with the grantee the policy of such insurance, and produce and deliver to the grantee the receptor receipts for the annual or other premiums payable on account thereof and to lay out and expend all moneys received under such insurance in the event of loss or damage by accident (by road, rail or steamer), theft or fire, so far as the same extend in making good such loss or damage, or if the grantee so elects in discharging the loan, provided that, if default be made in observance or performance of this covenant, the grantee may, without prejudice to and concurrently with the powers granted to the grantee by this instrument or otherwise by law, insure the vehicle and keep it insured as aforesaid, and may forthwith recover the costs and charges of such insurance from the grantor in like manner as if the same had been advanced by way of loan on the security of this instrument. To insure and at all times while this instrument remains in force to keep the vehicle insured against third party risks (unlimited); To register this instrument according to law, and if reasonably called upon to do so by the Government, renew the registration thereof within the time fixed by law; To defray the cost of the stamp duty for this instrument and the registration fee thereof and all other costs, fees and duties incurred in and necessary to the registration thereof and the preparation of affidavits therefore or otherwise incidental thereto; If and when necessary to defray the cost of the stamp duty required for a memorandum of satisfaction in respect of this instrument and all costs and fees connected with filing such memorandum; 6
(vii) Not to remove or attempt to remove or cause the removal of the motor vehicle/cycle out of the United Republic without the consent in writing of the grantee. SCHEDULE (C ) In witness whereof the Grantor has hereinto subscribed his name this. 20. (1)Signed and delivered by the said who is known to me personally in my presence this day of 20.. Name. signature Postal Address Qualification. The Grantor to sign Revenue stamp (2) Signed and delivered by the said... Identified to me by.. the later being known to me personally in my presence this.day of..20. One of the Attestation Clauses must Be signed by An Authorized Person(s) Name Signature. Postal Address.. Qualification.. ( C ) Describe vehicle, i.e. make of vehicle, cubic capacity of the engine. 7