SCHEDULE.
545
|
I
equest that the sum of
(Name and office)
dvanced to me by the Government at 6% interest. My salary is $
may be
per annum.
require this advance to meet the liabilities stated hereunder, and I certify that this statement is
full and complete statement of my liabilities and correctly discloses my financial position.
Name of Lender.
Nature of
Loan
Amount lent.
Amount to be repaid.
Remarks.
Dule
191
!
!
(Signature of Applicant.)