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ทะเบียนรายชื่อสมาชิกกลุมออมทรัพยเพื่อการผลิต บาน...................................หมูที่...........ตําบล..............................อําเภอ...............................จังหวัด........................... เลขที่สมาชิก

ชื่อ - สกุล

อายุ

อาชีพ

บานเลขที่

วัน/เดือน/ป ที่สมัคร

จํานวนเงินสัจจะ

หมายเหตุ

ทะเบียนคุมเงินสัจจะสะสม กลุมออมทรัพยเพื่อการผลิตบาน...................................... หมูที่.................... ตําบล.............................. อําเภอ.............................. จังหวัด............................ เลขที่ สมาชิก

ชื่อ - สกุล

การสงเงินสัจจะสะสมรายเดือน ประจําป พ.ศ......................... รวมเงินปน้ี ยอดยกไป จํานวนหุน หมายเหตุ ยอดยกมา จากปกอน ม.ค. ก.พ. มี.ค. เม.ย. พ.ค. มิ.ย. ก.ค. ส.ค. ก.ย. ต.ค. พ.ย. ธ.ค.

ทะเบียนคุมการกูเงิน ลุมออมทรัพยเพื่อการผลิตบาน..................................หมูที่............ตําบล...............................อําเภอ...............................จังหวัด.......................... ที่

วัน/เดือน/ป

เลขที่ สมาชิก

ประเภทเงินกู สามัญ

ฉุกเฉิน

จํานวน ระยะเวลา เงินที่ขอกู ที่ชําระคืน

ผูค้ําประกัน ชื่อ-สกุล

ผลการพิจารณา

ชื่อ-สกุล

จํานวนเงินที่อนุมัติ วัน/เดือน/ป

หมายเหตุ

ทะเบียนคุมลูกหนี้เงินกู 1. ชื่อ/นามสกุล......................................................... เลขที่สมาชิก...................... สัจจะสะสมครั้งละ.............. บาท ยอดเงินสัจจะสะสม.................. บาท กูครั้งที่.................... คําขอกูเลขที่....................... ลงวันที่..........เดือน.......................... พ.ศ............... ประเภทเงินกู.................... จํานวนเงินที่ขอกู................. 2. ผูค้ําประกัน คือ 1.............................................. สมาชิกเลขที่..................... เงินสัจจะสะสม.......................... บาท 2 ............................................. สมาชิกเลขที่...................... เงินสัจจะสะสม........................... บาท 3 ............................................. สมาชิกเลขที่...................... เงินสัจจะสะสม........................... บาท 3. ไดรับอนุมัติวันที่.............เดือน............................... พ.ศ...................... จํานวนเงินที่ไดรับอนุมัติเปนเงิน..................................... บาท(............................................................................................ ) 4. การชําระหนี้เงินกู ชําระรวม............................................ งวดละ................................... บาท จํานวน.............................. งวด ครบกําหนดสัญญาวันที่............... เดือน............................................. พ.ศ.......................................... พ.ศ.............. เดือน วันที่

รายการ

งวดที่

หนี้ บาท

ชําระ บาท

คงเหลือ บาท

ดอกเบี้ย บาท

คาปรับ บาท

รวมเงิน บาท

ลายมือชื่อผูรับเงิน

พ.ศ.............. เดือน วันที่

รายการ

งวดที่

หนี้ บาท

ชําระ บาท

คงเหลือ บาท

ดอกเบี้ย บาท

คาปรับ บาท

รวมเงิน บาท

ลายมือชื่อผูรับเงิน