POLWEL Local Loan Application Form

Section B: Next-of-Kin Details
Full Name*
NRIC Number/ FIN Number*
Date of Birth*

DayMonthYear
Date
Nationality*

SingaporeanSingapore Permanent Resident (PR)Others, please specify
Relationship to Applicant*
Personal Contact Number*
Please enter a valid phone number.
Secondary Contact Number
Please enter a valid phone number.
Personal Email Address*
example@gmail.com
Work Email Address
example@spf.gov.sg
Current Occupation*
Current Employer*
Address*

Block/ House Number and Street

Unit Number

CityState / Province

Postal Code
CONFIDENTIAL

Section C: Loan Details
Loan Type*

Education LoanMarriage LoanBundle of Joy LoanRenovation LoanEco- Reno LoanProduct LoanMedical LoanEmergency LoanSpecial Provision Loan
Education Loan Amount
Medical Loan Amount
Marriage Loan Amount
Product Loan Amount
Bundle of Joy Loan Amount
Emergency Loan Amount
Renovation Loan Amount
Eco- Reno Loan Amount
Special Provision Loan Amount
Education Loan Tenure
Medical Loan Tenure
Marriage Loan Tenure
Product Loan Tenure
Bundle of Joy Loan Tenure
Emergency Loan Tenure
Renovation Loan Tenure
Eco- Reno Loan Tenure
Special Provision Loan Tenure
Reason for Loan*
Quotation/ Invoices*

Cancelof
Home Ownership Proof

Cancelof
Latest Statement of Accounts from Credit Facility/ies

Cancelof
Proof of registration for Credit Counselling Talk with CCS

Cancelof
Proof of registration for Casino Self- exclusion Order

Cancelof
Commander's Recommendation Letter

Cancelof
CONFIDENTIAL

Section D: Other Details
Do you have any outstanding loan(s) with POLWEL?*

YesNo
Do you have any outstanding loan(s) with the Singapore Police Co-operative Society Limited (Police Co-Op)?*

YesNo
If yes, what is the amount of loan outstanding?
Police Co- op Loan Agreement

Cancelof
Do you have any monthly savings plan with Police Co-op?*

YesNo
If yes, what is the amount of monthly savings with Police Co-op?
Do you have any loans with bank(s)/ financial institution(s) including credit card debt(s)?*

YesNo
If yes, what is the amount of loan outstanding?
Latest Statement of Accounts from Credit Facility/ies

Cancelof
CONFIDENTIAL

Section E: SPF Employment Declaration
I,Full Name* of NRIC Number* hereby declare that I joined the Singapore Police Force (SPF) / Central Narcotics Bureau (CNB) / Ministry of Home Affairs (MHA) on Date* and at this point of loan application with POLWEL Co-operative Society Limited, I am still a serving officer and have not tendered my resignation.

I will be retiring at the age of age* years old or on year Year* .
CONFIDENTIAL

Section F: Guarantor Details (If applicable)
Is your guarantor another PCWF member or your immediate family member?

Another PCWF MemberImmediate Family Member
Guarantor's Full Name
Guarantor's Current Unit
Guarantor's Current Rank
Guarantor's Full Name (First)
Guarantor's Current Unit (First)
Guarantor's Current Rank (First)
Guarantor's Full Name (Second)
Guarantor's Current Unit (Second)
Guarantor's Current Rank (Second)
CONFIDENTIAL

Section H: Personal Data Collection Statement
POLWEL Co-operative Society Limited (POLWEL) recognises its obligations under the Personal Data Protection Act 2012 (PDPA) which include the collection, use and disclosure of personal data for the purpose for which an individual has given consent to.

By filling up this loan application form, I hereby agree and consent that my personal data provided in this form and all other forms related to my loan application may be collected, used, processed and disclosed by POLWEL for the purposes of processing my loan application, as well as for all matters pertaining to the loan, in accordance with the Personal Data Protection Act 2012 and all subsidiary legislation related thereto.

I have notified and confirm that I have obtained the consent of the relevant third parties to have their personal data collected, used and/or disclosed by POLWEL in relation to my loan application.

In respect of disclosure, I understand that POLWEL may disclose the personal data contained herein to third parties (which may be in or outside of Singapore) where necessary for the above-stated purposes.
I acknowledge that I have read and understood the Personal Data Collection Statement.
CONFIDENTIAL

Section I: Declaration and Agreement
I/We hereby declare that the details furnished are correct and true to the best of my/our knowledge and I/we confirm that I/we understand and agree to the Personal Data Collection Statement and POLWEL Privacy Policy at https://polwel.org.sg/privacy-policy.

I/ We accept that if any of the information given by me/us in this loan application is in any way false or incorrect, and/or if I/we withhold updates to the above information at any instances throughout the loan application, I may be disqualified from taking the loan or have my application being rejected.
I acknowledge that I have read and understood the above.
Signature*

Clear
Date*

DayMonthYear
Date
Verification*
CONFIDENTIAL
Should be Empty:

Section A: Applicant's Personal Details