
KOPERATIVA
KREDITU ESTUDANTE KLIFAT
Rua
:aitaraklaran- dilitimor-leste
No. Telf: (+670) 77196830 /
76210898

FORMULARIU
REIMBOLSA IMPRESTIMU
Total
imprestimu : USD $:
No
|
Data
|
Kapital de Imprestimu /
fulan ($)
|
KapitalReimbolsa
|
Funan / Fulan (1%) ( $)
|
Total ($)
|
Paraf
|
1
|
|
|
|
|
|
|
2
|
|
|
|
|
|
|
3
|
|
|
|
|
|
|
4
|
|
|
|
|
|
|
5
|
|
|
|
|
|
|
6
|
|
|
|
|
|
|
7
|
|
|
|
|
|
|
8
|
|
|
|
|
|
|
9
|
|
|
|
|
|
|
10
|
|
|
|
|
|
|
11
|
|
|
|
|
|
|
12
|
|
|
|
|
|
|
|
Tatol
|
|
|
|
|
|
|
|
|
|
|
|
|
Dili, …………………../……………………2016
Rekerente
(
…………………………………………………………….)

Rua :aitaraklaran- dilitimor-leste
No. Telf: (+670) 77196830 / 76210898

PEDIDU
IMPRESTIMU
Ho
Respeito,
Haunebeasinaihakraikmai
nee:
Naran :
No. KartaoMembru( Bukuanggota ) :
Sexu :
Servisunudar :
HelaFatin :
No. kontaktu :
Hakarakhato’opedidubastruturakoperativakreditoEstudanteKlifathodihetan
capital imprestimu ho orsamentu US$, ..........................(…………………………………..)
hodiusabanesesidadehanesan :
1. SeluEscola 2.Nesesidadeproduktivo 3.Nesesidadeumalaran.
Atuhaforsadeklasaunne’e,
hauseifogarantia(jaminan ) baimprestimuida nee ho
1.
……………….
/ FulanUS$:…………..
2.
………………./Fulan US$: …………..
3.
………………. US$......................
Imprestimurefereseifofiladurantemaximufulan…………...
komesanhusifulan ………..…..2016 to’o ……………….2016. Tabelareimbolsaimprestimubele
hare ihaanexo. Makne’edeitbahauniapedidu, sekarikihaloronikuskoperativakredituEstudanteKlifatnia.
Dili……………../…………./2016
( ……………………………. ) ( ………………………………)
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1. Presidente : Camilio D.C Q Collo ……………………
2. Sekretario : Jose M.Fallo…………………..
3. Tesureiru : LuziaFallo………………………
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