Anjuman-e-Jamali (San Jose)

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1 Anjuman-e-Jamali (San Jose) A nonprofit corporation administering the affairs of the Dawoodi Bohra Jamaat of San Jose Federal Tax ID number is San Antonio Road, Palo Alto, CA Telephone: QARDAN HASANA APPLICATION REQUIREMENTS Following minimum requirements are listed for processing of your Qardan Hasana application. Applications that do not comply with these requirements or are incomplete may not be considered. 1.] Application Form duly completed and signed 2.] In case of mortgage pay-off, a pay-off statement from the bank. 3.] In case of an ongoing business need, please provide last two years of tax returns. 4.] Written consent of at least two mumineen to be guarantors. Each guarantor will be requested to sign a Personal Guaranty and provide post dated check or one VOID check for EFT/ACH authorization.

2 5.] If application is approved, the applicant will be required to provide postdated checks or one VOID check for EFT/ACH authorization for installment payments covering the entire Qardan Hasana loan amount as well as collateral (gold/jewelry) till the duration of Qardan repayment. 6.] In addition to the above requirements, depending upon application review and decision needs we potentially could request additional documentation in consideration for your Qardan Hasana application. These items maybe bank statement, W-2, student fee schedule, tax returns etc. depending on the type of Qardan Hasana request. 7.] For any questions and/or once completed please forward application to: 8.] Privacy Notice: As a potential borrower from the Anjuman-e-Jamali Qardan Hasana (AEJ- QHS) scheme, we value the trust you put in our program. Safeguarding your privacy and the confidentiality of your personal information is important to the committee and its members. In order to offer a qardan to you, we must collect, maintain and use information about you that will enable the AEJ-QHS committee to assess and decide on issuing the loan to meet your needs. AEJ-QHS respects the privacy of such borrower information collected which will be retained only for the duration of your outstanding loan. The committee will not disclose this information to anybody else other than the need to know members of this committee. The AEJ-QHS committee further assures you that your information will not be disclosed to anyone or any entity outside of this committee. Anjuman-e-Jamali will consider each application on its own merit. It is our goal to help each and every mumineen to the best of our abilities. Applicant's Name: Application ID#: Amil Saheb Signature / For office use only Amil Saheb's Approval Amil Saheb's Note / Remarks 2 A EJ- QH

3 QARDAN HASANA APPLICATION FORM Name First Middle Last Home Address: City State Zip code Tel: Home Mobile Number of years in the US: Immigration Status: _ # of dependents: E-Jamaat ID# Driver s LIC#: Occupation/Profession: Company Name: Work Address: City State Zip Code Amount of Qardan Hasana requested: $ Purpose of Qardan Hasana: Proposed Repayments: Amt. per month: $ Total installments: Months Do you have any past outstanding Qardan Hasana Loans? Do you have any past outstanding Dawat-e-Hadiyah dues? Do you have any past outstanding Jamaat dues? If yes, Jamaat name (where past Qardan is being paid): If yes, give balance remaining and pay off date Name & Address of Guarantors: I, hereby certify that the information provided by me in this application for Qardan Hasana is true and accurate and request a Qardan Hasana loan in the amount of $ for the stated purpose in this application. I agree to comply with all the application and disbursement requirements as determined to be necessary by Anjuman-e- Jamali, San Jose. Applicants Signature 3 A EJ- QH

4 PROMISSORY NOTE $ City: : State: FOR VALUE RECEIVED, the undersigned [Husband and Wife], promise(s) unconditionally to pay to the order of Anjuman-e-Jamali, San Jose at its office at 998 San Antonio Road, Palo Alto, CA the principal amount of Qardan Hasana of (Dollars) Or the unpaid total principal amount of Qardan Hasana whichever is less in monthly installments of $ each, beginning on the date (mm/dd/yy)_without any interest thereon. The undersigned promises to pay all reasonable out of pocket costs and expenses (including without limitation reasonable counsel fees and expenses), in connection with the enforcement (whether through negotiations, legal proceedings or otherwise) of the Note, whether or not a lawsuit is filed or commenced. The undersigned and all endorsers or guarantors hereof hereby waive (to the fullest extent allowed by law) all requirements of presentment, demand, notice of nonpayment or dishonor, protest, notice of protest, suit, diligence in collection, and all other conditions precedent in connection with the collection and enforcement of this Note and agree that payments hereunder and there under shall, and such collection and enforcement may, be made without such requirements. All payments made pursuant to the terms of this Note shall be made free and clear of and without any defense, deduction, withholding, set-off or counterclaim. Should the trustor or his successors in interest, without consent in writing of the beneficiary, sell, and transfer of convey or permit to be sold, transferred or conveyed, his interest in the property, or any part thereof, then the beneficiary may, at his option, declare all sums secured hereby immediately due and payable. AT ANY TIME THE PRIVILEGE IS RESERVED TO PAY MORE THAN THE SUM DUE. Each payment shall be credited on the principal sum. Should default be made in the payment of any of said installments when due, the whole sum of principal shall become immediately due and payable at option of the holder of this note. Should suit be commenced to collect this note or any portion thereof, such sum as the Court may deem reasonable shall be added hereto as attorney s fees. Principal payable in lawful money of the United States of America. This note is secured by a certain Deed of Trust to Anjuman-e-Jamali (San Jose), a California Corporation. IN WITNESS WHEREOF, the undersigned has executed and delivered this Note as of the day and year first above written. Signature of Borrower(s) Name of Borrower(s) Signed in presence of: Signature of AEJ (QH committee member) Name of AEJ (QH committee member) 4 A EJ- QH

5 PERSONAL GUARANTY (Guarantor #1) PERSONAL GUARANTY dated as of 20 (the "Guaranty") made and delivered by (the 'Guarantor") to and for the benefit of Anjuman-e-Jamali, San Jose. 1. (a) In consideration of Qardan Hasana of $ to (the "Borrower"), the Guarantor hereby guarantees to Anjuman-e-Jamali, San Jose as primary obligor and not merely as surety, the due, punctual and complete payment and performance, whether at stated maturity, by acceleration or otherwise, of $, being a part of /the entire principal amount of the Qardan Hasana granted to the Borrower. (b) The obligation of the Guarantor hereunder shall be absolute and unconditional, shall not be subject to any counterclaim, setoff, deduction, diminution, abatement, recoupment, suspension, deferment, reduction or defense other than payment in full of the Qardan Hasana or full and strict compliance by the Guarantor of his obligation hereunder. 2. The Guarantor waives all rules of suretyship law, all demands, notices and protests of every kind, and any other law whatsoever which is permitted by law to be waived, and which could, if not waived, impair Anjuman-e-Jamali, San Jose (CA)'s enforcement of this Guaranty or release the Guarantor from any or all liability hereunder. 3. Privacy Notice: As a guarantor for a borrower of the Anjuman-e-Jamali Qardan Hasana (AEJ-QHS) scheme, we value the trust you put in our program. Safeguarding your privacy and the confidentiality of your personal information is important to the committee and its members. In order to offer a qardan to the borrower, we must collect, maintain and use information about you that will enable the AEJ-QHS committee to assess and decide on issuing the loan to meet the borrower s needs. AEJ-QHS respects the privacy of such guarantor information collected which will be retained only for the duration of the guaranteed outstanding loan. The committee will not disclose this information to anybody else other than the need to know members of this committee. The AEJ-QHS committee further assures you that your information will not be disclosed to anyone or any entity outside of this committee 3. Guarantor agrees to provide post dates checks or a VOID check and authorize EFT/ACH transaction of amount $ per month until the time the Qardan term or repayment, whichever is first. Guarantor releases Anjuman-e-Jamali and its office bearers of any liability or indemnification arising out of such transaction(s). IN WITNESS WHEREOF, the Guarantor has executed this Guaranty as of day and year first above written. City: Signature of Guarantor State: E-Jamaat ID# Address: Accepted On behalf of Anjuman-e-Jamali, San Jose By: 5 A EJ- QH

6 PERSONAL GUARANTY (Guarantor #2) PERSONAL GUARANTY dated as of 20 (the "Guaranty") made and delivered by (the 'Guarantor") to and for the benefit of Anjuman-e-Jamali, San Jose. 1. (a) In consideration of Qardan Hasana of $ to (the "Borrower"), the Guarantor hereby guarantees to Anjuman-e-Jamali, San Jose as primary obligor and not merely as surety, the due, punctual and complete payment and performance, whether at stated maturity, by acceleration or otherwise, of $, being a part of /the entire principal amount of the Qardan Hasana granted to the Borrower. (b) The obligation of the Guarantor hereunder shall be absolute and unconditional, shall not be subject to any counterclaim, setoff, deduction, diminution, abatement, recoupment, suspension, deferment, reduction or defense other than payment in full of the Qardan Hasana or full and strict compliance by the Guarantor of his obligation hereunder. 2. The Guarantor waives all rules of suretyship law, all demands, notices and protests of every kind, and any other law whatsoever which is permitted by law to be waived, and which could, if not waived, impair Anjuman-e-Jamali, San Jose (CA)'s enforcement of this Guaranty or release the Guarantor from any or all liability hereunder. 3. Privacy Notice: As a guarantor for a borrower of the Anjuman-e-Jamali Qardan Hasana (AEJ-QHS) scheme, we value the trust you put in our program. Safeguarding your privacy and the confidentiality of your personal information is important to the committee and its members. In order to offer a qardan to the borrower, we must collect, maintain and use information about you that will enable the AEJ-QHS committee to assess and decide on issuing the loan to meet the borrower s needs. AEJ-QHS respects the privacy of such guarantor information collected which will be retained only for the duration of the guaranteed outstanding loan. The committee will not disclose this information to anybody else other than the need to know members of this committee. The AEJ-QHS committee further assures you that your information will not be disclosed to anyone or any entity outside of this committee 3. Guarantor agrees to provide post dates checks or a VOID check and authorize EFT/ACH transaction of amount $ per month until the time the Qardan term or repayment, whichever is first. Guarantor releases Anjuman-e-Jamali and its office bearers of any liability or indemnification arising out of such transaction(s). IN WITNESS WHEREOF, the Guarantor has executed this Guaranty as of day and year first above written. City: Signature of Guarantor State: E-Jamaat ID# Address: Accepted On behalf of Anjuman-e-Jamali, San Jose By: 6 A EJ- QH

7 SCHEDULE A Receipt of securities offered Name of Applicant: Application ID #: I, the undersigned declare that I have deposited gold/jewelry (other collateral) as related to my Qardan Hasana per the following details with located at on this day of _, 20. No. Description Approx value ($) Received for Qardan Hasana Committee by: Name and Name and Signature of Applicant Name and Received in Original condition after repayment of Qardan Hasana by: Signature of Applicant Name and Attach photographs to supplement list as needed. 7 A EJ- QH

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