Recipient:—Please choose an option—ChairmanCredit Committee Title:—Please choose an option—Mr.Mrs.Miss. First Name: Surname: Email Address: Account No.: Note: Your Account Number is the six digit number found after " / " e.g. No. B01C012 / 001234 Contact Number: Time Frame for Waiver Apply Waiver of my Loan Payment for the Month of:—Please choose an option—JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember OR Apply Waiver of my Loan Payment for the Fortnight ending: OR Apply Waiver of my Loan Payment for the Week Ending: Reason for Waiver Kindly attach a detailed letter stating the reason for requesting this waiver. Please Note: This letter should be signed by the applicant. Upload PDF Copy of Letter: Declaration I hereby request that my account be transferred to the aforementioned Branch of the Bethel Credit Union with immediate effect. I declare that I am not engaged in money laundering, terrorist financing, fraud, drug trafficking, identity theft, or any other criminal or illicit activities. Authorization is given to Bethel Credit Union to obtain information about me and verify the submitted information. Date of Acknowledgement:
