........................................................                 Appendix  9 to the Regulations
	name and surname

.......................................................
                official position

.............................................................
              organisational unit

................................................................
	address of residence

APPLICATION
for aid from the Company Social Fund

I am asking to be granted a loan from the Company Social Fund for:
1/  a housing contribution for a flat implemented within a housing cooperative,
2/  construction or extension of a house,
3/  purchase of an apartment or a house,
4/  renovation and refurbishment of an apartment or a house,
5/  and other goals defined in the Regulations for the Management of the Company Social Fund Resources.

I attach the following documents to the application:

1/  ..................................................................................................................................

I declare that my monthly gross salary earned at UMB is............................................
                
For the purpose mentioned in point ........, I am asking for a loan in the amount of 

.................................,  in words PLN..... ......................................................................

and for spreading the repayment for the period ..........................................................

Date ..........................................			Signature .....................................

Following the rules and regulations concerning the management of the Company Social Fund resources, the Committee decides to provide assistance in the form of:

1. a loan for a housing contribution for a flat implemented within a housing 

cooperative in the amount of...................... for the period........................................... 	

2. a loan for construction or extension of a house in the amount of

.....................................................................for the period ..........................................

3. a loan for the purchase of an apartment or a house in the amount of 

.................................................................... for the period...............................................

4. a loan for renovation and refurbishment of an apartment or a house in the amount of 

...................................................................  for the period...............................................

5. a loan for......... ............................................................................................................

    in the amount of......................................for the period................................................

President of the Committee ............................................................................................
Members:..........................................................................................................................

Date ...................................................

..............................................
CHANCELLOR