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    Provident Apllication Form

    Uploaded by

    Ian Khay Castro
    This document is a loan application form for the DepEd Provident Fund in the Philippines. It contains sections for the applicant and co-maker information, loan amount and payment schedule, certification of emergency need, authorization for salary deduction, and certification of employment. If approved, it authorizes the monthly loan deductions from the applicant's salary until the total amount is paid. A co-maker also agrees to assume payments if needed. The administrative officer certifies the applicant's employment status and that their reported information is accurate.

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    Download as PDF, TXT or read online from Scribd

    Provident Apllication Form

    Uploaded by

    Ian Khay Castro
    763 views2 pages
    This document is a loan application form for the DepEd Provident Fund in the Philippines. It contains sections for the applicant and co-maker information, loan amount and payment schedule, certification of emergency need, authorization for salary deduction, and certification of employment. If approved, it authorizes the monthly loan deductions from the applicant's salary until the total amount is paid. A co-maker also agrees to assume payments if needed. The administrative officer certifies the applicant's employment status and that their reported information is accurate.

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    This document is a loan application form for the DepEd Provident Fund in the Philippines. It contains sections for the applicant and co-maker information, loan amount and payment schedule, certification of emergency need, authorization for salary deduction, and certification of employment. If approved, it authorizes the monthly loan deductions from the applicant's salary until the total amount is paid. A co-maker also agrees to assume payments if needed. The administrative officer certifies the applicant's employment status and that their reported information is accurate.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    763 views2 pages

    Provident Apllication Form

    Uploaded by

    Ian Khay Castro
    This document is a loan application form for the DepEd Provident Fund in the Philippines. It contains sections for the applicant and co-maker information, loan amount and payment schedule, certification of emergency need, authorization for salary deduction, and certification of employment. If approved, it authorizes the monthly loan deductions from the applicant's salary until the total amount is paid. A co-maker also agrees to assume payments if needed. The administrative officer certifies the applicant's employment status and that their reported information is accurate.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Republic of the Philippines DEPARTMENT OF EDUCATION

    DepEd PROVIDENT FUND (CENTRAL OFFICE)


    Meralco Avenue, Pasig City, Metro Manila

    Pls. Check!
    First time Loan w/ Previous Loan
    CO-MAKER

    Fill-up 3 copies Application Form Attach Duplicate copy of Payslip or Photocopy duly authenticated by AO/PSDS/SSP At least P5,000 net take home pay Letter Request addressed to SDS indicating purpose w/ supporting papers if necessary. AO/PSDS/SSP recommends the SDS approval (for

    Checklist of REQUIREMENTS:

    BORROWER ______________________________________________

    Special Loan more than P8,000)

    (Last Name)

    (First Name)

    (Middle Name)

    ______________________________________________

    (Last Name)

    (First Name)

    (Middle Name)

    Present Address Home Address Date of Birth Position Office Div./Station No. Employee No

    :________________________________ :________________________________ :_________________ Age: _________ :________________________________ :________________________________ :________________________________ :________________________________

    Present Address Home Address Date of Birth Position Office Div./Station No. Employee No

    :________________________________ :________________________________ :_________________ Age: _________ :________________________________ :________________________________ :________________________________ :________________________________

    ___________________________________

    (Signature over Borrowers Printed Name)

    ____________________________________

    (Signature over Co-makers Printed Name)

    I hereby apply for a PROVIDENT FUND LOAN in the amount and at the amortization schedule stated below. In consideration of the grant thereof, I promise to pay all installments due and bind myself to the terms and conditions of the loan. Accordingly, I hereby authorize the deduction of the monthly amortization from my salary when due. Should I be separated from the service, I hereby authorize the deduction in full of any unpaid balance from my retirement or separation benefits. AMOUNT OF LOAN P 5,000.00 (Regular) P 8,000.00 (Regular) P _______ (Special) _________________________ AMORTIZATION SCHEDULE

    Should the principal borrower be separated from the service, and there are no retirement nor separation benefits due him/her, I hereby agree to assume all his/her outstanding obligations for the grant of the loan upon proper notification by the Provident Fund Secretariat. Accordingly, I hereby authorize the monthly deduction from my salary the amortization for the outstanding obligation of the principal borrower until his/her loan has been fully paid.

    P 441.67/mo. (12 mos.) P 373.34/mo. (24 mos.) P _____ /mo. ( _ mos.)


    ___________________

    _________________________

    (Signature of Co-maker)
    ___________________

    (Signature of Borrower)

    (Date)

    (Date)

    CERTIFICATION OF EMERGENCY LOAN I HEREBY CERTIFY that the proceeds of the above loan shall be used as follows:
    Emergency Loan Education Loan Loan due to Sudden Loss of Income of Spouse ___________________________ _______________________________________________________

    Please state the specific reason: _____________________________________

    (Signature of Borrower)

    AUTHORIZATION FOR SALARY DEDUCTION


    THE HRMO

    Payroll Services Division Department of Education Sir/Madam: I HEREBY AUTHORIZE the deduction from my salary the amount of:
    FOUR HUNDRED FORTY ONE & 67/100 PESOS (P 441.67) every month for TWELVE (12) months THREE HUNDRED SEVENTY THREE & 34/100 PESOS (P 373.34) every month for TWENTY-FOUR (24) months _____________________________________________________________________

    starting on __________________, or until my Total Loan amount stated above has been paid. Amount deducted shall be credited to the account of DepEd Provident Fund as amortization on said loan. Employee No. Position : _____________ : _____________ Appointment Status : _____________

    Regular Loan (P5,000) _____________ Regular Loan (P8,000) _____________ Special Loan (P__,000) _____________

    (Signature over Borrowers Printed Name) Division No. 033 (Misamis Oriental)
    Current Station No.: _________ District/Office: _________________ Date granted: ________________

    CERTIFICATION OF EMPLOYMENT AND CREDIBILITY

    Office: DepEd-Division of Misamis Oriental

    Date: _______________

    THIS OFFICE CERTIFIES that: (1) the above applicant is a permanent employee of this office and is not on leave of absence without pay; (2) there is no pending administrative and/or criminal charge against him/her; (3) the net pay of the borrower indicated is sufficient to cover the monthly installments of this loan; and (4) the information reported by said applicant is true and correct.

    BERNADETTE P. SAMACO
    Administrative Officer V

    ACTION TAKEN: [ ] [ ] [ ] APPROVED DISAPPROVED OTHERS _________________________ _________________________ _____________________________ Head Secretariat

    MOXOLOGY 2013

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