Sct. Santiago cor. Marathon St.

,
Barangay Obrero, Diliman Quezon
City

MEMBER LOAN APPLICATION FORM

APPLICATION NO. DATE & TIME RECEIVED RECEIVED BY:

THIS PORTION IS TO BE FILLED OUT BY MEMBER/BORROWER

LAST NAME FIRST NAME MIDDLE NAME MEMBERSHIP NO. APPLIED LOAN AMOUNT:
(Full name to be reflected in check)

TERMS TO PAY:__________________
HOME ADDRESS EMAIL ADDRESS CONTACT NO. DATE HIRED

TENURE
STORE/DEPT. ________________________________________________ GENDER TO BE FILLED OUT BY CREDIT COMMITTEE
BRAND/CLUSTER: ____________________________________________ [ ] MALE Applied Loan Approval:
[ ] FEMALE [ ] YES [ ] NO
TYPE OF LOAN LOAN PURPOSE (specify):
[ ] PETTY CASH [ ] Emergency _______________________________ If not approved:
[ ] EMERGENCY [ ] Educational _______________________________
[ ] EDUCATIONAL [ ] Personal _________________________________ Loanable Amount _________________
[ ] MULTIPURPOSE [ ] Others ___________________________________
[ ] APPLIANCE ___________________________________ ________________________________
[ ] OTHERS __________________ Signed and approved:
METHODS OF RECEIVING OF LOAN
BY A REPRESENTATIVE:
I hereby authorize __________________________ whose signature appears below to pick-up my savings withdrawal check.
(Representative’s photocopy of ID shall be submitted upon claiming my check).
___________________________ ____________________________
Signature of Representative Signature of Member
TO BE CREDITED TO PERSONAL BANK ACCOUNT (BDO, BPI & SECURITY)
** Thursday deposit + 3 days clearing
Account Name ____________________________
Account No. _____________________________
Bank Name _____________________________ Savings Current
**If deposited, attach deposit slip

CHECK FOR PICK UP AT THE WE CARE OFFICE

TO BE FILLED OUT BY ACCOUNTANT / WE CARE
AS OF PAY PERIOD DATED: _______________________________ AS OF PAY PERIOD DATED: _____________________________________
TOTAL SAVINGS PER SAP: ________________________________ TOTAL SAVINGS PER WE CARE: ________________________________
LOAN BALANCE PER SAP: _______________________________ LOAN BALANCE PER WE CARE: ________________________________

Certified Correct: ____________________________________________ Processed By: ___________________________________________________

WE CARE ACCOUNTANT / Date WE CARE ADMIN / Date
LOAN APPROVAL FOR WE CARE USE ONLY
APPROVED FOR CHECK:
General Manager: LOAN COMPUTATION
______________________________________ AMOUNT APPROVED: PHP ______________
Signature / Date sgined LESS:
Interest (_________% x __________ mos) _________________
FOR PETTY CASH ONLY : RECEIVED CASH
Service Fee (2%) _________________
DATE: ______________________________________________ LOAN PROCEEDS: PHP
NAME: _____________________________________________ MONTHLY AMORTIZATION ____________________
PER PAYDAY DEDUCTION: ____________________
SIGNATURE: ________________________________________ DEDUCTION SCHEDULE:
From _____________________ payroll to _____________________ payroll

TOTAL AMOUNT: ____________________________________ Processed/Computed by: _________________________________________

LoanRevised1_form_Feb1.2018
DOC# _____________________
 PROMISSORY NOTE AND ASSIGNMENT

I, as principal debtor, hereby authorize We Care Cooperative, to deduct from my semi-monthly salary the herein
mentioned authorization payments until full payment of the account. In case of my resignation or termination from (company)
___________________ , and subsequent work in the collection of any unpaid amount of my loan. For this purpose, by virtue
hereof, my subsequent new employer and its treasurer are irrevocably and specifically authorized to make such deduction/s
from my salary/wages and to remit the same to We Care Cooperative.

This note shall become fully due and demandable without notice of demand upon the occurrence of any of the following
events: (a) in case of default of any of the installment/s; (b) my/our discharge, retirement, resignation, termination,
suspension for at least ____________ days from the service of the aforesaid employer; (c) death of the borrower and (d)
voluntary withdrawal of the borrower from the We Care Cooperative.
I will pay an additional 2% interest every month for the amortization not paid.
Upon the maturity of this note any deposit of whatever kind to my credit may, without notice be applied at the discretion
of We Care Cooperative to the full or partial payment of this note. I hereby irrevocably constitute and appoint We Care
Cooperative, or any of its officer, agents, and employees, as my true and lawful attorney with full power and authority, to sell,
assign, transfer, dispose of, or otherwise deal with, in any manner all and any amount of money and/or property which I own
of stand in my name and in the possession of We Care Cooperative to enable We Care Cooperative to obtain full satisfaction of
its credit.

In the event of suit or in case his note is placed in the hands of an attorney for collection, I further agree to pay a reasonable
sum of at least twenty-five percent (25%) of the amount due hereon as attorney's fees and expenses of collection, in addition
to the costs of suit.

I hereby grant authority to We Care Cooperative to inform my employer about the status of my account and seek its aid in the
collection of any unpaid amount hereof. In the event of the occurrence of any of the events enumerated in paragraph 3
hereof, this loan shall become due and demandable without prior notice or demand, and so much of my benefits from my
employer as may be necessary to liquidate this note, are hereby irrevocably assigned, transferred, and conveyed in favor of the
holder hereof, his successors or assigns.

________________________________________________ ______________________
Member / Borrower Date
(Signature over Printed Name)

SIGNED IN THE PRESENCE OF:

___________________________________________ _____________________________________
Signatue over printed name of Witness Signatue over printed name of Witness