CASHELP Salary Loan Application

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A L A
Y No

Accounts: D / D

BORROWER'S PERSONAL INFORMATION

Last Name Suffix First Name Middle Name Sex Civil Status Mother's Maiden Name

SSS No. Tin No. Birthdate (MM/DD/YYYY) Place of Birth Nationality

CONTACT INFORMATION
Present Home Address House No. / Street Barangay / Village City Province ZIP Code Years of Stay Ownership

Permanent Home Address House No. / Street Barangay / Village City Province ZIP Code Years of Stay Ownership

Home rea Phone um er E tension Mobile Phone Personal Email Address

Contact Person and Address For Reference and Emergency Telephone Number

WORK AND FINANCES

Employment Status Gross Monthly Income Employee ID Position Date Hired (MM/DD/YYYY)

Company/Business Name Nature of Business Work Phone

Company/Business Address House No. / Street Barangay / Village City Province Zip Code Work Email

CHARACTER REFERENCE/S
Name Relationship Contact Nos. Address
1)

2)

SPOUSE/CO-BORROWER PERSONAL INFORMATION

Last Name Suffix First Name Middle Name Sex Civil Status

SSS No. Tin No. Birthdate (MM/DD/YYYY) Mobile Phone Nationality

Current Home Address House No. / Street Barangay / Village City Province ZIP Code Years of Stay Ownership

Employment Status Company/Business Name Work Phone

Company/Business Address House No. / Street Barangay / Village City Province ZIP Code Date Hired (MM/DD/YYYY)

LOAN DETAILS
Loan Amount Applied For Term of Loan Purposes
MONTHS Appliance Home Repair Travel Pay Debt Medical Tuition Others

Maximum Loan Amount Term Interest Rate Repayment

*Up to 6X of the gross salary Minimum: 6 MONTHS *Refer to amortization table Monthly amortization calculated based on FIXED EQUAL amortization
method of repayment plus interest as calculated monthly in arrears by
*Subject to credit evaluation and approval Maximum: 36 MONTHS the BANK, based on outstanding diminishing balance of the loan.
PAYMENT INSTRUCTION ON LOAN PROCEEDS FEES/CHARGES (*If applicable)

Manager's Check Third party Payment Processing Fee 250 Advance Release Fee
*If the due date will fall more than
Credit my deposit account with
Payable to: ________________________________ Early Renewal
Fee 500 thirty days from the loan release date

Bank/Branch: ___________________________
Amount: __________________________________ *Interbank Fund
Transfer Fee 100 Documentary Stamp
Service Fee Php 1.00 for every Php 200 of loan
Account Number: ________________________ Loan if applicable amount and a fraction thereof
Disposition of Proceeds: Manager's Check
Receipt of the check is also deemed as acceptance of the terms and conditions of this agreement and its corresponding promissory note. I authorize the Human Resources Department of
my company to receive the Manager's Check on my behalf. Should I refuse to accept the loan under the approved terms, (a) I undertake to return the check thru the Human Resources Department
within (2) banking days from receipt thereof; and (b) I further authorize the Bank to make immediate reversal of any form of disposition of the loan proceeds apart from the Manager's Check.

AUTHORI ATION AND UNDERTA IN

I/We certify that all information contained herein are correct and complete. I/We authorize Asia United Bank (AUB) to obtain such information as maybe required
concerning statements made herein, and likewise authorize each and every person/entity to which AUB shall apply for such information to fully and accurately disclose
the same. I/We have read and understood the Terms and Conditions of Application and Loan as well as Borrower/Co-maker Obligations including Assignment and Authority to Deduct and
Remit Payment incorporated in this application form and hereby unconditionally agree to be bound thereby and by any and all subsequent amendments/modifications thereto.
I/We further agree that this application shall remain as AUB property whether or not any loan is granted. In case of disapproval, I/We understand that AUB is under no obligation to
disclose the reason/s for such disapproval.

__________________________ __________________________ __________________________

SIGNATURE OF BORROWER SIGNATURE OF SPOUSE SIGNATURE OF COMAKER
____________________ Signed in the Presence of: _________________
Witness
EMPLOYMENT CERTIFICATION & UNDERTAKING TO DEDUCT AND REMIT PAYMENT (For Employer's Human Resource Department Use Only)
Borrower/Co-Maker Monthly Income
I/We certify to the information provided herein and recommend that the
Basic Salary ______________ ______________ above mentioned Borrower be approved for _____________________________
Further, as instructed and authorized by the ASSIGNMENT AND AUTHORITY TO
Fixed Allowances ______________ ______________ DEDUCT AND REMIT. I/We hereby undertake, without need of further act or deed by the
Borrower/Co-maker, to: 1. Deduct the monthly amortization and/or other amounts due
Less: Deductions/Other Loans ______________ ______________ from Borrower/Co-maker’s salary, or termination, retirement, or gratuity pay or other
benefit; and 2. Remit the same directly to AUB no later than the agreed due date. 3. I/We
Net Pay ______________ ______________ undertake to immediately notify AUB of any termination, resignation or other cause for
Ave. Overtime/Commission/Others Borrower/Co-maker's separation from/cessation of employment.
______________ ______________
Net Take Home Pay
______________ ______________
___________________________________________ _______________
______________________ Employer's Authorized Signatory/ies Date
____________________ (Signature over printed name)
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 TERMS AND CONDITIONS OF APPLICATION AND LOAN
For and in consideration of AUB's consent to evaluate this application, as well as the loan granted and released to the Borrower, if applicable, I/We, as Borrower and Co-
maker herein hereby absolutely and unconditionally -
. Certify that representatives of AUB and/or the Human Resources Department of employer have informed and explained to me/us the terms and conditions of the loan, including
but not limited to all applicable fees and charges, and express our unconditional consent thereto by signing hereon.
. Authorize AUB to either deny my/our application without being obliged to inform me of the same or the reason therefor, or in the event the approved loan amount is less than
originally applied for, to continue processing this application in the new loan amount and prescribed terms.
. Waive my/our right to confidentiality of any and all information furnished to AUB and authorize AUB to conduct verification with any government or other office/agency to establish
authenticity/accuracy of any documents and/or information given. In the event any of the same proves to be spurious or materially incorrect or inaccurate, AUB may disapprove the
application or revoke/terminate any credit accommodation granted to me/us, in which case any and all outstanding amounts shall become immediately due and demandable, without
prejudice to AUB's right to seek damages and other legal remedies.
. Agree that AUB has no obligation to grant me a loan in the amount and for the term herein applied for, and I/We thus unqualifiedly accept the loan amount, loan term and all other
terms and conditions indicated by AUB hereunder, which shall be deemed the final terms and conditions of the loan as agreed by myself/ourselves and AUB.
. Agree that cellular phone number provided in this application may be used by AUB to send notices and other promotions.
. Agree that should the release be via cash card or ATM, the total loan proceeds may be rounded up to the nearest hundred to facilitate ATM withdrawal and that the monthly
amortization may slightly increase in proportion to the interest rate.
. Undertake to promptly notify AUB of any change in my/our civil status, residence and/or employment hereafter, and likewise agree that any notice sent to me/us at the address
indicated in AUB's records shall at all times be deemed both sufficient and effective.
. Jointly and severally agree and undertake to pay: (i) a late monthly payment charges of five percent on every installment or portion thereof remaining unpaid on each due date; (ii)
in the event the loan is paid in full prior to maturity, the applicable interest, taxes and costs incurred by the bank, all computed in accordance with applicable AUB policies; and (iii)
for all costs and expenses incurred by AUB in the event the loan or any related matter is referred to a lawyer for collection, regardless of whether suit is eventually commenced
thereon.
. Waive any and all rights: [i]under Rule 39, section 13 of the Rules of Court; [ii]to bring suit relative or incidental hereto before any court other than the proper court of the City of
Pasig.
. Agree that any payment hereinafter made to AUB shall be first applied against costs, expenses and indemnities, then against interest due, before application to the outstanding
loan amount then due and payable.
. Agree that acceptance by AUB of any payment or any installment due per period or any part thereof after due date shall not be considered as extending the term for the payment
of any of the installments aforesaid or as a modification of any of the conditions hereof. However, the maturity of the Loan shall be deemed extended without need of notice to, nor
consent from, me/us upon my/our nonpayment of any installment due per period on account of or for reasons/warranted under this Note or other documents relative hereto.
. Authorize AUB to report and/or include my/our name/s in the negative listings of any credit bureau or institution, in the event of future delinquency.
13. Acknowledge and authorize the regular submission and disclosure of my/our basic credit data as defined under Republic Act 9510 and its implementing Rules and Regulations
to the Credit Information Corporation (CIC) as well as any updates or corrections thereof and sharing of my/our basic credit data with other lenders authorized by the CIC and credit
reporting agencies duly accredited by the CIC.
14. Affirm and acknowledge that I/we have signed hereon after carefully reading and understanding all provisions herein, and that all blank spaces have been completely and
correctly filled-in to my/our satisfaction.
BORROWER/CO-MAKER OBLIGATIONS INCLUDING ASSIGNMENT AND AUTHORITY TO DEDUCT AND REMIT
. FOR VALUE RECEIVED, I/WE JOINTLYAND SEVERALLY PROMISE TO PAY AUB AT ITS OFFICE, WITHOUT NEED OF NOTICE OR DEMAND, THE LOAN AMOUNT
GRANTED PURSUANT HERETO INCLUDING INTEREST DUE, ADDITIONAL COSTS AND OTHER APPLICABLE CHARGES AS INDICATED HEREUNDER, ON EACH
AGREED INSTALLMENT/PAYMENT DUE DATE.
. I/We unconditionally waive any and all notice of demand, presentment, dishonor and/or protest.
. I/We hereby agree that in the event of default for whatever reason in the payment of any amount due hereunder or relative hereto, AUB may without prior notice nor demand,
declare the entire outstanding loan amount due and immediately demandable.
. I/We hereby unconditionally assign in favor of AUB, its successors and assigns, such portion of my/our monthly salaries, remuneration, benefits and any other amounts due to
me/us from my/our employer (collectively, Compensation) as may be necessary and appropriate to fulfill at all times my/our loan obligations relative hereto. For such purpose I/we
hereby unqualifiedly authorize my/our employer to, without need of my/our further act or deed, periodically deduct from my/our Compensation such necessary and appropriate
amounts, and to directly, without need of notice and/or demand, remit the same to AUB no later than the agreed due date, until my/our entire loan obligation has been fully and
satisfactorily paid. This assignment and authority is absolute and shall remain irrevocable until all my/our loan obligations to AUB have been fully and satisfactorily paid.
. In the event of my/our termination or separation from employment for any reason whatsoever, the entire outstanding loan amount shall become immediately due and
demandable, and I/we hereby authorize the employer in such event to retain, withhold and remit directly to AUB, all monies remaining due to me/us, including termination,
separation or gratuity pay, or any other benefit or compensation.
. Notwithstanding any of the foregoing, I/we likewise hereby unconditionally authorize AUB to apply, without need of prior notice and/or demand, To the payment of my/our loan
obligations pursuant hereto, such amounts of my/our monies in AUB's possession, whether on deposit or otherwise, as may be necessary or sufficient; in any event without
prejudice to AUB's distinct right to demand for any deficiency thereon.
. If so required, I/we likewise hereby authorize AUB to procure, at any time on my/our behalf, a credit insurance policy in an amount not less than the loan or any outstanding
balance thereon, which proceeds in case of loss shall be payable to AUB or AUB's assigns. I/We agree to pay the premium due on the policy on the earlier of the loan proceeds
release date and effectivity date of the insurance
DETAILS ON THE APPROVED LOAN
Approved loan details as herein presented adhere to the following definitions as per R.A. No. 3765, otherwise known as the r in Lending Act" and pertinent sections of the
Banko e ra ’s Manual of Regulations.
1. Loan Amount
2. OTHER BANK CHARGES / DEDUCTIONS

3. NET PROCEEDS OF LOAN (Item 1 less Item 2)

4. SCHEDULE OF PAYMENTS
a. Single payment due on

b. Installment Payments of P_____________________ payable in ____________ months/years.

(Please see attached amortization schedule)

5. EFFECTIVE INTEREST RATE (Interest and Other Charges)

Explanation: The effective interest rate is higher than the contractual interest rate of ____________ because of item 2 deductions above.
6. CONDITIONAL CHARGES THAT MAY BE IMPOSED (If applicable).
a. Late Charge
b. Penalty
c. Other charges in case certain stipulations are not met by the borrower:

FOR ASIA UNITED BANK USE ONLY

Loan Amount Term (months) Interest Rate Fees / Charges / Other deduction (if applicable) Mode of Release
PF _____________ DST A) Manager's Check
ERF _____________ SFL Delivery to the company
Monthly Amortization B: I/I Ratio CM: I/I Ratio IBFT _____________ Pick up to CLO/H.O.
ARF
1st Amort _____________ IOA to ____________________
O/B
(Branch)
3rd party pay-off B) Credit to Account
First Due Date Repayment
Payable to_____________________________ AUB CA/SA
SD ADA PDC Amount_______________________________ IBFT
Credit Check Borrower Co-Maker Encoded by: Status: Approved by: Note to CLO:
File Check + - + - Approved - Std Facility tagging________________________
CMAP / CCAP + - + - Evaluated by: Approved - with
BAP + - + - Deviation
Remarks from CLO

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