Date:

SALARY LOAN APPLICATION FORM Type of Loan: New Renewal

(Page 1 of 2. To be filled-up by applicant. Print entries.)
Loan Classification: RPSU Paid FAS Paid
Name of Applicant: Gender: Civil Status:
Female
____________________________, __________________________, _____________________ ___ Male
Last Name First Name Middle Name Ext.
Mailing/ Permanent Address: Contact No.:

Birthdate: __________________ Age of Applicant: ___________ Start Date with DepEd:_______________________(mm/dd/yyyy)

Place of Birth:
TIN: GSIS No.:
Name of Spouse & Date of Birth: Age of Spouse: Occupation/Trade Applicant’s DepEd Email Address:
(Spouse):
Beneficiary (ies):
Full name of Beneficiary Relationship Date of Birth

Name of School/Institution where presently assigned and its address: Name of Co-Borrower Relationship: Source of Income:

Employee ID Number: Station Code:

Length of Service: Station Name:
Region Code: Designation:
Region Name: Monthly Gross Salary:
Division Code: Latest Net Take Home Pay:
Division Name: Term of Loan (in months)
Amount Applied: Loan Purpose (please specify):

RESIDENCE SKETCH MAP

Sketch map to loan applicant’s current residence address. Use back portion of this page if ADDITIONAL FINANCIAL INFORMATION
necessary.)

Gross Monthly Income (based on latest payslip ___________________

Spouse’s Monthly Income, please specify ___________________
Allowances ___________________
Other Monthly Income, please specify ___________________
(A) Total Monthly Income ___________________
Living Expenses (Food, Clothing, etc.) ___________________
Utilities (Electricity, Water, Phone, Cable, etc.) ___________________
Rentals, if applicable ___________________
Payments for Loan Amortizations/Credit Cards ___________________
Other Expenses, please specify ___________________
(B) Total Monthly Expenses ___________________

(C) NET MONTHLY INCOME (A-B) ___________________

(D) ANNUAL INCOME (C X 12 months) ___________________

APPLICATION FOR SALARY LOAN

I/We hereby apply for DepEd Teachers’ Salary Loan in the amount not exceeding _____________________________________ PESOS (P ______________). I
hereby swear that (1) I am a permanent DepEd Teacher with ___ years/months in service; (2) I am up-to-date in the payment of my existing loans; (3) I am not a
respondent/party to any pending criminal case; (4) that the statements declared above are true and correct to the best of my knowledge and that this application is
made for the purpose and consideration expressed above. (5) By providing my personal data or signing herein, I hereby acknowledge that I have read and
understood EWRB’s Data Privacy Policy and agree thereto as well as knowingly and voluntarily give my consent to the Bank, its affiliates, partners and service
providers to collect, use, disclose, dispose, and process my personal data set out in this form or any other related documents or forms in order to complete my
transaction with the Bank and for any other legitimate purpose. (6) I hereby give full consent to the Bank to use and/or disclose any information contained herein
for credit investigation and collection, for information technology systems, data processing and storage, statistical, risk, production utilization and any other
purposes deemed essential to the Bank and I hereby give my consent in advance in case the Bank desires to use any information provided in this application for
marketing and promotions. I agree that should there be any misrepresentation discovered, the East West Rural Bank Inc. may cause the outright disappr oval of my
loan or if the loan has already been granted, the East West Rural Bank Inc., may immediately declare my loan due and demandable.

Furthermore, (7) I hereby acknowledge and authorize: a) the regular submission and disclosure of my basic credit data (as defined under Republic Act No. 9150
and its implementing rules and regulations) to the Credit Information Corporation (CIC) as well as any updates or corrections thereof; and b) the sharing of my
basic credit data with other lenders authorized by the CIC, and credit reporting agencies duly accredited by the CIC.

CERTIFICATE OF NO OBLIGATION/AUTHORIZATION
This is to declare under oath that the reflected Net Take Home Pay as reflected in my payslip for the payroll period ________ ________________ represents an
amount that has no obligation(s) and/or is NOT amortized/ allocated for any obligation. That once this application is approved, I will not borrow again fr om any
other lending institution nor from any person or entity that will compromise, prejudice or otherwise impair this "AMOUNT", unless any or all of the credits
abovementioned have been retired, paid or otherwise extinguished already, provided the "AMOUNT" will remain unimpaired.

This is to further declare that I have no pending application for an indefinite leave of absence or transfer to another station, no plan to go abroad and to retire
within the payment period of my loan which will start in the payroll month of _____________ and end on _____________________ payroll period and further
commit not to cause any of these acts while my loan with EASTWEST RURAL BANK, INC. is outstanding. This is to further declare that any falsification in this
certification can be used against me for the crime of perjury.

Borrower’s Signature over printed name Date

v.011921
 Page 2 of 2 – Salary Loan Application Form
GENERAL TERMS AND CONDITIONS

1. Eligibility Criteria 5. Borrower and Co-Borrower’s Responsibilities

The loan shall be granted to Borrower who passed the eligibility criteria as
herein set by the Bank; 5.1. In the event the Borrower’s monthly salary, the primary source for
1.1. Net Take Home Pay (NTHP) after amortization deduction of the payment of loan amortization, is cut-off due to whatever reason it
loan applied for must not fall below the minimum NTHP may be, the Borrower’s outstanding loan shall become due and
mandated per the latest General Appropriations Act and covered demandable without need of demand or further notice;
by relevant memorandum of the Bank; 5.2. The Borrower and Co-Borrower shall be jointly and severally liable
to the Bank for the full payment and complete performance of all
1.2. Must have rendered at least one (1) year service with DepEd;
obligations of the Borrower provided in the loan agreement;
1.3. Must be aging 18 to 64 years old; 5.3. The liability of the Borrower and Co-Borrower shall extend to all
1.4. Must be holding a permanent appointment as evidenced by the extension of time payment of the loan plus all interest thereon;
Certificate of Appointment issued by the Civil Service 5.4. In the event (a) the Borrower and/or Co-Borrower fails to pay the
Commission; Bank any amount when due which the Borrower is obligated to pay
1.5. Must be under DepEd National Plantilla with issued employee under the loan agreement and other documents contemplated
number, whether assigned at the national, regional, schools relative to the loan; or (b) any representation or warranty of the
division, or school level (implementing unit (IU) or non IU); Borrower under any certifications, applications for loan or other
1.6. Borrower’s payroll must be integrated in the Regional Payroll documents given to the Bank in connection with the Loan is shown
Service Unit or Fiscally Autonomous School; to have been incorrect and misleading in any material respect, or (c)
1.7. Must be able to pass DepEd Verifier’s confirmation of required the Borrower fails to perform or violates any of the covenants and
minimum NTHP to avail a loan; other provisions of the loan agreement, then the Bank may declare
1.8. Must belong to an institution granted by the Bank with Authorized the loan together with the accrued interest thereon any other sums
Exposure Limit (AEL); payable hereunder to be immediately due and payable without the
need for demand, protest or notice of any kind;
1.9. Must be able to submit complete documentary requirements and
all other documents that may be required by the loan approving 5.5. Whenever the Borrower and/or Co-Borrower have several
authority; obligations to the Bank, including, but not limited to the obligation
1.10. Must be able to provide at least one (1) eligible co-borrower of the hereunder, the Bank has the right to apply to the payment of any
loan, for new application. Borrower’s obligations which the Bank may at its option, select
2. Loan Amount and Term whether or not any one of the obligations is more or less than the
others, and all sums the Bank may receive from the Borrower or
2.1 The Borrower may be granted a minimum of Ten Thousand Pesos from other parties for and in behalf of the Borrower, as well as, all
(10,000) up to a maximum of One Million Pesos (1,000,000);
monies on deposit or account with the Bank belonging to or to the
2.2 Loanable amount is confirmed to be eligible for deduction under credit of the Borrower.
the APDS by the DepEd Verifier.
2.3 Loanable amount is based on NTHP reflected in the Borrower’s 6. Rights of the Borrower
latest payslip and is computed using Loanable Amount
Computation Sheet and Amortization Table (LACSAT); 6.1 The Borrower should be given copy of the following loan
documents with his/her signature: a. Promissory Note
2.4 The Borrower may be granted a term of one (1) month up to three
b. Disclosure Statement
(3) years but shall not exceed 65 th birthday of the Borrower upon
c. Amortization Schedule
loan maturity.
upon loan disbursement.
3. Fees and Charges
6.2 The Borrower may file a complaint in case of inappropriate
3.1. Interest rate of 7.5% per annum based on a diminishing balance
(from the time the loan is granted until its full payment); behaviour, misleading actions and/or unfavourable events at his/her
3.2. Service Fee of 6% deducted upfront, inclusive of Loan expense caused by the Bank. A complaint may be made in person,
Redemption Insurance (LRI) for the 1 st term of the loan, 1% by phone, by email or in writing. The Bank shall then provide
APDS Collection Fee and Documentary Stamp Tax (DST), if immediate resolution/s in accordance to the Bank’s policies and
applicable; procedures in handling customer complaint.
3.3. LRI for 2nd and 3rd term, if applicable, shall be for the account of 6.3 The Borrower shall authorize the Bank to encumber, assign or sell
the Borrower and must be collected through over-the-counter to any person or entity, any right which the Borrower may have
payment or auto debit from Borrower’s EWRB Savings Account under this note and/or assignment, mortgage lien, pledge or other
upon consent; encumbrances constituted in favour of the Bank pursuant to the
3.4. DST shall be applied for loan amount more than Two Hundred provisions of the loan agreement and this note, if any. Any partition
Fifty Pesos (250,000) and is computed at P1.50 per 200 of loan; of the loan (or any portion thereof or interest therein) should be
3.5. Penalty of 1% per month based on the total outstanding balance recognized and acknowledged by the Borrower through a waiver to
(Principal + Interest), as of computation date, shall be charged to all intents and purposes, of whatever right that the Borrower must
unpaid accounts due to undeclared obligations; be notified.
3.6. The interest, fees and penalty rates may change over time.
4. Loan Repayment and Renewal 7 Other provisions
4.1. Borrower shall pay equal monthly amortization computed based
on diminishing principal balance and interest charges; 7.1 In case of judicial enforcement of the obligation or any part of it by
4.2. Bank shall provide Borrower’s copy of his/her amortization Bank, Borrower and/or Co-Borrower shall waive all their rights
schedule upon approval of loan as part of the post-borrowing under the provisions of Rule 39 Section 12 of the Rules of Court,
orientation; and the Borrower and/or Co-borrower shall pay jointly and
4.3. Borrower may opt to pre-terminate or pre-pay his/her loan severally ten percent (10%) of the amount due on the note as
provided any outstanding balance and other charges incurred
attorney’s fees, which in no case shall be less than FIVE
shall be fully paid; Loan renewal is allowed provided an
HUNDRED PESOS (P500.00) exclusive of all costs and fees
equivalent of four (4) monthly amortizations has been paid;
allowed by law.
4.4. Loan renewal is allowed provided an equivalent of four (4)
monthly amortizations has been paid; 7.2 Should any issue/case arise as a result of this obligation, venue
4.5. Any outstanding balance of the previous loan shall be deducted shall be at the Proper Courts in the city or municipality of the
upon loan renewal; Borrower’s residence.
4.6. Only one (1) Promissory Note is allowed per Borrower under this
facility.

Borrower Co-Borrower
(Signature over Printed Name) (Signature over Printed Name)

v.011921