Scribd
Upload
819 views3 pages

DepEd Provident Fund Loan Form

Uploaded by

HERMINIGILDO ATIENZA
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF or read online on Scribd
819 views3 pages

DepEd Provident Fund Loan Form

Uploaded by

HERMINIGILDO ATIENZA
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF or read online on Scribd
You are on page 1/ 3
Republic ofthe Philippines DEPARTMENT OF EDUCATION DepEd Provident Fund Region | San Fernando City Application No Type of Loan: (Cliew [8 Renewat H Refund Ao CO-MAKER (asc Name) (Fst Mame) ware) (Wwiddie Rare) iit ame) Present Address: Present Address: 4 Date of Birth Date of Birth - Position: Monthly Sale Monthly Salary Status: = Office/School: Office/School: Employee Nov TIN: Employee No TIN station No. Biv. No. Station No, Dv. No. Specimen Signature (2) below: | hereby apply for a Provident Fund Loan in the nount and at the amortization stated below. in sideration of the grant thereof, 1 promise to pay all instatiments due and bind myself at the terms and conditions of the loan. Accordingly, | hereby authorize }e deductions of the monthly amortization from the service. | also hereby authorize the deduction in full of ny Unpaid balance from my retirement of separation ‘HOUR OF Lon daoszarion sooULE (2éMonts) Peon) Moss), yesnemc wa wna wa Sesame 2mm” ieee ima onc 0 isin dene dower cr sees” Uae 2 Seo Gowowar aie = ) Emergency Loan } Educational Loan jan due tudden loss of income af sp Loan Bue 10 calamity Loan due to housing repair DepEd, Meratco Avenue, Pasig City sagiro Manila sit/ Madam: heceby authorize the deduction from my salary the amount of 20___ or until my total loan amounting ‘ont starting in CERTIFICATION OF PROVIDENT FUND LOAN AUTHORIZATION OF PROVIDEN’ Specimen Signature (2) below. IN| AGREEMENT Should the principal borrower be separaied from the service and there are no retirement 0 separation benefits due to him. t hereby agree to assume all his/her outstanding obligations for the grant wt this loan upon proper notification by the Provident Fund Secretariat. Accordingly, | hereby authorize the monthly deduction from my salary the amortizations for outstanding obligation of the principal borrow: his/her loan has been fully paid Please state specific reasons (tuition fee/assessment fee ( |} medical expense/ hospital bill ) bill of estimate ( Jother(s) (please speciiy}:_ Signature of Borower T FUND LOAN every month for op beet paid, Anivuni deduced! sia be Credited tg tive amour uf the DECS Provident Fund Auwurtization on sai! fa Employee No. Division/Statian No Signature of Sonewer CERTIFICATION OF EMPLOYMENT AND CREDIBILITY Date: sis office certifies that (1) the above applicant is a permanent employee of this office and is not on leave of absence nut pay, (2) there is no pending administrative and/or criminal charge against him/her; (3) the net pay of the wet indicated above is sufficient to cover monthly deductions of his/her loan, and (4) the amortization reported by aie applicant is true and correct, Signature of Head Office, Authorize Representative RAFAEL IRWIN G. NICOLAS Name in Print Administrative Officer V Designation AA. MEJIA ‘Accountant I Division Provident Fund Coordinator ACTION TAKEN: (_) APPROVED ( ) DISAPPROVED ( )oTHERS TEODORA V. NABOR, D.A. Head Secretariat REQUIREMENTS FOR PROVIDENT LOAN . ORIGINAL LATEST PAYSLIP OF BORROWER ( 3 COPIES EACH) |. PHOTOCOPY LATEST PAYSLIP OF CO-MAKER (3 COPIES EACH |. APPLICATION LETTER (STATING THE PURPOSE OF LOAN) |. SUPPORTING DOCUMENT FOR THE PURPOSE OF LOAN EXAMPLE: HOUSE REPAIR- BILL OF ESTIMATE EDUCATION- REGISTRATION FORM, TUITION FEE ASSESSMENT MEDICAL PURPOSE- MEDICAL RECEIPT, HOSPITAL BILL NOTI CO-MAKER’S BASIC SALARY MUST BE EQUAL OR HIGHER THAN THE BASIC SALARY OF BORROWER.

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy