SLF065 MultiPurposeLoanApplicationForm V08
SLF065 MultiPurposeLoanApplicationForm V08
(V08, 10/2024)
MULTI-PURPOSE LOAN APPLICATION FORM (MPLAF)
INSTRUCTIONS:
1. Accomplish this form in one (1) copy only. Print this form back to back on one single sheet of paper. Pag-IBIG MID NO. APPLICATION NO.
2. Type or print all entries in BLOCK or CAPITAL LETTERS.
3. All data fields are mandatory. Otherwise, put N/A if not applicable.
LAST NAME FIRST NAME NAME EXTENSION MIDDLE NAME MAIDEN MIDDLE NAME NO MIDDLE NAME DATE OF BIRTH PLACE OF BIRTH
(e.g., Jr., II) (for married women) (check if applicable only)
COMPLETE MOTHER’S MAIDEN NAME NATIONALITY SEX MARITAL STATUS CITIZENSHIP EMAIL ADDRESS
Male Single/Unmarried Widow/er Annulle
Female Married Legally d
Separated
PRESENT HOME ADDRESS Unit/ Room No., Floor Building Name Lot No., Block No., Phase No. House No. CELL PHONE NUMBER HOME TELEPHONE NUMBER
Street Name Subdivision Barangay Municipality/City Province/State/Country (if abroad) ZIP Code APPLICANT’S TAXPAYER SSS/GSIS NO.
IDENTIFICATION NUMBER (TIN)
PERMANENT HOME ADDRESS Unit/Room No., Floor Building Name Lot No., Block No., Phase No. House No. BUSINESS TELEPHONE NATURE OF WORK
NUMBER
Street Name Subdivision Barangay Municipality/City Province/State/Country (if abroad) ZIP Code LOAN TERM DESIRED LOAN AMOUNT
Two (2) Years Maximum Loan Amount
Three (3) Years Others, specify:
EMPLOYER/BUSINESS NAME LOAN PURPOSE
Non-Housing Related
Vacation/travel
EMPLOYER/BUSINESS ADDRESS Unit/Room No., Floor Building Name Lot No., Block No., Phase No. House No. Street Name Livelihood/additional capital in
Special events
small business
Car repair
Tuition/Educational Expenses
Health &
Subdivision Barangay Municipality/City Province/State/Country (if abroad) ZIP Code Payment of utility/credit card bills
wellness
Purchase of appliance
& furniture/electronic
EMPLOYEE ID NUMBER DATE OF EMPLOYMENT SOURCE OF FUND gadgets
Others, specify
Housing Related
Minor home
improvement/home
renovation/ upgrades
PREVIOUS EMPLOYMENT DETAILS FROM DATE OF Pag-IBIG MEMBERSHIP (Use another sheet if necessary)
EMPLOYER/BUSINESS NAME EMPLOYER/BUSINESS ADDRESS FROM (mm/yy) TO (mm/yy)
APPLICATION AGREEMENT
In consideration of the loan that may be granted by virtue of this application subject to the pertinent provisions of the This office agrees to collect the corresponding
Implementing Rules and Regulations of Pag-IBIG Fund, I hereby waive my rights under R.A. No. 1405 (Secrecy of monthly amortization on this loan and the MS of
Bank Deposits Act) and authorize Pag-IBIG Fund to verify/validate my payroll account/disbursement card. herein applicant through salary deduction, together
Furthermore, I hereby authorize my present employer, with the employer counterpart, and remit said
or any employer with whom I may get amounts to Pag-IBIG Fund on or before the 15th day of
employed in the future, to deduct the membership savings (MS) and monthly amortization due from my salary and each month, for the duration that the loan remains
remit the same to Pag-IBIG Fund. If the resulting monthly net take home pay after deducting the computed monthly outstanding. However, should we deduct the monthly
amortization on MPL falls below the monthly net take home pay as required under the GAA/company policy, I amortization due from the applicant’s salary but failed
authorize Pag-IBIG Fund to compute for a lower loanable amount. to remit it on due date, this office agrees to pay the
I understand that should I fail to pay the monthly amortization due, I shall be charged with a penalty of 1/20 of 1% of corresponding penalty charged to applicant
any unpaid amount for every day of delay. equivalent to 1/20 of 1% of any unpaid amount for
If for any reason excess loan proceeds are erroneously credited to my payroll account/disbursement card, I hereby every day of delay and penalty for non- remittance
authorize Pag-IBIG Fund to debit/deduct the excess amount from my account without need of further notice of equivalent to 1/10 of 1% per day of delay of the
demand. Should my account balance be insufficient, the Fund has the right to demand for the excess amount to be amount payable from the date the loan amortization
refunded. or payments fall due until paid.
I authorize Pag-IBIG Fund to disclose, submit, share or exchange any of my account information to legal and
government regulating agencies, other banks, partner-merchants or third party in accordance with R.A. No. 9510
(Credit Information System Act), R.A. No. 10173 (Data Privacy Act of 2012), and other related or pertinent laws and
regulations, as described in Pag-IBIG Fund’s Freedom of Information (FOI) Manual. The credit information may also be AUTHORIZED SIGNATORY
transferred to service providers (e.g., Credit Information Corporation, Bankers Association of the Philippines - Credit (Signature Over Printed Name)
Bureau), likewise in accordance with laws and regulations.
Furthermore, I have read, understood and agree to be bound by the terms and conditions
governing the eDisbursement Facility/Program and Pag-IBIG Fund’s partner-banks’ internal guidelines. DESIGNATION
I certify that the information given and any or all statements made herein are true and correct to the best of my
knowledge and belief. I hereby certify under pain of perjury that my signature appearing herein is genuine and
authentic.
voucher.
5.4 If the due date falls on a non-working day, the monthly amortization shall be paid on the first working day after the due date.
5.5 The borrower may fully pay the outstanding balance of the loan prior to loan maturity.
5.6 The borrower shall pay directly to the Fund in case the borrower is unable to pay through salary
deduction for any of the following circumstances, such as but not limited to:
a. Suspension from work
b. Leave of absence without pay
c. Insufficiency of take home pay at any time during the term of the loan; or
d. Other circumstances analogous to the foregoing.
5.7 Payment shall be applied according to the following order of priorities:
a. Penalties; if any
b. Interest; and
c.
Principal
5.8 Any amount in excess of the required monthly amortization shall be applied to succeeding
amortizations which will be posted on the next due date.
Issued this _______ day of__________, 20__. 6. Penalties
I certify under pain of perjury that the A penalty of 1/20 of 1% of any unpaid amount shall be charged to the borrower for every day of delay.
For borrowers paying through salary deduction, penalties shall only be reversed only upon
above- mentioned information is true and presentation of proof that non-payment was due to the fault of the employer. In such case, penalties
correct. due from the borrower shall be charged to the employer. Non-remittance of the total loan
amortization shall likewise subject the employer with a penalty of 1/10 of 1% per day of delay of the
amounts payable from the date the loan amortization or payments fall due until paid.
7. Default
The borrower shall be in default in any of the following cases, without need for demand:
D. _L_o_an__Re_n_e_w_a_l
Total Deductions_________________________________
a. Any willful misrepresentation made by the borrower in any of the documents executed in relation hereto.
b. Failure of the borrower to pay any three (3) consecutive monthly amortizations.
HEAD OF OFFICE/AUTHORIZED SIGNATORY c. Failure of the borrower to pay any three (3) consecutive Pag-IBIG monthly savings; or
d. Violation by the borrower of any of the membership/STL/housing loan policies, rules, regulations
and guidelines of Pag-IBIG Fund.
8. Effects of Default
In the event of default, the outstanding loan obligation shall become due and demandable. The
Net Monthly Income outstanding loan obligation shall be deducted from the TAV after exerting all collection efforts.
D. Other Loan Provisions
1. The MPL and/or Calamity Loan programs shall be treated as separate and distinct from each other.
Hence, the member shall be allowed to avail of an MPL while he still has an outstanding calamity loan,
and vice versa. Application for loans on these two programs shall be governed by their corresponding
guidelines.
2. In no case shall the aggregate STL exceed eighty percent (80%) of the borrower’s TAV.
3. For both 2-year and 3-year terms, a borrower may renew his/her MPL after payment of equivalent to six (6) monthly amortizations; not earlier than the sixth (6 th) monthly amortization
due date; and provided that he meets the eligibility requirement. The approved loan shall be applied to the borrower’s outstanding MPL obligation and the net proceeds shall then be
released to him. In case of full payment prior to loan maturity, a borrower shall be allowed to apply for a new loan anytime thereafter.
Issued this day of , 20 .
4. In the event of membership termination prior to loan maturity, the outstanding loan obligation shall be deducted from the borrower’s TAV and/or any amount due him or his beneficiaries
in the possession of the Fund. In case of the borrower’s death, the outstanding loan obligation shall be computed up to the date of death. Any payments received after death shall be
refunded to the borrower’s beneficiaries.
I certify under pain of perjury that 5. Borrower may request for the immediate offsetting of his/her outstanding MPL balance against his/her
the abovementioned information is TAV. It shall be effected upon approval of the borrower’s request, provided, the request is based on
the following justifiable reasons: Total disability or insanity; Separation from service by reason of
true and correct. health; Death of member’s immediate family member; Distressed member due to unemployment
limited to layoff and/or closure of company; Critical illness of the member or any of his/her immediate
family member, as certified by a licensed physician under one of the following categories, subject to
the approval of the DCEO-Member Services Cluster: cancer, organ failure, heart-related illness, stroke
and neuromuscular-related illness; Repatriation of OFW member from host country and other
AUTHORIZED SIGNATORY meritorious grounds as may be approved for by the Board, by reason thereof, resulted in his failure to
(Signature Over Printed Name) pay the required amortizations when due.
6. If TAV offsetting has been effected on the borrower’s defaulting MPL, he may apply for a new MPL
provided he has paid at least (6) monthly amortizations prior to default and its consequent offsetting
against the borrower’s TAV. However, if he has paid less than 6 monthly amortizations prior to
default, he may apply for a new loan only after two
(2) years from the date of TAV offsetting.
7. In case there is a need to update in the borrower’s address and contact details (i.e. present home
address, permanent home address, email address, cell phone number, home telephone number and
business telephone number) at point of loan application, the borrower shall not be required to submit
HQP-SLF-065
Member’s Change of Information Form (MCIF, HQP- PFF-049). The updating of information shall be
based on the submitted MPLAF.
However, in case the information that needs to change/update is other than the address and contact
details, the concerned borrower is required to submit the accomplished MCIF together with the
supporting documents, if necessary. Please refer to the Checklist of Requirements specified at the
back portion of the MCIF.