Provident Form Laf MPL
Provident Form Laf MPL
LOAN AGREEMENT
I hereby apply for a Provident Fund Loan in the amount of PESOS: I hereby agree to assume all the outstanding obligations for the grant
____________________________________ (P _____________) . In of this loan should the principal borrower be separated from the
consideration of the grant thereof, I promise to pay all installments service, and either retirement or separation benefits due to him/her
due based on the attached amortization schedule and bind myself is not received or is insufficient to settle the borrower’s outstanding
with the terms and conditions of the loan as stipulated in the loan, and upon proper notification by the Provident Fund Secretariat.
applicable guidelines of the DepEd Provident Fund. This document
also serves as the Promissory Note upon approval of this loan. Accordingly, I hereby authorize the monthly deduction from my
salary of the amortizations for the outstanding obligation of the
Accordingly, I hereby authorize the deductions of the monthly principal borrower until his/her loan is fully paid.
amortization from my salary. Should I be separated from the service,
I also hereby agree to settle my outstanding loan balance before the
date of my retirement/separation from the service, either through
full payment in cash or through the excution of a notarized
Promissory Note.
This is to certify that the above loan applicant/borrower: This is to certify that the above loan applicant/borrower has no
(1) is a ___ permanent/ ___ co-terminus employee of this office and pending administrative nor civil case charged against him/her based
is not on leave of absence without pay; on records on file with DepEd.
(2) has net pay of PhP ____________ for the payroll month & year
of _____________________ ; and
(3) has given the true and correct information on the Loan
Application Form.
Page 1 of 3
SDO-CAL-LAF-MPL
SECRETARIAT’S ASSESSMENT/EVALUATION
A.
Year/s: Month/s:
MARITES G. LUMBA
Senior Bookkeeper
VALERIE T. MELENCIO
Accountant III
ACTION TAKEN:
Recommending Approval:
Date: ________________
Page 2 of 3
SDO-CAL-LAF-MPL
Subject to the availability of funds, actual need of the teacher / employee applicant, and
other pertinent limitations set fourth, without prejudice to other pending loan applications
for new loans
________________________________
Signature of Borrower over Printed Name
Page 3 of 3