AFL PEAKSUN ENTERPRISES AND EXPORT CORPORATION pgaksun

2F PEAKSUN BUILDING 1505 PRINCETON ST. MANDALUYONG CITY

APPLICATION FOR COMPANY LOAN

Date:
Sa Pangasiwaan,

Alco si na naninilbihan sa kumpanyang ito ng

(taon/buwan) ay nagnanais na umutang sa halacang Php at
nangangakong babayaran sa pamamagitan ng packaltas sa aking sweldo sa halagang
Php kada sweldo.

Ang nasabing halaga ay gagamitin ko sa mga sumusunod na pangangailangan:

Naiintindihan ko na sakaling matapos ang aking serbisyo sa kadahilanang

nagkasala ako o kaya'y sa kusa kong pagbitiw sa trabaho, ang anumang pagkautang
ko ay buo kong babayaran sa araw ng aking pagbibitiw, kasama ng anumang tubo na
ayon sa nilagdaan kong dokumento na magpapatunay ng aking packakautang.
Gumagalanc,

Pangalan at Lagda
Position:

Date Hired:

(HUWAG SULATAN-HRMD USE ONLY)

TYPE OF LOAN: MEDICAL ACCIDENT HOUSING
ECONOMIC EMERGENCY OTHERS
EDUCATIONAL

REQUIREMENTS SUBMITTED: COMMENTS AND RECOMMENDATIONS

APPROVED AMOUNT:

NOTED BY:

IMMEDIATE HEAD HR DEPARTMENT

 HANS IVAN Y. ANGPING LARRY C. PRESIDENT
ANGPING vp - OPERATIONS
(V04, 02/2020

APPLICATION FORM
(To be filled out by applicant. Print this form back to back on one single sheet of paper) Type or Print Pag-lBlG MID NO./RTN APPLICATION NO.
Entries
DATE OF BIRTH PLACE OF BIRTH
LAST NAME FIRST NAME NAME EXTENSION MIDDLE NAME MAIDEN MIDDLE NAME NO MIDDLE NAME
(e.g., Jr., Il) (for married women) (check if applicable only)

MOTHERS MAIDEN NAME NATIONALITY SEX MARITAL STATUS CITIZENSHIP EMAIL ADDRESS
O Male Single Widow/er O Annulled
O Female O Married Le all Se arated
PRESENT HOME ADDRESS Unit/Room No.. Floor Building Name Lot No., Block No., Phase No. House No. Street Name CELL PHONE NUMBER (Required) HOME TELEPHONE NUMBER

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. Street Name BUSINESS TELEPHONE NUMBER NATURE OF WORK

Subdivision Barangay Municipality/City Province/State/Country (if abroad) ZIP code EMPLOYEE ID NUMBER DESIRED LOAN AMOUNT

EMPLOYER/BUSINESS NAME DATE OF EMPLOYMENT LOAN PURPOSE

Non-Housing Related
EMPLOYER/BUSINESS ADDRESS UniURoom No., Floor Building Name Lot No.. Block No., Phase No. House No. Street Name Cl Livelihood/additional capital in small business O Vacation/travel
Tuition/Educational Expenses Special events
Cl Payment of utility/credit card bills Car repair
Subdivision Barangay Municipality/City Province/State/Country (if abroad) ZIP Code CJ Purchase of appliance & furniture/electronic Health & wellnes
gadgets
Housing Related
Minor home improvement/home renovation/ Others,
specify u rades
PREVIOUS EMPLOYMENT DETAILS FROM DATE OF Pag-lBlG MEMBERSHIP (Use anothersheet ifnecessary)
EMPLOYER/BUSINESS NAME EMPLOYER/BUSINESS ADDRESS FROM (mm/yy) TO (mm/yy)

PAYROLL ACCOUNT/DISBURSEMENT CARD

In the event of the approval of my application for Multi-Purpose Loan, I hereby authorize Pag-IBIG Fund to
credit my loan proceeds through my Payroll Account/Disbursement Card that I have indicated on the right
NAME OF BANK/BRANCH
portion.
SIGNATURE OF APPLICANT

MULTI-PURPOSE LOAN (MPL) HQP-SLF-065

APPLICATION AGREEMENT
n consideration of the loan that may be granted by virtue of this application subject to the pertinent provisions of the Implementing Rules office agrees to collect the the MS corresponding of herein
applicantmonthly This
nd Regulations of Pag-lBIG Fund, I hereby waive my rights under R.A. NO. 1405 (Secrecy of Bank Deposits Act) and authorize amortization on this loan and
Pag-IBIG Fund to verify/validate my payroll account/disbursement card. Furthermore, I hereby authorize my present employer, through salary deduction, together with the employer or any employer with whom I may
get employed counterpart, and remit said amounts to Pag-IBIG Fund on or in the future, to deduct the membership savings
MS) and monthly amortization due from my salary and remit the same to Pag-IBIG before the 15 th day of each month, for the duration that the loan Fund. If the resulting monthly net take home pay after deducting the
omputed monthly amortization on MPL falls below the monthly net remains outstanding. However, should we deduct the monthly take home pay as required under the GAA/company policy, I authorize Pag-IBIG Fund
o compute for a lower Ioanable amount. amortization due from the applicant's salary but failed to remit 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 any unpaid amount it on due date, this office agrees to pay the corresponding for every day of delay. penalty charged to applicant equivalent to 1/20 of 1% of any unpaid amount for every day of delay
and penalty for nonIf for any reason excess loan proceeds are erroneously credited to my payroll account/disbursement card. I hereby authorize Pag-IBIG remittance equivalent to 1/10 of 1% per day of delay of the
Fund to debit/deduct the excess amount from my account without need of further notice of demand. Should my account balance be amount payable from the date the loan amortization or
nsufficient, the Fund has the right to demand for the excess amount to be refunded.
payments fall due until paid. I
authorize Pag-IBlG 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-lBlG Fund's Freedom of
Information (FOI) Manual. The credit information may also be transferred to service providers (e.g., Credit Information Corporation, HEAD OF OFFICE OR
AUTHORIZED SIGNATORY Bankers Association Of the Philippines - Credit Bureau), likewise in accordance with laws and regulations.
(Signature Over Printed Name)
CERTIFICATE OF NET PAY
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.

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 DESIGNATION hereby certify under pain of perjury that my
signature appearing herein is genuine and authentic.

NAME OF BORROWER Pag-lBIG AGENCY CODE BRANCH CODE

EMPLOYER ID NO. PROMISSORY NOTé
For value received, I promise to pay on due date without need of demand to the order of 5. I shall be considered in default in any of of the the following documents cases:executed in relation hereto;
For
ag-IBIG the
Fund withmonth of: at Petron MegaPIaza, 358, Sen. Gil Puyat Avenue., City
principal office a. Any willful misrepresentation in any amortizations;
b. Failure
to pay any three (3) consecutive monthly of Makati the sum of Pesos:
c. Failure
Basic Salary to pay any three (3) consecutive membership savings;
(P ) Philippine Currency, with an interest at the rate of 10.5% per annum d. Violation of any of the membership/STL/housing loan policies, rules, regulations, and (equivalent rate of 17.50% based on
diminishing
Add: principal balance), with interest during the
Allowances guidelines of the Pag-lBlG Fund.
grace period and shall be amortized equally over the term of the loan. 6. In the event of default, the outstanding loan obligation shall become due and shall be deducted from the Total Accumulated Value (TAV) after
exerting all collection efforts. I hereby waive notice of demand for payment and agree that any legal action, which may However, immediate offsetting of my outstanding loan obligation may be effected arise in
relation to this note, may be instituted in the proper court of Makati City. immediately upon approval of my request, provided such request is based on the following justifiable reasons and upon validation by the
Fund: Borrower's Finally, this note shall likewise be subject to the following terms and conditions: unemployment; illness of the member-borrower or any of his immediate family members l. I shall pay the amount of
Pesos: as certified by a licensed physician that, by reason thereof, resulted in his failure to pay ) through salary deduction, whenever feasible, over a
maximum the required amortization when due; or death of any of his immediate family members period of 24 months, with a grace period of 2 months. In case of suspension from work, that, by reason thereof,
resulted in his failure to pay the required amortization when due. leave of absence without pay, insufficiency of take home pay at any time during the 7. In the event of membership termination prior to loan maturity,
any outstanding loan term of the loan, payments should be made directly to the Fund or its accredited obligation, shall be deducted from my TAV and/or any amount due me or my collecting agents. beneficiaries in
the possession of the Fund. In case of my death, the outstanding
2. Payments are due on or before the 15 th day of the month starting on obligation shall be computed up to the date of death. Any payment received after date and 23 succeeding
months thereafter. of death shall be refunded to my beneficiaries.
3. Payments shall be applied according to the following order of priorities: Penalties, 8. In case of falsification, misrepresentation or any similar acts committed by me,

Interest and Principal. Pag-IBIG Fund shall automatically suspend my loan privileges indefinitely. I shall abide
4. A penalty of 1/20 of 1% of any unpaid amount shall be charged to me for every day of with all the applicable rules and regulations governing this lending program that delay. Pag-lBIG Fund may
promulgate from time to time. Signed in the presence of:

Signature of Applicant Over Printed Name

AUTHORITY TO DEDUCT (Optional)
In case of retirement/separation from employment, I hereby authorize my employer to deduct any outstanding MPL balance from my retirement or separation APPLICANT
benefits to fully settle my loan obligation. In the event that my retirement/separation benefits are not sufficient to settle the outstanding balance of my MPL or my
employer fails for whatever reason, to deduct the same from said retirement/separation benefits, I hereby authorize Pa -IBIG Fund toa I whatever benefits are due
me from the Fund to settle the said obli ation.
Gross Monthly Income THIS PORTION IS FOR Pa -EIG FUND USE ONLY
RECEIVED BY DATE REVIEWED BY DATE APPROVED/DISAPPROVED BY DATE
Less: Deductions
THIS FORM CAN BE REPRODUCED. NOT FOR SALE
GUIDELINES AND INSTRUCTIONSHQP-SLF-065
(V04, 02/2020)
A. Who May File
Any Pag-lBlG Fund member who satisfies the following requirements:
I. Has made at least 24 monthly membership savings (MS);

• A member who has withdrawn his MS due to membership maturity or who has optionally withdrawn his MS, cannot obtain
an MPL unless and until after he has subsequently paid 24 MS following the month of the said withdrawal.
• A member, who does not meet the required 24 MS, may nevertheless, be allowed to avail of an MPL if his total savings is at
least equivalent to 24 MS at the rate applicable to him.
2. Has made at least one (1) MS within the last six (6) months prior to the date of loan application;
3. If with existing Pag-IBIG housing loan, the account must not be in default as of the date of application;
4. If with existing MPL and/or Calamity Loan, the account/s must not be in default as of date of application; and
5. Has sufficient proof of income.

B. How to File
The applicant shall:
1. Secure the Multi-Purpose Loan Application Form (MPLAF) from any Pag-IBIG Fund branch or download from Pag-IBlG website
at www.paqibiqfund.qov.ph.
2. Accomplish 1 copy of the application form.
Total Deductions 3. For releasing of loan proceeds through Payroll Account/Disbursement Card, attach photocopy of payroll account/disbursement
card/deposit slip (for newly-opened account).
4. Submit accomplished application, together with the required documents to any Pag-lBlG Fund Branch. Processing of loans shall
commence only upon submission of complete documents.

C. Loan Features
Net Monthly Income I. Loan Amount
A qualified Pag-IBIG member shall be allowed to borrow an amount based on the lowest of the following:
1.1 Desired Loan Amount
I .2 Loan Entitlement
The loan entitlement shall be equivalent to eighty percent (80%) of TAV. However, If the borrower has an existing calamity
loan, the Ioanable amount shall be the difference between the 80% of the borrower's TAV and the outstanding balance of
his calamity loan.
Issued this day of 20 1.3 Capacity to Pay
The Ioanable amount shall be limited to an amount which will not render the borrower's Net Take Home Pay (NTHP) to
fall below the minimum requirement as prescribed by the General Appropriation Act (CAA) or company policy,
whichever is applicable.
I certify under pain of perjury that the 2. Interest Rate

above-mentioned information is true and

correct.

HEAD OF OFFICE/AUTHORIZED SIGNATORY

(Signature Over Printed Name)
 The loan shall be charged with an interest of 10.5% p.a. (equivalent rate of 17.50% based on diminishing principal balance) with interest during the grace period and shall be
amortized equally over the term of the loan.
3. Loan Term
The loan shall be repaid over a maximum period of twenty-four (24) months, with a grace period of two (2) months.
4. Loan Release
The loan proceeds shall be released through any of the following modes:
a) Crediting to the borrower's disbursement card;
b) Crediting to the borrower's bank account through LANDBANK's Payroll Credit Systems Validation (PACSVAL);
c) Check payable to the borrower. However, when the check remains unclaimed for a period of thirty (30) calendar days from the DV/Check date, the loan shall be cancelled.
d) Other acceptable modes of disbursement.
5. Loan Payments
5.1 The loan shall be paid in equal monthly payments in such amounts as may fully cover the principal and interest over the loan period. Said amortization shall be made, whenever
feasible, through salary deduction.
5.2 For self-employed individuals, Overseas Filipino Workers (OFWs), or other types of individual payors, monthly payments shall be paid over-the-counter or any other modes of
payment approved by the Fund.
5.3 Payments shall be remitted to the Fund on or before the fifteenth (15 th) day of each month, starting on the third (3 rd) month following the date on the DV/check or manual
disbursement 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:
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.
6. Penalties
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 presentation of proof that non-payment was due to the fault of the employer. In such case, penalties 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:
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.
c. Failure of the borrower to pay any three (3) consecutive MS; 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 outstanding loan obligation shall be deducted from the TAV after exerting all
collection efforts.

D. Other Provisions

I. 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. The outstanding loan balance of the
calamity loan shall not be deducted from the proceeds of the MPL.
2. In no case shall the aggregate STL exceed eighty percent (80%) of the borrower's TAV.
3. A borrower may renew his MPL after payment of equivalent to six (6) monthly amortizations; not earlier than the sixth (6 01) monthly amortization due date; and provided that he
meets the eligibility requirement. The proceeds of the new 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.
4. In the event of membership termination prior to loan maturity, the outstanding balance 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 borrower's death, the outstanding balance shall be computed up to the date of death. Any payments received after death shall be refunded
to the borrower's beneficiaries.
5. Offsetting of the borrowers outstanding MPL balance against his TAV shall be effected immediately upon approval of the borrower's request; provided, such request is based on any
of the following justifiable reasons and has been verified by the Fund: Borrower's unemployment; Illness of the borrower or any of his immediate family members as certified by a
licensed physician that, by reason thereof, resulted in his failure to pay the required amortizations when due; or death of any of his immediate family members that, by reason
thereof, resulted in his failure to 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.