Loan Application Form
Loan Application Form
OP-004, Revised 092013 APPLICATION FOR LOAN PRESENT LATEST PAY SLIP
(Supersedes Form No. OP-004, Revised 032012)
EVERY LOAN APPLICATION
……………………………………………… ………………………………
MEMBER/BORROWER Date Signed
(Print Name and Sign Above)
( RECEIPT )
RECEIVED this ……... day of …………………………, 20…… Check No..........................representing the proceeds of my
loan with the above named Association as evidenced by Promissory Note No. …………. dated …………………………, 20…… for
a …………………………….. loan of …………..……………......................................…………..………Pesos (P................................)
CONTROL NO. …………………
DIV. NO. ……… STA. NO. ……… EMP. NO. ………..……
……………………………………………………
MEMBER/ BORROWER
(Print Name & Sign Above)
MANILA TEACHERS’
918 United Nations Avenue, Ermita, 1000 Manila Please fill up all spaces with check
Tel. Nos. 404-2790 to 95; Fax No. 525-3833 NO ERASURES
PROMISSORY NOTE
FOR THE VALUE RECEIVED, I/WE jointly and severally promise to pay Manila Teachers’
at the rate of ………………..… ( %) PERCENT PER ANNUM, payable on or before …………………………….., 20 ………
I, as Maker/Borrower, further pledge my capital contributions and deposits against the loan and shall not withdraw any amount until
this is fully paid.
We, as Co-Makers, further agree that our capital contributions and deposits maintained with the Association or on any of its affiliate
companies shall be pledged to the balance of the loan and shall be debited to the extent of the unpaid obligation as required by the terms and
conditions of this loan.
In case of non-payment for three (3) consecutive installments, the Association reserves the right to consider the entire balance of the
loan due and demandable, notwithstanding the imposition of applicable penalties, in accordance with existing policies of the Association on
delinquent accounts.
In the event this notice is placed in the hands of an attorney for collection, I/We , as the Maker and the Co-Makers shall pay the
TEN PERCENT (10%) of the amount due on the note as Attorney’s fee and expenses for litigation, which in no case shall be less than one
thousand pesos (P1,000.00).
Government/School ID & No.: …………………………...………….……..Valid Thru (if with validity, pls indicate): ……………………
……………………………………………………………… ………………………………………………………............
CO-MAKER CO-MAKER
(Print Name and Sign Above) (Print Name and Sign Above)
Valid Thru (if with validity, pls indicate): ………………..……. Valid Thru (if with validity, pls indicate): ………………………
……………………………………………………………..... ……………………………………………………………........
Div. ……….. Sta. ……… Emp. No. …………….….. Div. ……… Sta. ………… Emp. No. ………………
……………………………………………………………… ………………………………………………………............
CO-MAKER CO-MAKER
(Print Name and Sign Above) (Print Name and Sign Above)
Valid Thru (if with validity, pls indicate): ………………..……. Valid Thru (if with validity, pls indicate): ………………………
……………………………………………………………..... ……………………………………………………………........
Div. ……….. Sta. ……… Emp. No. …………….….. Div. ……… Sta. ………… Emp. No. ………………
……………………………………………
Date
TO WHOM IT MAY CONCERN:
This is to certify that......................................................................................................., a permanent teacher/employee in this school
is not presently on leave or intending to go on leave of absence this current school year.
This certification is made in connection with his/her application for a salary loan with Manila Teachers’
……………………………………………
Date
Division No. …………. Station No. …………. Employee No. ….…………………
Net Salary for the month of ……………………… Amount P …………………
1st Quincena P …………… 2nd Quincena P ………………
……………………………………
PAYMASTER/PAYROLL CLERK