SDO-CAL-LAF-MPL
Republic of the Philippines
Department of Education
Schools Division Office Caloocan City
Provident Fund – Multi Purpose Loan
Borrower’s Information Co-Maker’s Information
Specimen Signatures Specimen Signatures
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.
CERTIFICATE OF EMPLOYMENT AND CREDIBILITY
Personnel Division/Unit: Legal Service/Unit:
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.
EDERLYN N. CASTILLO ATTY. KATHRINE MAE M. HOGGANG
Administrative Officer II Attorney III
Date: __________________ Date: ___________________
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SDO-CAL-LAF-MPL
SECRETARIAT’S ASSESSMENT/EVALUATION
A.
Reviewed by: Date:
CERTIFICATE OF NO PENDING CASE/NCR ALINE A. CAYANONG
Administrative Officer V
B.
Reviewed by: Date:
MARIANNE B. GARCIA
Administrative Officer IV
C.
Year/s: Month/s:
Verified by: Date:
ALINE A. CAYANONG
Administrative Officer V
D.
MARITES G. LUMBA
Senior Bookkeeper
VALERIE T. MELENCIO
Accountant III
ACTION TAKEN:
Recommending Approval:
NERISSA L. LOSARIA, CESO V
Schools Division Superintendent
Date: ________________
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SDO-CAL-LAF-MPL
12 mos. 24 mos. 36 mos. 48 mos. 60 mos.
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
Authorization for Salary Deduction
Personnel / RPSU Unit
I hereby authorize the deduction of________________________________________________ pesos
(P____________) from my salary for_______ months, starting from ___________.20_____to______________
_____________________. 20_________ or until my total outstanding loan of______________________ pesos
(P _____________) has been fully paid. Amount deducted shall be credited to the account of DepEd Provident
Fund as receivables on the said loans.
________________________________
Signature of Borrower over Printed Name
Employee No._________________________ Status: _________________ Designation: ___________________________
Division: _________________________ Code: _________________ Service: ___________________________
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