SOP Exhibits
Title
:
CRLP Application Form
SOP Number :
HR-PB02
Exhibit 1
CRLP Form O1
APPLICATION FORM
Car Repair Loan Program
________________________________________________________________________________
Name of Official Position/Directorate/Office Date
________________________________________________________________________________
Civil Status If spouse if employed - position, salary and employer
________________________________________________________________________________
Home Address Name and Age of Dependents
================================================================================
COMPUTATION OF MONTHLY NET TAKE HOME PAY
================================================================================
Monthly Income
:
Payroll Deductions
:
Basic Salary P_________ GSIS CLI P _____________
Living Allowance _________ GSIS OPI _____________
Amelioration Allowance __________ Medicare _____________
Representation Allowance __________ PAG-IBIG _____________
COLA __________ Withholding Tax _____________
Longevity Pay _________ Salary Loan _____________
Housing Allowance __________ Policy Loan _____________
Risk Allowance __________ Multipurpose Loan ____________ Honorarium/R/A From __________ Educational Loan _____________
NFA Subsidiaries __________ Emergency Loan _____________ T O T A L ` Appliance Loan _____________
========== Employee Assistance
Loan _____________
Excess TEV _____________
Disallowance _____________
Gasoline _____________
NFA SVLF _____________
GRAINSCOR SVLF ___________
Quedan ESS _____________
CCS _____________
Others _____________
T o t a l
=============
Net take home pay before CRLP and other amortizations P__________
Less: Other Amortizations (not reflected in Payslip)
Housing Loan P___________
Others ___________ __________
Net take home pay before CRLP amortization P __________
Less CRLP amortization __________
NET TAKE HOME PAY P
============
Note: Attach certified xeroxed copy of latest payslip.
Net take home pay shall be at least P2,000/month.
================================================================================
COMPUTATION OF LOANABLE AMOUNT
================================================================================
Estimated Cost of repair or Cost of Air-con, tires and rims
(See attach Cost Estimate Sheet accomplish by NFA Motorpool) __________
Outstanding SVLF Account (See attach certification from Accountant) ___________
Loanable amount ___________
Note: Loanable amount shall be the estimated cost of repair which shall not exceed P15,000
with the outstanding SVLF account and car repair loan not to exceed P25,000.00.
Officials who have not yet paid at least 50% of their SVLF account are entitled to a
maximum loan of P5,000.00
================================================================================
Page 2...
I hereby affirm that the foregoing ! For and in consideration of the
information are ture and correct, I agree ! loan granted to ______________________
to amortize my account in P___________ ! under the SVLF - CRL Program, I hereby
monthly amortization for ________ months ! voluntarily bind myself to be jointly
thru payroll deductions until fully paid, ! and severally liable for the unpaid
and to abide with all terms and conditions ! portion of the loan. In the event of failure
of the NFA Special Vehicle Loan Fund. ! to pay the loan, I hereby authorize my
! employer/office to deduct the amount due
Furthermore, I hereby waive my ! from my salary, allowances and other
rights over benefits/amounts due me from ! remuneration.
my employer in form of the SVLF in case I !
shall be separated from the service by !
resignation or termination or any reason !
prior to full payment of my account. ! __________________________________
Printed Name and Signature
of Guarantor
________________________________ ___________________________________
Signature of Official-Borrower Position and Directorate/Office
Signed in the presence of:
______________________
Printed Name and Signature
of Witness
Recommending Approval: A P P R O V E D:
CESAR C. AQUINO ENRIQUE T. YNIQUEZ
Chairman, NFA SVLF Committee President, GRAINSCOR
---------------------------------------------------------------------------------------------------------------------------------------------
A C K N O W L E D G M E N T
Before me, a Notary Public, for and in Quezon City, this ______ day of
________________ 198___ personally appeared the following:
Name
Residence Certificate No.
Date and Place of Issue
______________________ ______________________ ___________________
______________________ ______________________ ___________________
______________________ ______________________ ___________________
Known to me and to me known to be the same persons who executed the foregoing
and they acknowledge to me that the same is their own voluntary act and deed.
NOTARY PUBLIC
Doc. No. _____________
Page No. _____________
Book No. _____________
Series of 198____