ARMED FORCES & POLICE SAVINGS & LOAN ASSOC., INC.

Attach
(Authorized by the Bangko Sentral ng Pilipinas)
1x1
EDSA cor. Bonny Serrano Road, Camp Aguinaldo, Quezon City
Picture

CAR LOAN FOR MEMBERS

Application Form
Date of Application ____________________ Place of Application ______________________

GENERAL REQUIREMENTS SUPPORTING REQUIREMENTS

 1 x 1 latest ID picture Active (Payroll Deduction)
 AFPSLAI ID and CCA passbook  Latest original payslip / authenticated copies (2 months)
 Proof of Latest Billing  Appointment Order / Re-appointment Order / ETAD / Re-enlistment Order
 Latest Community Tax Cetificate of borrower and spouse  Any 1 clearance (Unit, JAGO or Certification of Duty Status or its equivalent)
 Marriage Contract  Certificate of non-pending case for PNP, BFP and BJMP
Pensioner (Pension Deduction)
 Certificate of Pension (issued by Finance Center)
 Certificate of Residency
Post-Dated Checks
 2 valid IDs
 Statement of Deposit from bank (issuing the current account
 Deed of Assignment
Post-Dated Checks (for employed Associate Members)
 2 valid IDs
 Latest original payslip / authenticated copy
 Certificate of employment and compensation of borrower and spouse
 Latest Income Tax Return
 Statement of Deposit from bank (issuing the current account
Vehicle Applied for:
Brand/Type of Vehicle________________________________________________________
Year/Model____________________________________________________________
Unit Price____________________________________________ Down Payment_______________________________________________ ____________ % of Unit Price

Amount in Words (Balance) P

Loan Term (number of months to pay). Please choose only one option.
 12 months  36months  60 months
 24 months  48 months  72 months

BORROWER’S PERSONAL INFORMATION

Last Name First Name Middle Name
Date of Birth Age Sex Civil Status
 Male  Single  Married Indicate Number of Children __________
 Female  Widow/er  Separated
Complete Home Address Telephone & Mobile Number
Provincial Home Address Telephone Number
Member Number / PIN BOS Pay Jurisdiction AFPSN / Control No. FSU (for PA)
Unit Assignment/Name of Employer
Complete Office Address Telephone Number
Rank/Position Length of Service E-mail Address

ABOUT THE SPOUSE

Name of Spouse Contact Nos.
Office___________________________
Mobile_________________________________________
Name of Employer & Office Address Position & No. of Years with Current Employer

CREDIT AND BANK REFERENCES

Type Bank/Institution Branch/Address Telephone No.
Savings/Time Deposit
Checking
Credit Cards

PREVIOUS LOAN DATA (To be filled up by AFPSLAI personnel only)

Loan Account No.
Date Granted Principal Amount Outstanding Balance As of Uncollected Charges
Maturity Date M/A (old) Term Type Status OR Date of Last Payment Comments/Remarks

NEW LOAN DATA

Computed Maximum Loanable Amt. Recommended Principal Amt. Mo. Amortization Term Net Pay after Deduction

Comments/Remarks Processed By:

___________________________________________
Loan Staff Signature Over Printed Name
RECOMMEND APPROVAL/DISAPPROVAL: APPROVED/DISAPPROVED (For the Board of Trustees)
____________________________________________________________________________ _________________________________________________________ __________________________________________

Signature Over Printed Name Signature Over Printed Name

Application Received By Date Encoded By Date
 AUTHORIZATION FOR PAYROLL DEDUCTION AND REMITTANCE

(The APDR portion applicable to the co-maker will be implemented when the borrower fails to pay for two consecutive months.)

TO WHOM IT MAY CONCERN:

I hereby authorize deduction from my payroll and remittance of the amount of

______________________________________________________PESOS (P___________________) every month beginning
______________, 20____ for payment to my obligation with the AFPSLAI until the same obligation has been fully paid. This
authorization shall not be revised or rescinded without the conformity in writing of AFPSLAI. If not deducted and/or remitted by
my Finance Officer on time, I shall pay the delinquent accounts and/or penalty thereof. I also authorize the Finance Officer to
accelerate my payments and to update my accounts anytime the obligation is still subsisting. Further, I shall inform AFPSLAI of
any change in my pay jurisdiction.

IN CASE I AM SEPARATED FROM MY EMPLOYMENT BEFORE THE MATURITY OF MY LOAN/OBLIGATION, I SHALL PAY
THE BALANCE, INTERESTS, FEES, AND COSTS TO AFPSLAI, I AUTHORIZE MY FINANCE OFFICE TO DEDUCT THE
OUTSTANDING BALANCE FROM MY PENSION/ALLOWANCE/BENEFITS, AND I WAIVE MY RIGHTS UNDER REPUBLIC ACT NO.
2310 AND RULE 39, SECTION 13, (L) OF THE RULES OF COURT. IF MY RETIREMENT PAY COMES FROM THE GOVERNMENT OR
PRIVATE OFFICE, I LIKEWISE AUTHORIZE THE PAYMASTER THEREOF TO DEDUCT AND REMIT THE ACCOUNTS OUTSTANDING
TO THE AFPSLAI.

__________________________________
BORROWER
SIGNATURE OVER PRINTED NAME
Branch of Service:
Rank:
Serial Number:
Payjur Number:

- - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

AUTHORIZATION FOR PAYROLL DEDUCTION AND REMITTANCE

(The APDR portion applicable to the co-maker will be implemented when the borrower fails to pay for two consecutive months.)

TO WHOM IT MAY CONCERN:

I hereby authorize deduction from my payroll and remittance of the amount of

______________________________________________________PESOS (P___________________) every month beginning
______________, 20____ for payment to my obligation with the AFPSLAI until the same obligation has been fully paid. This
authorization shall not be revised or rescinded without the conformity in writing of AFPSLAI. If not deducted and/or remitted by
my Finance Officer on time, I shall pay the delinquent accounts and/or penalty thereof. I also authorize the Finance Officer to
accelerate my payments and to update my accounts anytime the obligation is still subsisting. Further, I shall inform AFPSLAI of
any change in my pay jurisdiction.

IN CASE I AM SEPARATED FROM MY EMPLOYMENT BEFORE THE MATURITY OF MY LOAN/OBLIGATION, I SHALL PAY
THE BALANCE, INTERESTS, FEES, AND COSTS TO AFPSLAI, I AUTHORIZE MY FINANCE OFFICE TO DEDUCT THE
OUTSTANDING BALANCE FROM MY PENSION/ALLOWANCE/BENEFITS, AND I WAIVE MY RIGHTS UNDER REPUBLIC ACT NO.
2310 AND RULE 39, SECTION 13, (L) OF THE RULES OF COURT. IF MY RETIREMENT PAY COMES FROM THE GOVERNMENT OR
PRIVATE OFFICE, I LIKEWISE AUTHORIZE THE PAYMASTER THEREOF TO DEDUCT AND REMIT THE ACCOUNTS OUTSTANDING
TO THE AFPSLAI.

__________________________________
BORROWER
SIGNATURE OVER PRINTED NAME
Branch of Service:
Rank:
Serial Number:
Payjur Number:
 PROMISSORY NOTE

____________________________, 20_______

FOR VALUE RECEIVED, I/WE JOINTLY AND SEVERALLY PROMISE TO PAY THE ARMED FORCES AND POLICE
SAVINGS AND LOAN ASSOCIATION, INC. (AFPSLAI), AT ITS OFFICE IN CAMP AGUINALDO, THE SUM OF
_______________________________________________ PESOS (P __________________) PHILIPPINE
CURRENCY, WITH INTEREST OF ________________ percent (__________%) PER ANNUM PAYABLE ON OR
BEFORE _____________________, 20________.

In case the monthly deduction is not effected in the payroll, I/We agree to pay personally to AFPSLAI or to
any of its branches or extension offices the amount due including additional interests and charges on all monthly
amortizations that are defaulted or delayed, be it my/our own oversight or not.

In case of failure to pay any of the amortizations on the indebtedness, I/We authorize AFPSLAI to deduct
the amount due from my/our savings deposit and/or capital contribution. Otherwise, the entire principal plus the
interest that has so far accrued shall, at the option of AFPSLAI, immediately become due and payable and I/We
jointly and severally agree to pay any outstanding amount due on this loan plus interests thereon at the rate of
___________________________ percent (_________%) per annum on the said amount due, compounded monthly
until fully paid. In which case, I/We hereby authorize AFPSLAI even without prior notice to me/us to collect any
money, securities and things of value which may hereafter be in its hands or otherwise to the credit of or belonging
to all or anyone of us and AFPSLAI is hereby authorized to sell at public or private sale such securities or things of
value for the purpose of applying their proceeds as payment of this loan.

I/We also hereby authorize AFPSLAI to amend the amount of amortization and the number of payments
without prior notice in case of non-payment, understated payment and/or early payment of the loan.

In case of non-payment and this note is referred to a lawyer for collection, I/We jointly and severally agree
to pay in addition to and based on the outstanding amount due and the cost of the suit, the following attorney’s
fees:

a. 5% in case of settlement after attorney’s demand, or;

b. 10% in case of settlement while in the course of judicial action for collection, or;
c. 20% in case judgment has been made in a judicial suit for collection.

I/We further agree that in case of separation from the service for whatever cause, the unpaid balance,
including its accumulated interest and surcharges as stipulated above, shall be deducted from my/our last payment,
commutation of leaves/furlough, RSBS refund, pension and all other separation benefits and thereby waive my/our
rights under Republic Act 2310 and Rule 39, Section 13 (L) of the Rules of Court.

_________________________________
LEFT THUMBMARK Borrower RIGHT THUMBMARK
Signature over Printed Name