SOCOTECO II EMPLOYEES MULTI-PURPOSE

COOPERATIVE, INC. (S.E.M.C)

3rd floor SOCOTECO II Compound, Jose Catolico Ave., General Santos City 9500

CASH ADVANCE/ SHORT TERM/ ITEM LOAN APPLICATION

DATE: _______________

Name : __________________________ Basic pay : _______________

Department : __________________________ Position : _______________
Amount applied : __________________________ Months : ______________
Amount in words : __________________________ Interest rate/amt:_____________
____________________________________________ Service fee : ____Php 100.00_
Loan purpose : __________________________ Contact Number: _______________

For and in consideration of the above amount applied for, I hereby bind myself to all TERMS AND
CONDITIONS FOR THE LOAN. Like sign hereby authorized the SOTOECO II EMPLOYEES MP COOP
through the payroll clerk of SOCOTECO II to deduct from my Salary & Wages and other remuneration, the
payment for the above mentioned loan in the indicated schedule.

__________________________
Signature of Applicant over Printed name

GUARANTOR
Name : ____________________________ Position : _______________
Department : ____________________________ Basic pay : _______________

For and in consideration of the loan granted to the above-stated applicant, I hereby bind myself to be jointly
and severally liable for the unpaid portion of the loan. In the event of failure to pay the loan, I hereby authorized the
SEMC to deduct from my salary & wages and other benefits the unpaid amount of said loan.

__________________________
Signature over printed name (Guarantor)

I hereby certify that the above applicant is entitled to the applied for as per policies/conditions of the SEMC.

___________________ ____________________
Bookkeeper Credit Committee