CLASS D

Exhibit 1.1.1

Agricultural Competitiveness Enhancement (ACEF) Program Application

I hereby apply for a Loan/Line with the Land Bank of the Philippines (“LANDBANK”) usable to
finance ____________________________________________________ in the amount of PESOS:
_____________________________________________________ (PhP _____________) with an
availability date on ____________________ and expiry on ________________ subject to the terms
and conditions of the Promissory Note thereof.

I hereby swear that:

(1) I am up-to-date in the payment of my existing loan;

(2) I have no pending application for loan from other creditors for the same purpose;
(3) I am not a party to any pending administrative or criminal case; and
(4) The statements above are true and correct to the best of my knowledge and the
application is made for the purpose and consideration indicated above.

I agree that should there be any misrepresentation discovered, the LANDBANK may cause the
outright disapproval of the loan application and if the loan has already been granted, LANDBANK
may immediately declare the loan due and demandable.

_______________________________
Signature over printed name

[TO BE FILLED UP BY LANDBANK]

EXISTING LOAN
Date Granted : _________________ Outstanding Balance : _________________
Amount Granted : _________________ Arrearages : _________________

DOCUMENTARY REQUIREMENTS
(Put check (√) mark in the corresponding box if criterion is duly complied)

I. Individual Farmers/Fishers

ACEF Loan application Sworn affidavit of no outstanding loans from any

General Information Sheet; lending institution for the same project; and
Business Plan/Farm Plan and Budget, if applicable; Barangay Clearance

II. Micro and Small Enterprises

ACEF Loan application; Bio-data of owner and/or partner;

General Information Sheet; Business Plan/Farm Plan and Budget, if applicable;
DTI/SEC Registration Certificate and current year Sworn affidavit of no outstanding loans from any
Business permit; lending institution for the same project; and
Articles of Partnership/Incorporation, if applicable; Barangay Clearance
 CLASS D
Exhibit 1.1.1

III. Farmers’ and Fishers’ Organization and Cooperatives

ACEF Loan application;
General Information Sheet;
Photocopy of Certificate of Registration:
For cooperatives: CDA certificate of registration
For associations: Certificate of registration from
either DOLE-BRW, SEC and other registering
agencies;
Bio-data of incumbent Officers and Board of Directors
Photocopy of IDs of incumbent officers and Board of
Directors;
Board Resolution authorizing the Coop/Association to
borrow and designating authorized signatories;
Audited Financial Statement for the last year; or latest
interim financial statement for start-up companies;
Business Plan/Consolidated Farm Plan and Budget; and

Date Received : ____________________________

__________________________________________________________________________________________

Processed by: Reviewed by: Approved by:

_____________________ _______________________ __________________________