Republic of the Philippines
DEPARTMENT OF EDUCATION
Region VIII
SCHOOLS DIVISION OFFICE OF CATBALOGAN CITY
October 18, 2018
DIVISION MEMORANDUM No. 373, s. 2018
TO:
All Division Office Personnel
Field Public School District Supervisors Elementary/Secondary School Heads Teachers and Non-Teaching Personnel
REVISED COMPOSITION OF DIVISION PROVIDENT FUND SECRETARIAT AND ADOPTION OF THE PROVIDENT FUND APPLICATION FORM
- Pursuant to DepEd Order No. 37, s. 2018, RE: Revised Implementing Guidelines for the DepEd Provident Fund, enclosed hereto is the Revised Provident Fund Application Form and its corresponding accountable signatories to ensure proper coordination and implementation. Further, hereunder is the revised composition of the Division Provident Fund Secretariat, to wit;
Chairman: Carmelino P. Bernadas, Ph.D., CESO VI
OlC-Schools Division Superintendent
Vice-Chairman: Michael G. Cabanero
Administrative Officer V
Members: Rhea P. Mardoquio
Attorney III
Jessie Rose B. Cabanero Accountant III
Aries C. Comeque
Administrative Officer IV
Majesty N. Labro
Administrative Assistant III
Franzlilac R. Montejo Administrative
Aide VI
»-.-.
Republic of the Philippines Department of Education
Provident Fund
Date Submitted:
Loan Amount: php
Type of Loan:
Term: year/s }
loan Application No.
Purpose:
□ Educational
Hospitalization/Medical
□ Multi-purpose □ Long
Medication/Rehabilitation
□ New □ House
Arrears/Equity
□ Renewal □ House Repair-Major
□ Additional □ House Repair-Minor
□Payment of
Loans from Private Institution
□ Calamity
□ Others (specify):
Borrower’s information Co-Maker’s Information
(Surname) (First Name) (M.I.) (Surname) (First Name) (MX)
Home Address:
Home Address:
Position: Position:
Employee No.: Employment Status: Employee No.: Employment Status:
Office: Office:
Date of Birth: Age: Date of
Birth: Age:
Monthly
Salary: PhP Office tel.no. Monthly Salary:
PhP_ Oflcetel.no.
Years in Service: Mobile no. Years in Service: Mobile no.
DepEd E-mail address:
Specimen Signatures: Specimen Signatures:
LOAN AGREEMENT
I hereby apply for a Provident Fund Loan in the amount of PESOS:
consideration
of the grant thereof, I promise to pay ail installments due based on the attached amortization schedule and bind
myself with the terms and conditions of the loan as stipulated
In the 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 deductions of the monthly
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 rom the service,
either through full
payment in cash or through the execution of a
notarized Promissory
Note.
Signature of Borrower Date
over
Printed Name
I hereby
agree to assume all the outstanding obligations for the grant of this loan should the principal borrower be separated from
the service, and either retirement or separation benefits
due to him/her Is not
received or is Insufficient to settle the
borrower’s outstanding loan, and upon
proper notification by the Provident Fund Secretariat
Accordingly, I hereby authorize the monthly
deduction from my salary of the amortizations for
the outstanding obligation of the principal
borrower until his/her loan is fully paid.
Signature
of Co-Maker Date
overpinted Name
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 pending
U) is a permanent/
co-terminus employee of this Office administrative
nor civil case charge against him/her based on records on
and is not
on leave of absence without pay; file with DepEd.
(2) has
net pay of PhP for the payroll month St
year of : and
(3) has given the true and correct Information
on the Loan
Application Form.
Signature aver Printed Name Signature over Pinted Kama
Designation; Designation:
Date:
SECRETARIAT’S ASSESSMENT/EVALUATION
Documents Submitted: (Two copies of each)
□ Loan Application Form (LAF)
□ Authorization to Deduct
□ Latest copy of pay slip
□ Photocopy of DepEd ID
□ Approved Appointment (for FIRST TIMS borrowers and
Co-terminus employees only)
Additional documents for Additional Loan: □ Letter request
D Hospitalization/Medical Expenses
D
Medical Abstract/Certificate/Prescription/Diagnosis D Barangay/LGU certificate/resolution declaring
the borrower’s place under State
of Calamity
Document showing proof that the co-terminus
employee has rendered
at least-2 years service In DepEd, e.g, Notarized Contract of
Service
□ Others (specify): Reviewed by: Date:
B. Completeness and Veracity of Submitted Documents:
□ Signed and completely filled out LAF
□ Complete supporting documents for type of loan applied for
□ Signatures on LAF are by authorized signatories Reviewed by: Date:
Eligibility of the Borrower and Co-Maker
□ Borrower will not reach the mandatory age retirement on or before the maturity of his/her loan.
□ Co-Maker
will not reach the mandatory age retirement on or before the maturity of
his/her loan.
:
□ Borrower
has Outstanding PF Loan Balance:
D Current Loan Balance Amount: PhP
O Past-Due Loans Amount: PhP
□ No. of
Years/Months Past-Due: Month/5:
□ Borrower’s
Net Take-Home Pay ater deduction of monthly amortization of the loan being
applied for
Is equal to or higher than the required
threshold for the current year.
□ For renewal of loans: Borrower has paid at feast 3096
of the principal of the existing loan.
Percentage
of principal paid: \ %
Verified by: Date:
D. Computation of Loan:
Principal Amount of Loan PhP Net Take Home Pay after Deduction PhP
Less: Outstanding Balance of Loan to be Renewed Monthly Amotization PhP
Principal PhP Period of Loan (mm/yy – mm/yy)
Interest
Net Proceeds PhP Date Processed:
Processed by: Remarks:
Signature over Printed Name
1PF Secretariat)
Reviewed by:
Signature over Printed Name
(Head, PF Secretariat)
Action taken
Recommending Approval:
□ Approved
□ Disapproved
Head, PF Secretaiat Signature over Printed Name
Date: Chairperson of the Board
Signature over Printed Name Date:
ANNEX “A”
Authorization for Salary Deduction
Personnel Division
DepED, Meralco Ave., Pasig City
I hereby authorize the deduction of PESOS
(P ) from my salary for months, starting in , 20 to
,20 or until mytotal outstanding loan Of PESOS
(P } has been fully paid. Amount deducted shall be credited to the account of the DepED Provident Fund as
receivables on the said loans.
Signature over Printer Name
Employee No. Status: Designation:
Division: Code: Service:
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