Deadline : 15 banking days after end of reference

month
Submission : Original copy to Supervisory Data
Center (SDC)
RURAL BANK OF BAYAWAN(NEG.OR.), INC.
Name of Bank
807 H. BOLLOS STREET., UBOS, BAYAWAN CITY, NEGROS ORIENTAL
Address
As of DECEMBER 31, 2014
CONTROL PROOFLIST
Report on Microfinance Products
Particulars

Account Code

A. Classified as to Type of Client

140150000500000000

B. Classified as to Purpose

140150001000000000

C. Classified as to Interest Rate (Per Annum)

140150001500000000

D. Classified as to Size of Loans

140150002000000000

E. Classified as to Security

140150002500000000

F. Classified as to Terms of Loans

140150003000000000

G. Repayment Schedules

140150003500000000

H. Aging of Accounts

140150004000000000

Amount

I. Loan Releases
1. New Clients

140150004505000000

2. Repeat Loans

140150004510000000

Additional Information
1. Funds Generated
a. Deposit Component

140150000000611000

b. Borrowings

140150000000612000

c. Grants

140150000000613000

2. Wholesale Microfinance Loans

a. Classified as to Type of Conduit

140150000000621000

b. Classified as to Terms of Loans

140150000000622000

c. Classified as to Security

140150000000623000

3. Others
a. Microenterprise Loans

140150000000631000

b. Deposits of Microfinance Borrowers

140150000000632000

REPUBLIC OF THE PHILIPPINES )

_______________________________) S.S.

I solemnly swear that all matters set forth in this report and all its supporting schedules
are true and correct, to the best of my knowledge and belief.
LETICIA Y. DIAO
Signature of President/Manager and Head, MF Operations or alternate
duly designated by the Board of Directors over Printed Name

SUBSCRIBED AND SWORN TO BEFORE ME this __ day of ___________,

20 __, affiant exhibiting to me his/her Community Tax Certificate No. 37106136
issued at Bayawan City on January 12, 2015.

NOTARY PUBLIC
Until December 31, 20 _____
PTR No. _______________
Doc. No. _____
Page No. _____
Book No. _____
Series of _____

Place _________________

Deadline : 15 banking days after end of reference

quarter
Submission : Original copy to Supervisory Data
Center (SDC)
RURAL BANK OF BAYAWAN(NEG.OR.), INC.
Name of Bank
807 H. BOLLOS STREET., UBOS, BAYAWAN CITY, NEGROS ORIENTAL
Address
As of DECEMBER 31, 2014
CONTROL PROOFLIST
Income Statement on
Retail Microfinance Operations
Particulars

Account Code

Interest Income

505050000000600001

Interest Expense

605100000000600001

Net Interest Income

505000000000600001

Non-Interest Income

510000000000600001

Non-Interest Expense

610000000000600001

Net Profit or Loss

920000000000600001

Amount

REPUBLIC OF THE PHILIPPINES )

_______________________________) S.S.

I solemnly swear that all matters set forth in this report and all its supporting schedules
are true and correct, to the best of my knowledge and belief.

LETICIA Y. DIAO
Signature of President/Manager and Head, MF Operations or alternate
duly designated by the Board of Directors over Printed Name

SUBSCRIBED AND SWORN TO BEFORE ME this __ day of ___________,

20 __, affiant exhibiting to me his/her Community Tax Certificate No. 37106136
issued at Bayawan City on January 12, 2015.

NOTARY PUBLIC
Until December 31, 20 _____
PTR No. _______________
Doc. No. _____
Page No. _____
Book No. _____
Series of _____

Place _________________