Class D

PF Loan Application v2.12.2018

Application No. Date:

LAND BANK OF THE PHILIPPINES
PROVIDENT FUND DEPARTMENT □ORIGINAL □RENEWAL □
ADDITIONAL
PF LOAN APPLICATION
Fill-out ALL the details below:

NAME OF APPLICANT: LAST NAME FIRST NAME MIDDLE NAME

Position: Department/Unit: Mobile No.:
LBP ID No. _____________
□Officer
Personnel No.__________ Tel. No./Local No.: Email Address:
□Rank & File
LOAN AGREEMENT
□ CREDIT TO LBP PAYROLL ACCOUNT _______________________
□ CREDIT TO OTHER LBP ACCOUNT _________________________
(attach photocopy of ATM Card/any document bearing the name & account number of the
INSTRUCTION FOR borrower)
RELEASE: □ ISSUE CHECK/S TO:
__________________________________________________________________

__________________________________________________________________
TYPE OF LOAN APPLIED FOR TERM AMOUNT (specify if GROSS or NET)
□ ALL PURPOSE LOAN (APL)
□ CALAMITY LOAN (CL)
□ GRADUATE EDUCATION LOAN (GEL)
□ MEDICAL & FUNERAL LOAN (MFL)
□ SMALL BUSINESS LOAN (SBL)*
□ LOAN REFINANCING FACILITY (LRF)
□ HMO FACILITY (HMOF)**
□ OTHER PF LOANS:
TOTAL
OTHER INSTRUCTION/S:
PROMISSORY NOTE

In consideration thereof, I promise to pay the approved loan/s in accordance with this Loan Application, Agreement and
Promissory Note and hereby bind myself to the following TERMS & CONDITIONS:

1. ELIGIBILITY: Regular employee of the Bank who at the time of filing of this loan application:
 Rendered a continuous service of (a) 6 months for CL/MFL/HMOF/RAF (b) 3 years for
APL & GEL; (c) 5 years for LRF & SBL
 MNTHP of at least ₱ 5,000 after deduction of loan amortization
 NOT on continuous leave without pay (LWOP) for at least six months
 NOT on absence without official leave (AWOL)
 NO pending administrative charge with maximum imposable penalty of dismissal or
under preliminary investigation by the Administrative Legal Department and there
exists a prima facie case for an offense punishable by dismissal
 NO past due account with LBP Provident Fund
 NO outstanding Loan Take-out balance, in case of LRF application
 NOT disqualified pursuant to existing PF rules and regulations
2. INTEREST RATE & Interest rate per annum on loans and the maximum term shall be as follows based on
TERM: diminishing balance:
2.1 All Purpose Loan  5%  10 years
2.2 Calamity Loan  2%  5 years
2.3 Graduate Education Loan  5%  3 years
2.4 Medical & Funeral Loan  4%  3 years
2.5 Small Business Loan  8%  5 years
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 Class D
PF Loan Application v2.12.2018

2.6 Loan Refinancing Facility  8%  3 years

2.7 HMO Facility  2%  1 year
2.8 Rice Acquisition Facility  2%  6 months

3. MODE OF Payment of the loan shall be in equal monthly amortization and automatic through salary
PAYMENT: deduction, the first of which shall be due on the month immediately following the month of
loan release. As such, the applicant-borrower hereby assigns and authorizes the Provident
Fund Department, Administrative Accounting Department, Personnel Administration
Department, or any authorized unit of the Land Bank of the Philippines TO DEDUCT the
corresponding MONTHLY AMORTIZATION of the loan from applicant-borrower’s salary
every payroll period until the loan is fully paid.
4. COLLATERAL The loan shall also be secured by the Real Estate Mortgage previously executed, if any, or to
be executed, to secure the Housing Loan, Special Financing Program Loan and/or Programs
for Shelter Enhancement of the member-borrower (For CL, GEL and LRF)

5. ESCALATION OF Interest may be increased at any time in the future by the LBP Provident Fund without prior
LOAN INTEREST: notice in accordance with the prevailing rules and regulations and that the applicant-
borrower hereby consents and agrees thereto.
Note: In case of HMOF application, Official Receipt (OR) issued by the HMO Provider must
be submitted to PFD WITHIN ONE MONTH from the release of the loan proceeds.
Non-submission of the OR shall be subject to interest rate escalation of 4%.

6. SURCHARGE: Any unpaid loan amortization shall bear an additional interest rate of 2% per month from
the date it became due and demandable until full payment.
7. INSURANCE The amount of loan granted shall be covered by the LBP Provident Fund’s self-insurance and
GUARANTY FUND: guarantee schemes and the amount of premium shall be deducted from the loan proceeds.
8. SECESSION OF Regardless of the manner of separation (resignation, Separation Incentive Program,
MEMBERSHIP: dismissal for cause, death, etc.), this loan shall become due and demandable.
9. ATTORNEY’S FEES: In the event this obligation is not paid in accordance with the terms and conditions of the
agreement and the LBP Provident Fund is obliged to institute a court action to enforce its
collection, the applicant-borrower agrees to pay as attorney’s fee an amount equivalent to
10% of the total amount due including interest at the time of the institution of the action
(inclusive of cost and expenses allowed by law).
10. In the event a suit in the enforcement of collection in accordance with the terms and conditions of this
AGREEMENT should arise, court action shall be instituted exclusively in the appropriate court in the City of
Manila.
11. LBP PROVIDENT It is understood that the loan is subject to the existing PF Rules, Regulations and Policies as
FUND RULES & well as those which will be adopted by the LBP Provident Fund in the future.
REGULATIONS:

________________________________
Signature over printed name of
Applicant-Borrower

FOR APPLICANT-BORROWER BASED IN BRANCH/FIELD-UNIT (except Group Head)

This certifies that for the past six months from date of filing of this application, the applicant-borrower is:
a. NOT on Leave of Absence Without Pay/LWOP; or
b. NOT on Absence Without Leave/AWOL

_______________________________
HEAD, Branch/Field Unit
Date ______________

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 Class D
PF Loan Application v2.12.2018

CHECKLIST OF REQUIREMENTS FOR SMALL BUSINESS LOAN*

Pre-processing Requirements: Pre-Release Requirements: Post-Release Requirements:
___ 1. Application Form ___ 1. Franchise ___ 1. Copy of Business Permit yearly
___ 2. Quotation of franchise Endorsement/Contract renewal
package with Franchise Owner ___ 2. Copy of Franchise Contract
___ 3. 3-year Projected Sales ___ 2. Lease Contract renewal
___ 4. 3-year Projected Financial (location)/proposed ___ 3. Copy of Lease Contract renewal
Statements location
___ 5. Project Feasibility Study ___ 3. Business Permit and
___ 6. Project Balance Sheet other applicable permits
___ 7. Projected Income Statement ___ 4. Sanitary permit (food)
___ 5. And such other permits
necessary to operate the
business
CHECKLIST OF REQUIREMENTS FOR HMO FACILITY**

Pre-release Number of Years in Service Maximum Loanable Amount

□ Application Form □ 5 years and above ₱ 75,000.00
□ Quotation/Statement of Account □ 3 years to below 5 years ₱ 35,000.00
from the HMO Provider □ Below 3 years* ₱ 25,000.00

Post-release *For newly-hired employees, less than 6 months in service, the loan shall be
□ Official Receipt issued by the HMO subject to insurance premium for IRF & LGRF of ₱3.33 and ₱5.00 per
Provider ₱1,000.00. This shall be collected from the initial amortization payment.
Note: The proceeds of the loan shall be credited to the borrower’s payroll
account.
Qualified Dependents Relationship Gender Civil Status Date of Birth Premium
1.
2.
3.
4.
5.
Use extra sheet if needed.
PF MEMBER-BORROWER’S DATA PRIVACY CONSENT FORM
I hereby agree and consent that Land Bank of the Philippines through  To perform internal banking operations such as credit and risk
its Provident Fund Department (LBP-PFD) may, in accordance with the management, product development and planning, market research,
privacy standards and security measures set forth in its Privacy audit and administrative purposes; and
Statement, collect, store, modify, retrieve, use or, in any manner it  Any other legitimate business interest or purpose that LANDBANK may
deems appropriate, process, my personal information and sensitive deem necessary.
personal information including, but not limited to:
 Name, address, phone numbers, e-mail address and other contact I agree that LBP-PFD may provide my personal information or sensitive
information; personal information, in the ordinary course of business, to the following
 Date of birth, civil status and other personal information for parties for any of the purposes set out above:
identification documentation; • Any agent, contractor or third party service providers who provide
relevant services to LANDBANK;
 Government-issued identification numbers such as passport
• Credit bureaus or credit reference agencies, and in the event of default,
numbers, Social Security Number, Taxpayer Identification Numbers
to debt collection agencies;
and/or driver’s license numbers;
• Any regulatory, governmental, tax, law enforcement or other agencies
 Financial and banking details, including my financial interests and
or authorities, clearing houses for the purpose of complying with the
holdings;
laws, rules and regulations.
 Other details that may impact on my eligibility for LANDBANK
products and services; and I acknowledge that I have a right of access to my personal data, to require
 Any further personal information required for LANDBANK to the correction of any inaccurate data, or to request the destruction of
provide its products and services. personal data pertaining to me that are no longer necessary for the purpose
for which they were obtained subject to the procedures prescribed by LBP-
I hereby authorize LBP-PFD to process, use and disclose to third
PFD in regard to which I may contact the PF Loan Officer/representative
parties the foregoing information pertaining to me to the extent
through +63 2 5512200 local 2143, 7754, or 4068.
necessary and adequate for any of the following purposes:
 To establish, confirm, update and review my records;
 To administer my account or the facilities or services provided to _________________________________
me; Name & Signature of Member-Borrower
 To determine the amounts that I owe or to collect the amounts Date ________________
that are due and outstanding;

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