APPLICATION FOR LOAN (Loan Board's Copy)

The Office of Scholarships and Student Services

University of the Philippines System

GENTLEMEN:

I am respectfully applying for a loan of Eight Thousand Nine Hundred Sixty-Three and Twenty-Five Hundredths Pesos
(₱ 8,963.25) from TUITION LOAN FUND to cover payment of school fees in the University for Second Semester AY 2019-2020
.
Reason for Loan: Not enough cash on hand
I am still currently looking for a job as my first semester begins.

College / Unit CAL Degree Program MA Theatre Arts (TS)

Student Number 201922450 Landline 0472371075
Year Level Graduate Mobile Number 09959916039
ST Discount Email Address garciajonasgabriel@gmail.com

Present Address 2609, CITYLAND SHAW TOWER, ST. FRANCIS STREET COR. SHAW BOULEVARD, WACK WACK

Permanent Address 261 ILANG ILANG STREET, BARANGAY DONA FRANCISCA, BALANGA, BATAAN

Father
Name GARCIA, ALLAN, DELA TORRE
Address 261 ILANG ILANG STREET, BARANGAY DONA FRANCISCA, BALANGA, BATAAN

Landline Mobile Number

Email

Mother
Name GARCIA, ROSARIO, LACSON, MIGUEL
Address 261 ILANG ILANG STREET, BARANGAY DONA FRANCISCA, BALANGA, BATAAN

Landline 0472371075 Mobile Number 09228308125

Email rosiegarcia1103@gmail.com

Do you have any outstanding account with the Student Loan? □No □Yes If yes, how much?

I hereby certify that I have read and understood the instructions above. I affirm that all information supplied herein is
complete and accurate. I am aware that any or all of the information furnished in this application may be checked and that
withholding or giving false information will make me ineligible for loan or subject to disciplinary action.

1X1
JONAS GABRIEL MIGUEL GARCIA
Photo
Signature
201922450
Right Thumb Mark
 UNIVERSITY OF THE PHILIPPINES SYSTEM (Loan Board's Copy)
ST Discount OFFICE OF THE VICE-CHANCELLOR FOR STUDENT AFFAIRS Ref No. D1S2-201920-00351
OFFICE OF SCHOLARSHIPS AND STUDENT SERVICES

PROMISSORY NOTE

JONAS GABRIEL MIGUEL GARCIA 14 January 2020

Full Name Date

2609, CITYLAND SHAW TOWER, ST. FRANCIS STREET COR. SHAW BOULEVARD, WACK
WACK GOLF, MANDALUYONG CITY 8,963.25
Mailing Address Amount

For the value received, we JONAS GABRIEL MIGUEL GARCIA as principal and ROSARIO MIGUEL GARCIA as
co-debtor hereby jointly and severally promise to pay the Office of Scholarships and Student Services, University of the
Philippines, the sum of Eight Thousand Nine Hundred Sixty-Three and Twenty-Five Hundredths Pesos (₱ 8,963.25) in
four (4) months from the date on which it was made or on or before the prescribed date without charges. The loan shall bear
interest at a rate of six per centum (6%) per annum afterwards.

JONAS GABRIEL MIGUEL GARCIA

Signature of Principal Debtor

ROSARIO MIGUEL GARCIA

Signature of Co-Debtor

Relation to Student Mother

Address 261 ILANG ILANG STREET, BARANGAY DONA FRANCISCA, BALANGA, BATAAN

Occupation Government Employee

Company Name Provincial Government of Bataan

Company Address Balanga City, Bataan

APPROVED FOR ₱
DISAPPROVED

Staff, Student Loan Board

 APPLICATION FOR LOAN (Student's Copy)

The Office of Scholarships and Student Services

University of the Philippines System

GENTLEMEN:

I am respectfully applying for a loan of Eight Thousand Nine Hundred Sixty-Three and Twenty-Five Hundredths Pesos
(₱ 8,963.25) from TUITION LOAN FUND to cover payment of school fees in the University for Second Semester AY 2019-2020
.
Reason for Loan: Not enough cash on hand
I am still currently looking for a job as my first semester begins.

College / Unit CAL Degree Program MA Theatre Arts (TS)

Student Number 201922450 Landline 0472371075
Year Level Graduate Mobile Number 09959916039
ST Discount Email Address garciajonasgabriel@gmail.com

Present Address 2609, CITYLAND SHAW TOWER, ST. FRANCIS STREET COR. SHAW BOULEVARD, WACK WACK

Permanent Address 261 ILANG ILANG STREET, BARANGAY DONA FRANCISCA, BALANGA, BATAAN

Father
Name GARCIA, ALLAN, DELA TORRE
Address 261 ILANG ILANG STREET, BARANGAY DONA FRANCISCA, BALANGA, BATAAN

Landline Mobile Number

Email

Mother
Name GARCIA, ROSARIO, LACSON, MIGUEL
Address 261 ILANG ILANG STREET, BARANGAY DONA FRANCISCA, BALANGA, BATAAN

Landline 0472371075 Mobile Number 09228308125

Email rosiegarcia1103@gmail.com

Do you have any outstanding account with the Student Loan? □No □Yes If yes, how much?

I hereby certify that I have read and understood the instructions above. I affirm that all information supplied herein is
complete and accurate. I am aware that any or all of the information furnished in this application may be checked and that
withholding or giving false information will make me ineligible for loan or subject to disciplinary action.

1X1
JONAS GABRIEL MIGUEL GARCIA
Photo
Signature
201922450
Right Thumb Mark
 UNIVERSITY OF THE PHILIPPINES SYSTEM (Student's Copy)
ST Discount OFFICE OF THE VICE-CHANCELLOR FOR STUDENT AFFAIRS Ref No. D1S2-201920-00351
OFFICE OF SCHOLARSHIPS AND STUDENT SERVICES

PROMISSORY NOTE

JONAS GABRIEL MIGUEL GARCIA 14 January 2020

Full Name Date

2609, CITYLAND SHAW TOWER, ST. FRANCIS STREET COR. SHAW BOULEVARD, WACK
WACK GOLF, MANDALUYONG CITY 8,963.25
Mailing Address Amount

For the value received, we JONAS GABRIEL MIGUEL GARCIA as principal and ROSARIO MIGUEL GARCIA as
co-debtor hereby jointly and severally promise to pay the Office of Scholarships and Student Services, University of the
Philippines, the sum of Eight Thousand Nine Hundred Sixty-Three and Twenty-Five Hundredths Pesos (₱ 8,963.25) in
four (4) months from the date on which it was made or on or before the prescribed date without charges. The loan shall bear
interest at a rate of six per centum (6%) per annum afterwards.

JONAS GABRIEL MIGUEL GARCIA

Signature of Principal Debtor

ROSARIO MIGUEL GARCIA

Signature of Co-Debtor

Relation to Student Mother

Address 261 ILANG ILANG STREET, BARANGAY DONA FRANCISCA, BALANGA, BATAAN

Occupation Government Employee

Company Name Provincial Government of Bataan

Company Address Balanga City, Bataan

APPROVED FOR ₱
DISAPPROVED

Staff, Student Loan Board