PROMISSORY NOTE

NAME OF BORROWER :
Amount of Loan : PHP
Date Granted :
Date Due :

FOR VALUE RECEIVED, I,_____________________________, of legal age, Filipino and

with residential address at _______________________________________________ (“BORROWER”),
hereby promise to pay ____________________, or to his order (the “LENDER”), without need of prior
demand or notice, the sum of _____________________________ (PHP________________), with an
interest of five percent (5%) per month, payable bi-monthly in the amount of
_________________________ (PHP__________) starting on the ____th day of _____________, 2017
and on and every 15th and 30th day of the succeeding month until fully paid.

To assure the performance of said obligation to pay, the BORROWER shall hereby surrender
his/her Automated Teller Machine (ATM) Card to the LENDER, and shall be returned to the
BORROWER only upon payment of the loan amount plus interest in full.

MAKER :
TIN :
Address (NBI) :
Signature : _______________________

Employer’s Name :
Employee’s I.D. No :
ATM Card Number :

Witness/es : ______________________; _________________________