LAINEZ PETER JOHN MACAYAN 05/13/1984

2000147048 5127937526
Lorenzo Dacanay Avenue, Brgy. Canaoay, City of San Fernando, La Union 2500

0917-7748668 peterjohn_lainez@yahoo.com.ph
ILOCOS TRAINING AND REGIONAL MEDICAL CENTER/ Parian, City of San Fernando, La Union

MORALES MARIBEL FLORES

PETER JOHN M. LAINEZ

Peter John M. Lainez 935-956-312 January 13, 2021

MARIBEL F. MORALES 2000148084 January 13, 2021

 GOVERNMENT SERVICE INSURANCE SYSTEM
COMPUTER LOAN PROGRAM
10012020-GCL-TC-REV 0

BP Number Name
Agency Name

Loan Amount 30,000.00 Gross Loan Amount 30,000.00

Interest Rate 6% Less: Advance Interest 359.61
Term (months) 36 Less: Advance RI 360.00
RI Rate 0.012 Net Proceeds 29,280.39
Date Applied 10/24/2020

Monthly Amortization 983.33

First Due Date 12/1/2020 Monthly Effective Interest 0.9235%
Term End 11/30/2023 Annual Effective Interest 11.6631%

CONFORME

I acknowledge and agree to the above tentative computation including its deductions. I further
agree that the net proceeds may change as the advance interest that will be deducted from the
loan is proportionately computed as of date of granting.

Signature Over Printed Name Date