Professional Documents
Culture Documents
Please completely fill-up this form and attach latest payslip for both Loan Application Number : 2300939988
Borrower and Co-Principal (except if under confidential and executive
payroll). For additional Co-Principal please fill-up another form. Date of Application : 05/05/2023
I / We declare under oath all the foregoing information are true and correct to the best of my knowledge; that any misrepresentation thereof
shall mean automatic suspension and/or outright revocation of my membership from the Association without prejudice of being subjected to
disciplinary action in accordance with the provision of the Association's Code of Employee Discipline. I / We hereby declare that the
execution of this document are our free and voluntary acts and deeds.
Lhouie Eric R. Lucena Augustus Armand V. Cabling
Signature of Principal Borrower/Date Signature of Co-Principal /Date
Signature over printed name of Witness Signature over printed name of Witness