Republic of the Philippines w SOCIAL SECURITY SYSTEM LM EDUCATIONAL ASSISTANCE LOAN PROGRAM (EALP) MLP-01338 (06 2017) APPLICATION TEASE PERO THE RSTROCTIONS E REMNOER AT THE AKO THE FORM NG TEA TTRCHED TETAS CONOTTONS BEFORE ROCOMPTSTN TS roma pmive A NrORUATON N CATAL LETTERS AND USE BLACK INK ONLY THER SORWOWER DATA Cita aPAYMENT TERM ‘YEARS. Cl Replacement of Sponsor tefl G2 Os os os Exiting Sponsor. Name can ATS sss 1 i | | | | | | |sne ueres Sl ote sneer [EOINTON REFERENCE NOMEER Tay ——[ORTEGF BIRTH ancornny | TARPRERTO NS thititiydtitititppiitiitirbrri titi y dis rae Sa Le Lek! Loe [ae SORTS RET ome FSB rr pa a REET rare seo SORTER SRR Fa —— aa aa LER RSE ST) WORT ECET AONE NONE ER ORES Litiiitiitiiitiiiiiy Ti Legal Spcuse Denia OST a Tea raat orraton BOVodia hs fom and svporng doeuiowssubnted mn comocion wih Ws eppicalon are comple Fue #nd COTE 2. er ery hat my mer alaryncee snc aretha Pp 25,00 a ete of my ia ppaon 3 | are win he TERNS AND CONDITIONS of ne Eacatoral Aner Loa Progam (ALP) aiaced fh aplcabon. 4. conten rome payne Socal Secu Sytem (SSS) he EAL Lavaled ajc tte TERNES AND CONDITIONS of the EALP. PRINTED NAE Ir member orrowercannct sign, fogereets must bo axed onthe signature 1D. BENEFICIARY'S CERTIFICATION, AGREENENT AND PROMISSORY NOTE 7 Teariy at Tam he banetcary ois EAL an Ibid mysot es aco borower aro 2. fer any reason the member-botowe fasts pay S cnsecutve monty arortzatens, | uneondlonaly promise to pay the SSS ay oustanding EAL balance, suet tothe TERMS AND CONDITIONS of he EALP- 3. | dedare that am otegal age aso this weting ans tly auare ofthe import of my stons. SGNATORE DATE PRINTED WANE ‘SIGNATURE DATE [amore "ynose signstie appears below To fe Ty apphcaton fr EALP To rake neSOssay Jorctona/ cnanges, wo faut miseng enires on Pan TAB hereoh to afi nile on erasresateratons and o sn ne Contoxmeporton othe Dacosire Statement Jon Loanreat Transaction or the Rejection Nee my bona ana cause the receipt heret whichever appcabl. ‘SIGNATURE OVER PRINTED HAE OF "SHGRATURE OVER PRINTED WANE OF MEMBER-BORROWER ‘AUTHORIZED REPRESENTATIVE [DENTIFICATION CARDIS OR DOGUMENTIS PRESENTED — [RECENED AND ENCODED BY Ci Primary 0 carsiéocument 1D Two aconday 1D care or document atleast ore | _ SIGNATURE OVERPRINTED NAME ‘POSTIONTITLE DATE ANOTNE with proto & bth wl grate REVEWED BY BRANCH SIGNATURE OVER PRINTED WE POSTONTITIE ——_— DATE ANON] 5 poe Via ‘SOCIAL SECURITY SYSTEM 4 EDUCATIONAL ASSISTANCE LOAN PROGRAM APPLICATION ACKNOWLEDGEMENT STUB [5S NO COMMON REFERENCE NO. amy [WANE OF MEMBER-BORROWER APTA) RETWOET TOBE TOWET eT Pi iijtitiiilt RECENED BY [TYPE OF EALP APPLICATION Dina Repiacerens ot sponsor 5 suosequent “SORATORE OER PRNTED WE _ POSTON —_ BATE ETEPART Il). TO BE FILLED OUT BY SCHOOL’s AUTHORIZED REPRESENTATIVE "A SCHOOL DATA SCOOT RANE [SCHOOL ADDRESS TRE THE FOLTTER RT REET TERETE TERROR TTRRERTT FREE EP CODE i141 INOBILEICELLPHONE NONBER This is 10 ceity that is ervoleaas applied for envliment forthe schock rr << year Course Current Year Program Type (Current Term Course duration D 2nd year 1D Trimester Dang D4 years with school's bank account name ‘The enrollee's enrolment details are as follows: 1 Degree 1D ara year 1B auarter Term Dar i syears 1D Vocational Technical 1D amyear O stn year Can SIGNATURE POSTON TE STRUCTION: 1. Fill out this form in one (1) copy. J2. Always indicate "N/A" or Not Applicable’, i the required data is not applicable 3. Always affix initials on all erasuresialteration/s on the form. |4. resent original copy of valid identification cards/documents upon fling of EALP Application and upon claiming of EALP check. Rete to List of Filer’ Valid Identification (ID) Cards/Documents” below. 5. Submit this form to the nearest SSS branch office. Present original copy and submit photocopy of the following documentary requirements: ‘a. Assessmenthiling statement issued by the school of member-borrower/beneficiary, b. For inital EALP Application or replacement of sponsor, in addition to the above. ~ Proof of relationship to beneficiary Child : Sibling : Legal Spouse - NSO or LCR copy ofthe birth or baptismal certificate NSO or LCR copy ofthe birth or baptismal certificate of both the sibling and member-borrower NSO or LCR copy of the marriage certificate of member-borrower = Proof of monthly salarylincome (any ofthe following) ‘+ Latest pay slip, employment contract or employer's certification of basic salary + Latest income Tax Retum or Certificate of Compensation Payment/Tax Withheld (BIR Form 2316) duly received by the BIR + Duly notarized Affidavit of Source and Amount of Monthly Income or Affidavit of No Income Once loan is approved, pick-up check atthe Adri LIST OF FILER’S VALID IDENTIFICATION (ID) CARDS/DOCUMENTS Primary 0 Cards/Documents 1 Social Securty (8S) cart Unies Mut-Purpse 0 (UMD) cars Devers Leanee Passport Professions! Regulation Commission (PRC) card ‘Seaman's Book (Seaares lenfcaton & Recor Book) 3. Secondary ID Cards/Documents 1 Alen Corteate of Registration 2 Corifcate of LcensurrQuaiicaton Documents trom Marte Inst Autony Ceritcat tom any ofthe flowing whichaver is appbeabl > National Commision on reigencus Fires > National Commision on Musin Fipinos Company 10 cars ream License card ssund by Phippive NacnalPoice (PNP) Fstworker's Looe issued by Bureau of heres and Aquatic Resources BFAR) Government Serce Insurance System (GSIS) Members ecoricertiate of Membersie Heath or Maia! cas Home Oevetpment Mutual Fund (Pag 816) Members Data Recors 10 cars issued by Local Goverment Uns (LGU) (¢9 BarangayiMunaltycy) 11 10 cars issed by professional association recognized by PRE ariage ConvacuMarage Ceteate (verseas Worker Weare Administation (OVA) card PPhigone Heath Insurance Corporation (PHIC) ID cara Potce Giarance or NBI Clearance Postal D card School 0 cae Seafarers Regisvaton Cerifcate issued by Prigoine Overseas Enployment Adminstration [POEA) Senoe Cizen cas Student Pert issued by Land Transporation Ofoe (LTO) “Taxpayer entcabon Number (IN) cad Voters identification CarlAndavtCenteal of Repetaton Filed by Member Borrower Present the orginal copy of any on (1) of the primary 1D cardstocurent in tem Bo ‘wo (2) secondary ID erckidocuments i em Bat least one (1) wih shots anc bot wen sgnate, Filed by Authorized Represr Present te fotowing 21 Orginal copy of ny one (1) of the Aunorsed Representa carclsccument 9 Item oF orginal copies of two. (2) ‘carelsccuments in am Bat east one (*} wih ote and bob wth signi. of Member-Borrower £22 tga copy of any one (1) cf he Member Borrower's peimary 1D cardedocu WARNING ANY PERSON WHO MAKES ANY FALSE STATEMENT IN THIS APPLICATION OR SUBMITS ANY FALSIFIED DOCUMENT IN CONNECTION WITH THE APPLICATION FOR LOAN WITH THE SSS SHALL BE LIABLE CRIMINALLY UNDER SECTION 28 OF R.A 8282 OR UNDER PERTINENT PROVISION OF THE REVISED PENAL CODE OF THE PHILIPPINES.vu vu. ELIGIBLE BORROWERS. A. Initial Applicants (Under queue system. Loan release shall be subject to funds availability) 1. Member-borrowers who are below sixty (60) years old. 2. Member-borrowers whose actual monthly basic salary or income is Php 25,000.00 or below. 3. Member-borrowers with atleast thity-8x (96) posted monthly contributions, six (6) of which are posted within the last twelve (12) months ‘rior to the month offing the EALP Application. . 4, Member-borrowers who are up-to-date inthe payment of salaryihousing and other member loan amortization, including EAL. Those with ‘overdue accounts are not ented tothe EALP. ‘B. Existing EALP member-borrowers (Subsequent Applications) {1 Member-borrowers with six (6) posted monthly contributions within te last twelve (12) months prior to the month of fling the EALP Apolication 2. Member-borrowers wio are uo-lo-date inthe payment of salaryihousina and other member loan amortization incudina EALP. Those with ‘overdue accounts are nol elaible o the subseavent EALP. COVERED BENEFICIARIES Member-borrower, egal spouse of member-borrower, child of member-borrower (legitimate, legitimate or le borrower, if civ status is single (including hal-brothersiste) Full scholars with zero tuition/miscellaneous fees/assessment balance shall be exempt under the EALP. No substitution of beneficiary is allowed. Each elgiole member-bortower shall be allowed to avail for one beneficiary. Upon full payment of the EAL and subject to availabilty ofthe EALP fund, he/she may again avail for anotherinew covered beneficiary, ELIGIBLE COURSES AND SCHOOLS: Undergraduate courses offered by universities and colleges recognized by the Commission on Higher Education, Technical Education and Skills Development Authority, Civil Aviation Authorty ofthe Philippines or institutions duly recognized by the Government of the Philippines. AMOUNT OF LOAN “The aggregate allocation shall be computed stating onthe beneficiary's current yes to exceed the maximum limit as provided below, ‘A. Degree Course =" Maximum of P 20,000 per program term or net tution/miscellaneous fees/assessment balance on cash basis, whichever is lower. + Fora 4-year degree program or its equivalent, the maximum number of availments shall be 8 semesters/12 timesters/16 quarters or a ‘maximum of P 160,000 full allocation = Fora 5-year degree program ofits equivalent, the maximum number of avaiiments shall be 10 semesters/15trimesters/20 quarters or a ‘maximum of P 200,000 full allocation B. Vocationa/Technical Course (2 year course) =" Maximum of P 10,000 per semester?vimester or net tuition/miscellaneous fees/assessment balance on cash basis. whichever is lower. = Fora semester proaram, the maximum number of avaiments shall be 4 semesters or a maximum of P 49,000 ful allocation. = Fora timester proaram, the maximum number of avaiiments shall be 6 trimesters or a maximum of P 60,000 ful allocation ‘The loan amount shall be funded on 50:50 basis by the National Government (NG) and SSS. Once the EAL. is due for repayment, all semester! {timester/quarter releases shall be consolidated including the accrued interests from the actual date of release up tothe date of consolidation ‘The consolidated joan plus maintenance charge shall be the principal loan to be amortized over the repayment term. INTEREST RATE AND OTHER CHARGES 1. NG portion - zero interest 2. SSS portion - 6% interest per annum based on diminishina principal balance unti fully paid 3. Consolidated loan (composed ofall releases plus accrued interests) - SSS portion shall bear 6% interest per annum based on the diminishing 4 ly adopted) and sibling of member- and term atthe time ofthe intial EALP Application, but not Drincipal balance unti fully paid Maintenance charge - 2% of the consolidated loan balance (SSS & NG), which shall also be amortized. Maintenance charge shal iso apply to the existing EALP member-borrowers with approved subsequent EALP Application under the herein revised quidelines. 5, Penalty - 1% per month for any unpaid amortization 6. AP 300 service fee shall be charged for any request for replacement of EAL check. Member-borrower shall use SS Form R-6 (Miscellaneous Payment Form) for this purpose. MANNER OF RELEASES. 1. The check shall be payable tothe school and shall be for personal pick-up by the member-borrower or his/her authorized representative atthe ‘SSS Branch Office where the EALP Application was fled/orocessed 2. Subsequent releases shall be made upon submission of another EALP Application every program term until course completion or unti allocation is exhausted, whichever comes fist REPAYMENT TERMS 11. Repayment shall start on the month following the consoldation of the EAL, which is after 18 months for semestral programs, 15 months for ttimestral or 14 months and 15 days for quarter programs from the mont of last release. 2. The repayment term is upto five years for Degree Course and three years for Vocational Technical course. 3. The repayment term shall be determined upon consolidation of the account in accordance withthe following whichever is shorter: 2) Preferred term of member-botrower as per Initial EALP Application ') Scheduled term based on the principal loan, as follows: Principal Loan Term 20,000 or below ty 20.001 toP 40.000 2 years 40.001 to 60,000 years P.60,001 to P 80,000 4 years. ‘Mote than P 80,000 Syears ©) Adjusted term, where member-borrower must not be 65 years old and above atthe end ofthe instalment term or if not applicable, the maximum repayment term shall be 1 year. 4. Any unpaid EAL balance shall be deducted from the future benefit ofthe member. ‘This provision shall also apply tothe existing EALP member-borrowers with approved subsequent EALP Application under the herein revised guidelines, BILLING & PAYMENT 1. Bling statement shall be issued on the month folowing the consolidation ofthe EAL to be sent through mail or 2. Deaaline of payment shall be in accordance with SSS Circular No. 2011-003, 3. Member-borrower shal use SS Form ML-1 (Member Loan Payment Return) upon payment with hiner name, SS number and the Payment 4 tronic means. “Type as "Educational indicated on the form. Payment may be through SSS Branch with telering facility or SSS accredited banks. A separate advisory shall be issued once payment thru 'SSS accredited non-bank remittance agents shall be allowed. 5, Payment may also be throuah salary deduction by employer. On the Loans Collection List (LCL or ML-2). employer shall use "E" fr the Loan Type and the intial EAL date or the consolidation date, whichever is applicable, for the Loan Date. This shal be the loan information tnt such time when the Loan Account Number (LAN) has been assianed by SSS to al outstanding EAL accounts, 66. The beneficiary who is of legal age shall ikewise be billed through his employer, ifthe EAL account becomes past due fr si (6) months. ‘OTHERS 1. The beneficiary of legal age (18 years and above) shall sian on the EALP Applicaton to bind him as co-borrower to the EALP. Henceforth, helshe shall be held ointiy and severally able to pay all outstancing EALP obligation 2. The schoo's certfiction in the EALP Application shall have a validity of one calendar month from issuance date, except for EALP check replacement transactions, where the corresponding EALP Application may be used forthe reprocessing ofthe loan 3. Replaceient of sponsor shall be allowed if the original sponsor has been granted final SSS benefits and the EAL has been fuly paid 44. Notiy SSS of any updates or changes on the contact information by accomplishing the SS Form E-4 (Member Data Change Request)