— @ORRIENT Asta “LOAN APPLICATION CLEAN « [TRGV.HONORARIUM SALARY” ALLOTEIALLOTMEN PEN{CHATTEL REM __TEACHERS LOAN 1. PERSONAL PROFILE SURNAME ‘GIVEN NAME MIDDLE NICKNAME STATUS AGE «. Prasent Address: ‘Tel/Mobile No. Email Add. Res. Cert. No. fue On___~_ sued at Date of Birth, Place of Birth: Provincial Adctreis ». Employer, Address:_- TelNo,, Position Mo, Salary. Length of Service, Other Income: 7 Nome of Father Tel. No. Name of Mother: Tel. No. XL. SPOUSE SURNAME ‘GIVEN NAME VHDDLE NICRNAME STATUS AGE a. Employer : Address: Tel. No. Postion Mo. Salary: ‘Length of Services Other Income 2 Nature, Name of Fothen__ : Fdress, Fal No. Name of Mother, ‘Address: ‘Tel. No, Name of Mother, A PU NO HIE. DEPENDENTS/ CHILDREN NAME! AGE ‘GRADENVEAR ‘SCHOOL/UNIV. IV. HOME OCCUPANCY a Howe: OWNED RENTED WORTGAGED TIVING WiTFT PARENTS b, Lot: OWNED RENTED MORTOAGED LIVING WITH PARENTS. Length of stay : Name of Landlord Mo. Rental: Tel. Nos _. '¥. INCOME / EXPENSES " Applicant's income/mo. P 1) Food/Cothing Spoute’s Income ime. P 2) Rent or Mortage Other income P. Mo, Amort Total income P 3) Light/water/Tel ‘4) School Expenses SUMMARY : 5) Transportation Total income ee 66) Installment Paymts Les: : 7) Other Monthiy Paymts “otal Expenses — Total expenses Net Disposable Income / Mo, po 4 Amount desredP_____ Term __ Purpose of loan VI. OTHER CREDIT / LOAN ACCOUNTS NATURE CREDITOR TEL.NO. AMOUNT “DATE GRANTED O78 STATUS |_VIL. PROPERTIES OWNED PERSONAL VALUE REAL PROPERTIES "AREA TOCATION VIKL. BANK ACCOUNT MANER’S STATEMENT, DECLARATION AND AUTHORIZATION | hereby certify thet informations given are true & correct to the bet of my knowledge and es such, | authorle ORIENT ASIA LENDING, Inc. or its ‘official representative to obtain appropriate informations concerning any statements mace horain and agrees that the documents shall rennain this ‘Company's proparty whether the Joan bs approve or not. Ali, by slgning thls application, | hereby give my consent to the Legal/Remedial, and \Varifcation Department of ORIENT ASIA LENDING, Inc. of my PERSONAL DATA, PERSONAL INFORMATIONS, & SENSITIVE PERSONAL INFORMATIONS ax disclosed! by myself in th application for os long x lam a borrower of ORIENT ASIA LENDING, Inc. | hereby indlente my ‘Garsement with al the teres anc! conditions of thelr DEPED TEACHERS & STAFF SALARY LOAN PROGRAM. — ‘Applicant's Signature Spouse's Signature@) UCNDING, nC PROMISSORY NOTE PN.NO.: Orient Asia Lending, Int...” For value receivéd) the Undersigned‘BORROWER/S, promise to pay to the'order of ORIENT ASIA LENDING, INC. (hereinafter referred to'es “LENDER"), at the Head Office, located at the Mezzanine Floor, Cebu ‘Long Se’ Temple -Biiilding, Osmena Blvd,, “cor. Jasmin ‘St, Cebu’ City ‘or- its branch office at : the principal amount of a Php zs sg ) Philippine currency, plus percent (____ —_.%) interest per month, payable within 5 (2) months at Php. —_ <=. monthly.nterest rat paid when due shall be added to and become, part of the principal, and shall likewise bear interest at the same rate, subject to the following terms and conditions: ‘The amount contracted herein ts based on the value of the peso at the time of the executlon‘of this Promissory Note. Should there besany sudden decrease in the ValUé.thereof due tovextraordinary inflation’ or any other cause, the value.of thé peso at the time of the execution of thls Promissory note shall be the basis of _ Payment. For this purpose, “extraordinary inflation” takes place when so declared. by the, Bangko Sentral ng Pilipinas (“BSP”) or in the event of an increase in arly given year of 50% In the:prices of prime commodities, based on the consumer index for Metro Manila ds announced by the BSP. The total amouitt of loan contracted under this Promissory Note is to be pald In full within the agreed term of“ months through monthly payments. In case of-Pre-termination of this Promissory'Note, the |” BORROWER/S expressly agreed ‘to. pay in full: and Clear'up the remaining Outstanding Balance of this Promissory Note, plus % of the outstanding principal balarice dsitermination fee. ae Time is-of the essence heredt. Upon: default or, non-payment when: due of at, least 2 consecutive monthly installments, all ‘other. tristallments shall become. due and demandable. Further, if this, Promissory, Note is placed. in the harids of a lawyer'for collection, the undersigned shall, in addition to the amount due, pay twenty five percent (25%) of the amount unpaid as attorney's fees which shal in no case be léss than two thousand pesos (Php2,000,00), plus litigation expenses.and other:fees. Finally, in’cases of litigation, ‘venue of, attions shall be filed in.the regular courts of Cebix:City) or in case of itd:branchies, in the regular courts ‘of to the exclusion of all other courts elsewhere situated. Presentment for payment, demand, and notice of dishonor are hereby WAIVED by BORROWER/S. Delay in the payment of any installments shall subject the BORROWER/S to pay a Past Due Charge of Five percent (5%) per month based on the balance of the principal loan amount. ‘The books and records of the Lender shall be conclusive as to the amount of principal, Interest, penalties and other fees and charges due under this Promissory Note. In case two (2) or more borrowers, thelr liability:to the LENDER under this Promissory Note shall be Joint and several in nature. In case of execution, |/We, herel oy expressly WAIVE the benefits of SECTION 13, RULE 39, of the Rules of Court. re ‘ i That If any condition contained in this Promissory Note Is hereby declared invalid or contrary to law, the validity of the remaining conditions shall not be affected thereby; and that any liability arising from this Promissory Note shall be shouldered by the BORROWER/S. ni . * For the purpose of giving assurance to the above payments, I/We hereby endorse to the Lender ‘Account, Automated. Teller’ Machine (ATM) Card of bank for the LENDER to effect withdrawal from my/our account, In the event ‘That |/we will transfer my/our account to other banks, change my/our Personal Identification Number (PIN), ‘change my/our account ‘number, or any other similar incident: that. will. render sald ATM card invalld, unavailable, or otherwise rendered useless or vold; the LENDER shall be notified to that effect. As such, /We my/our, x % REVISED PA 1.3 NOV2022 4shall immediately surrender my/or new valid ATM Card as replacement of the old one. Failure on my/our part to do the same, the LENDER will hold me/us criminally liable due to the fraudulent action |/We have initiated. ._ In case I/We default in the discharge of any of the obligations stipulated herein, I/We hereby authorize the LENDER, at its sole option and without prior notice, to apply to the payment of this Promissory Note any and all of my/our moneys, securities, things of value, and belongings, which maybe in the possession of the LENDER on deposit or otherwise; and for this purpose, /We, jointly, severally and irrevocably, constitute and appoint the LENDER to be my/our attorney-in-fact with full power and authority for and in my/our name and behalf, to negotiate, sell and transfer any and all of the said money, securities, things of value and belongings by public or private sale and apply the proceeds thereof to the satisfaction of this promissory Note. No failure or delay on the part of the LENDER in exercising any right, power or remedy upon any breach or default of Borrowers under this Promissory Note shall impair any such right, power or remedy. Neither or shall it be construed as a waiver of any such breach or default thereafter occurring, nor shall a ‘waiver of any single breach or default be deemed a waiver of any other breach or default thereto or thereafter occurring, nor shall any single or partial exercise of any other right or power hereunder preclude any other or further exercise thereof or the exercise of any other right, remedy or action hereunder. ‘All remedies either under this Promissory Note or by law or otherwise, shall be afforded to LENDER in the cumulative. For and in consideration of (Php. to be paid by BORROWER/S to the LENDER upon availment of the Loan, the LENDER shall ensure that this Promissory Note is covered and protected against the death’ of, or permanent total disability and/or injury to the BORROWER/S. If the BORROWER/S, die/s or become/s physically incapacitated to work or perform any Productive endeavor during the term of this Promissory Note, any and all of the BORROWER/S outstanding and unpaid amounts under this Promissory Note shall then deemed fully paid and completely settled, without recourse against the estate of the BORROWER/S. Furthermore, all payments previously made by the BORROWER/S to the LENDER during the lifetime or productive years of borrower/s in’connection with this Promissory Note shall be returned in full, without interest by LENDER to the BORROWER/S or in case of death, to his/her/their estate. In this connection, the BORROWER/S hereby authorizes the LENDER to deduct the above aggregate monetary considerations from the loan proceeds of BORROWER/S. This Promissory Note shall be binding upon and shall be enforceable against the BORROWER/S, irrespective of whether BORROWER/S is/are actually benefitted from this loan transaction SIGNED this day of 20 at City, Philippines. Borrower's Signature over Printed Name Borrower's Signature over Printed Name Pe yt Borrower's Signature over Printed Name REVISED PN 13-NOV2022ORIENT AI LMG, INC. ' DISCLOSURE STATEMENT OF LOAN/CREDIT TRANSACTION (As Required under RA. 3765 Truth in Lending Act) NAME "OF BORROWER ADDRESS : 8) Collateral 1) Loan Granted (Amount tobe financed) P THs loan Is wholly/partally secure by: 2) Finance Charges : Not Deducted from Deducted from Dea estate Loan Proceeds Loan Proceeds Chattel 2) Interest of __% per month C1 others From, P P. 9) ADDITIONAL CHARGES IN CASE ‘simple Compound ‘CERTAIN STIPULATIONS ARE NOT Semi-monthly B Annually (MET BY THE BORROWERS: )Service/handling fees _ : a) Late payment charge of __% per ) Credit investigation/appralsalfee __ ‘month shall be charged on outstanding 4) Attorney’s/legal fees balance of loan. ) Other charges incidental to ») Interest at _% per month on Extensions of credit (specify) eee, amount unpaid after maturity. ‘)Uquidated damages upon defauit at ‘TOTAL FINANCE CHARGES P P least 12% of aggregate obligations Unpaid but not less than PS00.00. 3) Non-finance Charges 4d) Collection fees, attorney's fees 25% of a) Insurance Premium P aggregate obligations unpaid. ) Taxes = €) Cost of suit. ) Docs/Science Stamps 7 4) Notaral fees CERTIFIED CORRECT : TOTALNON-FINANCE CHARGES P 4) NET PROCEEDS e ‘BRANCH MANAGER 5) Percentage of Finance Charge to Total Amount Financed (Computed in accordance w/Sec.2 (1) of CB Cieular 158) | acknowledge recelpt of a copy of this Finance Charges No. of payments ina year statement prior to be consummation of the Rea ——— Credit transaction and that ! understand and “Amount tobe financed Total no. of payments +1 fully agree to the terms and condition hereot 6) Effective Interest Rate 7) Schedule of Payment : “ 2) Single payment due on Borrower ~ ) Total installment payments payable in rmonths/yrs. Due every. of the month / ? 1 2" month interest deducted in advance * ts 7 Interest computed on the basis of diminishing balance Borrower /Co- Maker EB Succeeding months interest added to principal EXTENTIONS OF THIS PROMISSORY NOTE DATE NO. OF DAYS MATURITY INTEREST AMOUNT BORROWER'S | EXTENDED. EXTENDED DATE RATE SIGNATURE Notice to Borrower for your protection obtain a copy of this statement