Head of office or authorized representative signature

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HEAD OF OFFICE OR AUTHORIZED REPRESENTATIVE (Signature over printed name) DESIGNATION BRANCH CODE AGENCY CODE EMPLOYER SSSI GSIS NO. 5. The borrower shall be considered in default in any of the following cases: a. Any willful misrepresentation made by the borrower in any of the documents executed in relation hereto. b. Failure on the part of the borrower to pay any 3 consecutive monthly amortizations. c. Failure of the borrower to pay any 3 consecutive monthly membershipcontributions. d. Any violation made by the borrower on existing policies, rules, regulations and guidelines of the HDMF. 6. In the event of default, the outstanding loan balance, all accumulated interests and penalties shall become due and demandable. The outstanding obligation shall be deducted from the Total Accumulated Value (TAV) credited to the borrower at the end of the term of the loan. However, immediate offsetting of the borrower's outstanding loan obligation may be effected upon occurrence of any of the following justifiable reasons and upon validation by the Fund: Unemployment; total or partial disability, as certified by a duly licensed physician; illness of the member-borrower or any of his immediate family member: or death of any of his immediate family members. Under the foregoing instances, the borrower hereby authorizes the HDMF to offset the outstanding obligation against his TAV. 7. In case of membership termination prior to full payment of the loan, no claim for provident benefit shall be paid to the borrower or his beneficiaries until after the full satisfaction of any amount arising from this note which remains unpaid as of the date of suchtermination. 8. Incase of falsification, misrepresentation or any similar acts committed by the borrower, HDMF shall automatically suspend his loan privileges indefinitely. The borrower shall abide with all the applicable rules and regulations governing this lending program that HDMF may promulgate from time to time. THIS PORTION IS FOR HDMF USE ONLY Signature of Applicant over Printed Name CLAIM/HOUSING LOAN/STL VERIFICATION WITH DVICHECK NO.1 APPLICATION NO. DATE FtLED I DV NO. CLAIMS NONE PARTICULARS HOUSING LOAN MPL DATE LOAN AMOUNT GRANTED I MONTHLY AMORT I INTEREST LOAN APPROVAL I PREVIOUS LOAN flALANCr;; I LOAN PROCEEDS DATE I APPROVED BY DATE I DISAPPROVED BY REVIEWED BY DATE THIS FORM CAN BE REPRODUCED. NOT FOR SALE (0412012)
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CERTIFICATE OFNET PAY NAME OFBORROWER For themonth of: Basic Salary Add: Allowances Gross Monthly Income Less: Deductions TotalDeductions Net Monthly Income Issued this day of , 20_ I certify under pain of perjury that the above- mentioned information is true and correct. ACCOUNTANT/DESIGNATED OFFICER' (Signature over printed name) I hereby authorize our Fund Coordinator or Liaison Officer to file my MPL Application and receive the HDMF Check in my behalf.
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  • Fall '15
  • Debt, Default, HDMF

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