7/22/2019 App Form for SLERP

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SS NUMBER NAME

LOAN TYPE ADDRESS (NO. & STREET) (BARANGAY) (TOWN/DISTRICT) (CITY/PROVINCE) POSTAL CODE

Salary Calamity Emergency

DATE OF BIRTH(MMDDYYYY) GENDER CIVIL STATUS

Male Female Single Married Others ________________________________

TELEPHONE/MOBILE NUMBER E-MAIL ADDRESS (IF ANY) TIN

PREFERRED MODE OF PAYMENT NAME OF BANK/BRANCH BANK REFERENCE NUMBER

Check Cash Card ATM/Passbook

BANK ADDRESS (NO. & STREET) POSTAL CODE

I certify that the information provided in this form regarding member details are true and correct. Also, I agreewith the terms and conditions of this loan as enumerated at the back of this form.

(SURNAME) (GIVEN NAME) (MIDDLE NAME)

Republic of the Philippines

SOCIAL SECURITY SYSTEM

MEMBER LOAN APPLICATION

PART I - TO BE FILLED OUT BY THE MEMBER

Please read the terms & conditions, instructions at the back of the form, and the attached sheet on Documentary Requirements

for Member Loan Application before accomplishing this form. Print all information in capital letters and use black ink only.

(BARANGAY) (TOWN/DISTRICT) (CITY/PROVINCE)

MEMBER's CERTIFICATION

(03-2012)

If member cannot s ign, below are the witnesses to fingerprinting:

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SIGNATURE OVER PRINTED NAME SIGNATURE OVER PRINTED NAME

EMPLOYER NUMBER NAME OF EMPLOYER/REGISTERED BUSINESS NAME

ADDRESS (NO. & STREET) (BARANGAY) (TOWN/DISTRICT) (CITY/PROVINCE) POSTAL CODE

TELEPHONE/MOBILE NUMBER E-MAIL ADDRESS TIN

I certify that the information provided in this form regarding employer details are true and correct.

IDENTIFICATION/DOCUMENT(S) PRESENTED:

SS ID card Two valid IDs, one with photo and signature Other documents ______________________________________

RECEIVED BY ENCODED BY

DATE

OFFICIAL DESIGNATIONSIGNATURE OVER PRINTED NAME OF

EMPLOYER/AUTHORIZED REPRESENTATIVE

DATE

PART III - TO BE FILLED OUT BY SSS

SIGNATURE OVER PRINTED NAME

DATE

EMPLOYER'S CERTIFICATION

DATE

PART II - TO BE FILLED OUT BY THE EMPLOYER

RIGHT THUMB RIGHT INDEX

SS NUMBER NAME OF MEMBER (SURNAME) (GIVEN NAME) (MIDDLE NAME)

RECEIVED BY DATE RECEIVED RECEIVING BRANCH

Note:

Perforate Here

DESIGNATIONSIGNATURE OVER PRINTED NAME

MEMBER LOAN APPLICATION

ACKNOWLEDGEMENT STUB

Verification of status may be made after _____ working days upon receipt of application. For those registered with the SSS website, you may

verify thru www.sss.gov.ph

SIGNATURE OVER PRINTED NAME DATE SIGNATURE OVER PRINTED NAME DATE

7/22/2019 App Form for SLERP

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TERMS AND CONDITIONS

A service fee of 1% of the loan amount shall be charged and deducted from the proceeds of the loan. For SLERP, service fee shall be waived.

For Salary Loan Early Renewal Program (SLERP), the net amount of the loan shall be the difference between the approved loan amount and the

previous loan balance.

LOAN RENEWAL

A two-month salary loan is equivalent to twice the average of the members latest 12 monthly salary credits posted (rounded to the next higher monthly

salary credit), but not to exceed P24,000.

INTEREST AND PENALTY

A one-month salary loan is equivalent to the average of the members latest 12 monthly salary credits posted.

The member-borrower has not been granted final benefit, i.e., total permanent disability, retirement and death.

Any excess in the amortization payment shall be applied to the outstanding principal balance.

The loan shall be charged an interest rate of 10% per annum until fully paid, based on diminishing principal balance, and shall be amortized over a

period of 24 months.

The member-borrower has not been disqualified due to fraud committed against the SSS.

LOAN AMOUNT

The one-month or two-month salary loan shall be payable within two (2) years in 24 equal monthly installments. However, any principal balance after the

maturity date of the loan shall continue to accrue interest until fully paid.

Loan amortization not remitted on due date shall bear a penalty of 1% per month.

If the member-borrower is employed, his employer must be updated in contributions and loan remittances.

The member-borrower must be updated in the payment of his obligations in his member loans, which include salary, calamity, emergency, educational,

stock investment, Member Assistance for the Development of Entrepreneurship (MADE) and housing loans granted under the Unified Housing Loan

Program (UHLP) or direct from SSS.

REPAYMENT TERM

ELIGIBILITY REQUIREMENTS

Only currently employed, currently contributing self-employed or voluntary member is qualified to avail of the salary loan program:

For a one-month loan, the member-borrower must have 36 posted monthly contributions, six (6) of which should be within the last 12 months

prior to the month of filing of application.

For a two-month loan, the member-borrower must have 72 posted monthly contributions, six (6) of which should be within the last 12 months

prior to the month of filing of application.

The member-borrower must be under sixty-five (65) years of age at the time of application (SSC Res. No. 434 dated 09 November 2005).

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For SLERP, the sanctions for loan renewal under the condonation program shall be lifted.

In case of member-borrowers death, total disability, retirement under the Social Security Act, the entire amount or any unpaid amount of the loan, as well

as the interest and penalty thereon, if any, shall be deducted from the corresponding benefit.

INSTRUCTIONS

Member to fill out Member Details.

Employer to fill out Employer Details.

OTHER CONDITIONS

Any overpayment on a previous loan shall be applied to the subsequent loan.

The borrower shall notify the SSS in case of change of address/employer thru mail/e-mail/over-the-counter (OTC). The notice should indicate the name

and SS number of the borrower, addressed to the Member Services Section of the nearest SSS branch, and duly signed by the borrower (in case of

mail/OTC).

The employer shall be responsible for the collection and remittance to the SSS of the amortization(s) due on the member-borrowers salary loan

through payroll deduction.

DEDUCTION OF UNPAID LOAN FROM BENEFITS

The employer shall continue the deduction of loan payment for new employees and shall be accountable for its remittance to the SSS.

The employer shall deduct the total balance of the loan from any benefit/s due to the employee and shall remit the same in full to SSS, in case the

member-borrower is separated voluntarily, (e.g. retirement or resignation) or involuntarily, (e.g. termination of employment or cessation of operations of

the company).

The employer shall report to the SSS the effective date of separation from the company and the unpaid loan balance of the employee, through the

collection list, if the benefit(s) due the employee is insufficient to fully repay his loan.

The employer shall require a new employee to secure from the SSS an updated statement of his account.

RESPONSIBILITY OF MEMBER-BORROWERA member-borrower who transfers employment is obliged to report to the new employer his obligations with SSS and shall allow the new employer to

deduct from his salary the corresponding amortization due, plus any penalty for late remittance of amortization.

RESPONSIBILITIES OF EMPLOYER

SCHEDULE OF PAYMENT

The first amortization shall be paid on the 3rd

month following the date of loan, on or before the payment deadline for loans per Circular no. 2011-052.

The loan may be renewed after the prescribed amortization period of two (2) years. Balance of P500 or less shall be deducted from the proceeds of the

new loan.

All subsequent remittances shall be made on or before the payment deadlines for loans following the applicable month, at any SSS branch with

tellering facility, SSS accredited banks and SSS authorized payment centers.

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ANY PERSON WHO MAKES ANY FALSE STATEMENT IN THIS APPLICATION OR SUBMITS ANY FALSIFIED DOCUMENT

IN CONNECTION WITH ANY CLAIM FOR ANY BENEFIT PAYABLE UNDER THE SOCIAL SECURITY ACT LAW (R.A. 1161,

AS AMENDED) OR 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.

em er mus e e saary oan app ca on persona y an mus presen s oc a ecur y car .

In the absence of the Social Security card, please refer to the attached sheet on Documentary Requirements for Member Loan Application.

If filed by representative of member or employer, the authorized representative must present the documentary requirements per attached sheet onDocumentary Requirements for Member Loan Application.

WARNING

as of 8/14/12