Others (Please specify)
Signature over printed name of APPLICANT
DATE (mm/dd/yyyy)
Agreed and Understood:
Signature over printed name of BRANCH MANAGER/ SALES DIRECTOR
DATE (mm/dd/yyyy)
Endorsed By:
CO-MAKER - Agency Leader / Co-Agent (provided that the conditions for loan qualification are satisfied)
I guarantee the loan of the above agent and I agree that in case of failure to settle the loan, it will be deducted from my future commissions, bonuses,
savings fund, and other compensations payable to me as an agent of the Company in accordance with the requirements of laws and regulations. I also
agree to be solidarily liable to the above agent. I irrevocably and expressly agree with, consent to and authorize the Company and any of its appointed
third party to process (collect, record, organize, store, consult, use, consolidate, block, erase or destroy, among others) my personal information and
sensitive personal information that I provided pursuant to this application for unrestricted period for the purpose of processing this application and
conducting character and background check on me. I consent to the use and transfer of my particulars under Republic Act No.10173 or the Data Privacy
Act of 2012 and Presidential Decree No. 1718 or any applicable data protection legislation from time to time in force.
Signature over printed name of AGENCY LEADER/ CO-AGENT
DATE (mm/dd/yyyy)
Loan applicants must not have been or be in violation of the CAMA and/or Agency Standards/Market Conduct Guidelines the result of which was or
would be suspension/termination of the right to sell/license.
In case of a past sales malpractice or violation for which a penalty of suspension of the right to sell/license was imposed, the agent shall not be
allowed to apply for a loan for a period of 1 year from the date of eectivity of the decision of the SDC or SDC WC finding said agent guilty of sales
malpractice or violation. An agent whose right to sell/license has been revoked/terminated cannot apply for a loan from the Company.
In case of a pending sales malpractice or violation complaint, the agent's loan application shall be put on hold until a decision is rendered. If agent is
found guilty thereof, item #12 above shall apply. If the agent is found not guilty, the loan application shall proceed in accordance with Company
rules.
If any indebtedness shall remain after the deduction set forth in Clause 10 hereof, my liability under this application and such other relevant
documents/agreements shall continue to be in full force and eect until all balances are fully paid and settled.
I agree that the taxes and costs in connection with the loan and the registration of my collateral shall be for my account and I shall furnish the
Company proof of such payment and registration.
I acknowledge that the Company has the right to deny this application if I did not meet the loan requirements in these Revised Guidelines on Agency
Loans and Advances ("Revised Guidelines") including any material adverse findings on my character through a background check conducted by a
third-party provider. I irrevocably and expressly authorize the Company to conduct a character and background check on me.
"I irrevocably and expressly agree with, consent to and authorize the Company and any of its appointed third party to process (collect, record,
organize, store, consult, use, consolidate, block, erase or destroy, among others) my personal information and sensitive personal information that I
provided pursuant to this application for unrestricted period for the purpose of processing this application and conducting character and background
check on me. I consent to the use and transfer of my particulars under Republic Act No.10173 or the Data Privacy Act of 2012 and Presidential Decree
No. 1718 or any applicable data protection legislation from time to time in force.
The validity, interpretation, construction, and performance of this application shall be governed by the laws of the Republic of the Philippines. The
proper court in Taguig City shall have exclusive jurisdiction and shall be the venue of any action or dispute arising out of this application.
If payment is obtained through any legal action, any additional expenses and costs, inclusive of litigation expenses and judicial costs shall be charged
to me as liquidated damages.
I agree to indemnify and hold the Company free and harmless from any form of liabilities, claims, losses, actions, costs and/or expenses of whatever
nature arising from or in connection with this application and the loan granted hereunder.
I understand that if any one or more of the provisions of this application or any document that may be executed in connection therewith shall be
invalid, illegal or unenforceable in any respect, the validity, legality and enforceability of the remaining provisions contained herein or in any other
related document shall not in any way be aected or impaired and shall remain in full force and eect.
I understand that no provision of this application shall be considered waived by the Company except when such waiver is made in writing. I also
understand that no failure or delay on the part of the Company in exercising any of its rights, powers or privileges hereunder shall impair any such
rights, powers or privileges or operate as a waiver thereof. I further understand that the rights, powers and remedies herein expressly provided are
cumulative and not exclusive of any rights or remedies that the Company would otherwise have under applicable law.
I shall not assign any of my rights nor obligations under this application to a third party, without the prior written consent of the authorized represen-
tative of the Company
I understand that that the Company may assign its rights and benefits under this application to any of its subsidiaries, aliates or associated
companies, without the need of securing my prior written consent.
By signing below, I confirm that I have received a copy of the Revised Guidelines which I have read and understood. I also agree that all the provisions
of the Revised Guidelines are deemed incorporated to this application. I further agree to comply with all the provisions of the Revised Guidelines.
By signing below, I agree that this application will automatically form part of any documents and contracts which I executed / will execute pursuant
to such application for loans and/or advances.
I agree that this application may be executed simultaneously in any number of counterparts, each of which shall be deemed an original but all of
which together shall constitute one and the same application.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
---NOT APPLICABLE---
