APPLICATION FOR EMPLOYEE JEWELRY PAWN (AEJP)

NEW [ ] REAVAILMENT [ ] ______nth

APPLICANT’S DATA
NAME OF EMPLOYEE (Last) Date & Place of Age Age
(First) (MI) birth
Home Address TIN SSS No. Employee's ID No.
Branch/Area Name Position Length of Service Mobile No.

Amount of Loan Applied (in words) Php Term Applied

Purpose of Loan No. of Depend Previous Principa Balance Previous Loan

ents l Loan
I/We hereby certify that the foregoing statements/information/items are true to my/our best knowledge and belief and if found
fraudulently false or incorrect, will be a ground for cancellation of the loan application or for the loan granted to be immediately due and
payable. If this application is approved, I/We hereby declare that the proceeds of the loan will be used solely for the purpose(s) stated in
this application.
PLEDGED ITEM DATA
INVENTORY CODE GRAMS ITEMCOST FIXED PRICE
DESCRIPTION

___________________ ___________________
Co-Maker's Signature Borrower's Signature
VERIFIED BY: RECOMMENDED BY:

AREA / BRANCH NAME AREA MANAGER’S NAME AND SIGNATURE/DATE GROUP HEAD’S NAME AND SIGNATURE/DATE
CO-MAKERS DATA
NAME OF EMPLOYEE (Last) (First) Age Sex Date and Place of Birth
(MI)
Home Address TIN SSS No. Mobile/Telephone No.
Branch/Area Name/Div/Dept Assigned Position/Title Length of Service Relationship to Borrower

FOR SALARY DEDUCTION

Should this application to approved, I hereby authorized RD Pawnshop, Inc. to deduct from my salary the [ ] semi-monthly [ ]monthly
amortization of P ______________ starting __________________ until the entire obligation is fully paid.
In the event that I resign or my employment is otherwise terminated, I also authorize RD Pawnshop, Inc. to apply any of the amount, or
monetary benefit due me from/to the payment of the outstanding principal amount of the aforesaid loan and the interest and penalties
accrued thereon, which shall thereupon become entirely due and demandable on the effective date of such resignation or termination,
without and to do need or demand, and to do such other acts as may be necessary under the circumstances.
With our conformity: _______________________
_______________________
VERIFICATIONS
PMD HEAD/OIC USE ONLY ACCOUNTING HEAD USE ONLY
Applicant: Permanent Employee Since:________________ ( ) Amount of Loan within limit
Net Take Home Pay Eligibility: ( ) Amount of remaining principal balance is within 25% of th
( )Eligible( ) Not Eligible e original amount (liquidaton loan)
Co-Maker: Net Take Home Pay Eligibility: ( ) Amount of Loan exceeds limit:
( )Acceptable( ) Not Acceptable
Maximum Loanable amount P_________________________
_______________________ ( ) Others: ____________________________________
Authorized Signature / Date
 FINANCE HEAD USE ONLY TREASURY HEAD USE ONLY
Terms of Approval: Funding Slots: Available [ ] Not Available [ ] Funding:
Approved Amount:__________________ Amortization:________________ Priority Number: _______________________
Term: __________ Interest Rate:________
Release Date: __________________________
First Due Date:____________________ Last Due Date:__________________
_______________________
_______________________ Authorized Signature / Date
APPROVALS
APPROVED DISAPPROVED TOP MANAGEMENT (For Division Heads, GH, AGH, Dept Heads' applicatio
ns only)
Confirmed approved by:
DATE
_______________________
Authorized Signature _______________________
(Admin Head)