Department of Agriculture

Agricultural Credit Policy Council

PUNLA/PLEA ENROLLMENT FORM

2x2
PICTURE

Reference No.: ________________

PART I: PERSONAL INFORMATION

SURNAME FIRST NAME MIDDLE NAME EXTENSION NAME

ADDRESS
HOUSE/LOT/BLDG. NO. STREET/SITIO/SUBDV. BARANGAY

MUNICIPALITY/CITY PROVINCE REGION

Contact Number: ___________________________________ Sex: ☐ Male ☐ Female Person with Disability (PWD): ☐ Yes ☐ No
Date of Birth: Civil Status: Highest Formal Education:
M M D D Y Y Y Y ☐ Single ☐ Married ☐ None ☐ Elementary ☐ High School
Place of Birth: ____________________________________ ☐ Widowed ☐ Separated ☐ Vocational ☐ College
Household Head?: ☐ Yes ☐ No No. of living household members: ______________ Member of an Indigenous Group? ☐ Yes ☐ No
If no, name of household head: _____________________
Relationship: _____________________ No. of male: __________ No. of female: __________ If yes, specify group: ________________________________

Barangay Verification – Verified true and correct by:

With Voter's ID?: ☐ Yes - ID#____________________
☐ No
Name Position Signature Date

PART II: FARM PROFILE

MAIN LIVELIHOOD
☐ FARMER ☐ FARMWORKER/LABORER ☐ FISHERFOLK
For farmers: For farmworkers: For fisherfolk:
Type of Farming Activity Kind of Work The Lending Conduit shall coordinate with the Bureau of
Fisheries and Aquatic Resources (BFAR) in the issuance of a
☐ Rice ☐ irrigated ☐ rainfed upland ☐ rainfed lowland ☐ Land Preparation certification that the fisherfolk-borrower under PUNLA/
☐ Corn PLEA is registered under the Municipal Fisherfolk
☐ Planting/Transplanting
☐ Other crops, Registration (FishR).
please specify: __________________________________ ☐ Cultivation
Type of Fishing Activity
☐ Livestock, ☐ Harvesting
☐ Fish Capture
please specify: __________________________________
☐ Others, please specify: ☐ Aquaculture
☐ Poultry,
please specify: __________________________________ ___________________________________________________ ☐ Others, please specify:
___________________________
Other source of income: Farming, please specify: _________________________________ Non-farming, please specify: _________________________________

No.
FARM DESCRIPTION of Farm Parcels: __________________________ Agrarian Reform Beneficiary (ARB): ☐ Yes ☐ No
FARM LOCATION SIZE Ownership
CROP/COMMODITY Tenurial Status
PARCEL (Barangay & Municipality) (Hectare) Document*
1 ☐ Registered Owner ☐ Tenant ☐ Lessee ☐ Others _____________

2 ☐ Registered Owner ☐ Tenant ☐ Lessee ☐ Others _____________

3 ☐ Registered Owner ☐ Tenant ☐ Lessee ☐ Others _____________

4 ☐ Registered Owner ☐ Tenant ☐ Lessee ☐ Others _____________

5 ☐ Registered Owner ☐ Tenant ☐ Lessee ☐ Others _____________

LOCATION NO. OF * Please put appropriate number/s. See table below for reference.
LIVESTOCK/POULTRY
(Barangay & Municipality) HEAD Ownership Document
1 1. Certificate of Land Transfer 7. Homestead patent
2. Emancipation Patent 8. Free Patent
2
3. Individual Certificate of Land 9. Certificate of Title or Regular Title
3 Ownership Award (CLOA) 10. Certificate of Ancestral Domain
4. Collective CLOA Title
4
5. Co-ownership CLOA 11. Certificate of Ancestral Land Title
5 6. Agricultural sales patent 12. Tax Declaration

I HEREBY CERTIFY THAT THE ABOVE INFORMATION ARE TRUE AND CORRECT.

_____________________________________________________________ _____________________
SIGNATURE ABOVE PRINTED NAME OF REGISTRANT DATE

VERIFIED TRUE AND CORRECT BY: THUMBMARK

___________________________________________________________ DATE: ______________________

SIGNATURE ABOVE PRINTED NAME
MUNICIPAL AGRICULTURE OFFICE
Verified with: ☐ MARO (for ARBs)
☐ PCA (for coconut farmers/farmworkers)
Page 1
 A GUIDE TO THE PUNLA/PLEA ENROLLMENT FORM
IMPORTANT NOTES TO REMEMBER
• Middle Name. The borrower must fill-in their complete middle name, not their middle inital.
• Contact Number. If the borrower does not own a mobile device, they may provide the contact number of any member of their household.
• Household Head. The head of the household is an adult person, male or female, who is responsible for the organization and care of the
household, or who is regarded as such by the members of the household.
• Barangay Verification. If the borrower is able to present either a valid Voter's ID and/or a Barangay certification/clearance as proof of his
identity and residence, a photocopy of such documents (front and back for ID cards) shall be attached to the enrollment form and thus,
verification of Part I by the Barangay is no longer necessary.
• Fisherfolk. The Lending Conduit shall coordinate with the Bureau of Fisheries and Aquatic Resources (BFAR) in the issuance of a
certification that the fisherfolk-borrowers under PLEA are registered under the Municipal Fisherfolk Registration (FishR). A copy of the
FishR certification shall be attached to the enrollment form and thus, verification of Part II by the Municipal Agricultural Office is no longer
necessary.
• ARBs & Coconut Farmers. If the borrower is an Agrarian Reform Beneficiary (ARB), the MAO shall seek the verification of the Municipal
Agrarian Reform Office (MARO). For borrowers whose main farming activity is coconut, the MAO may also seek the verification of the
Philippine Coconut Authority (PCA) through its designated official.

DEFINITION OF TERMS
1. Person with Disability (PWD): refers to "those suffering from restriction of different abilities, as a result of a mental, physical or sensory
impairment, to perform an activity in the manner or within the range considered normal for a human being." (R.A. 7277)

2. Household: refers to "a social unit consisting of a person living alone or a group of persons who sleep in the same housing unit and have a
common arrangement in the preparation and consumption of food." (PSA's Official Concepts and Definitions for Statistical Purposes)

3. Indigenous Cultural Communities (ICCs)/Indigenous Peoples (IPs): refer to "a group of people or homogenous societies identified by
self-ascription by other, who have continuously lived as organized community on communally bounded and defined territory, and who have,
under claims of ownership since time immemorial, occupied, possess customs, tradition and other distinctive cultural traits, or who have, through
resistance to political, social and cultural inroads of colonization, non-indigenous religions and culture, become historically differentiated from
the majority of Filipinos." (R.A. 8371)

4. Farm Parcel: refers to "a parcel of the holding that is one contiguous piece of land under one form of tenure without regard to land use. Both
the contiguity and one form of tenure conditions should be met for a piece of land to be classified as one parcel. Contiguous means that the
piece of land is not separated by more or less permanent natural or man-made boundaries like roads, rivers, and others that are not parts of the
holding." (RSBSA Data Items Concepts and Definitions, NSO)

5. Tenurial Status: refers to the "right of the farmer/ARB-farm laborer to use or operate the farm parcel." (RSBSA Data Items Concepts and
Definitions, NSO)

6. Registered Owner: refers to the occupant who "is the owner or co-owner who has legal possession of the farm/parcel or legal documentary
evidence/s to show ownership or right to own the farm/parcel." (RSBSA Data Items Concepts and Definitions, NSO)

7. Tenant: refers to "the person who, by himself/herself and/or with the aid available from within his immediate farm household, cultivates the
land belonging to, or possessed by another, with the latter's consent for purposes of production, sharing the produce with the landholder under
the share tenancy system, or paying to the landholder a certain amount of ascertainable in produce or in money or both, under the leasehold
system." (R.A. 1199)

8. Lessee: refers to "the person who, by himself/herself and/or with the aid available from within his/her immediate farm household, cultivates
the land, belonging to, or possessed by another, with the latter's consent for purposes of production, for a certain amount or in producer or both."
(R.A. 3844)

OWNERSHIP DOCUMENT
1. Certificate of Land Transfer (CLT) - a documentary evidence issued 7. Homestead Patent - a form of title issued to the public alienable
to the tenant-farmer of rice/corn lands covered by the Operation Land and disposable (A&D) lands suitable for agricultural purposes
Transfer (OLT) under Presidential Decree No. 27 whose land has been distributed to qualified applicants in the settlement areas pursuant
sketched by the then Bureau of Lands (now the Land Management to Public Land Act of 1936, P.D. No. 1073, and DENR A.O. 38, s. 1988.
Bureau) and upon compliance with government requirements may Under previous laws, the HP beneficiaries are entitled to own a
have been issued an Emancipation Patent. maximum of 24 hectares, while under the CARP, only a maximum of
2. Emancipation Patent (EP) - a title to the land issued to a tenant five hectares can be distributed to HP beneficiaries.
farmer of a rice and corn land covered under Presidential Decree No. 8. Free Patent - a form of title issued to public alienable and
27, upon compliance with all the requirements of the government. disposable (A&D) lands suitable for agricultural purposes distributed
It represents the full emancipation of the tiller from the bondage of to qualified applicants in the settlement areas pursuant to Public
tenancy. Land Act of 1936, P.D. No. 1073, and DENR A.O. 38, s. 1988. Under
3. Individual Certificate of Land Ownership Award (CLOA) - a previous laws, the FP beneficiaries are entilted to own a maximum of
form of individual title issued to an agrarian reform beneficiary (ARB) 24 hectares, while under the CARP, only a maximum of 12 hectares
covered under the CARP (R.A. No. 6657 as amended by R.A. 9700). can be distributed to FP beneficiaries.
4. Collective CLOA - a form of title issued to a cooperative or 9. Certificate of Title or Regular Title - this includes the Original
association of ARBs in a commercial form or plantation land covered Certificate of Title (OCT) and Transfer of Certificate of Title (TCT).
under the CARP (R.A. No. 6657 as amended by R.A. No. 9700). 10. Certifcate of Ancestral Domain Title (CADT) - a title formally
5. Co-ownership CLOA - a type of collective CLOA issued in the names recognizing the rights of possession and ownership of Indigenous
of groups of ARBs to facilitate the distribution of agricultural lands Cultural Communities/Indigenous Peoples (ICCs/IPs) over their
under the CARP, which will eventually be subdivided into individual ancestral domains identified and delineated in accordance with R.A.
CLOAs (R.A. No. 6657 as amended by R.A. No. 9700). 8371 or IPRA of 1997.
6. Agricultural Sales Patent - a form of title issued administratively 11. Certificate of Ancestral Land Title (CALT) - a title formally
through sale be the DENR over agricultural lands, under a bidding recognizing the rights of ICCs/IPs over their ancestral lands (R.A. 8371
process. or IPRA of 1997).

Page 2