SCAP Form No.1-A (Revised 2008)
(To be accomplished in triplicate)
No. _______________
COMPUTER LOAN APPLICATION (For Justices, Judges and SC Lawyers)
________________
Date
The Sub-Committee on Computer Acquisition Program for Justices, Judges of Trial Courts and SC Lawyers (SCAP) c/o Management Information Systems Office (0918-9182151) Centennial Bldg., Supreme Court Manila Sirs/Mesdames: In line with the computer literacy program of the Judiciary, I would like to apply for an interest-free loan chargeable against the Computer Literacy Fund in the amount of ____________________________ (P______________) to be used for the acquisition of a laptop unit as specified in the attached SCAP Form No. 2 (Order Form), payable in thirty-six (36) equal monthly installments beginning on the month following the actual claim of the laptop unit from the accredited supplier, in accordance with the stipulations contained in the herein promissory note and regulations of SCAP. I hereby guarantee that upon the filing of this application, I will not avail of any other loan that will bring my net take home pay to an amount lower than Three Thousand Pesos (P3,000.00).
(1X1 I.D. Picture)
_________________________________
Signature over Printed Name of Loan Applicant
************************************************************************************ Borrower’s Data Do not fill up this portion
(Authorized personnel only)
Position: _______________________________ No. of years in the Judiciary: ______________ Status of Appointment: Permanent Co-terminus
1.
Leave credits as of: ________________
VL __________ SL ___________
Office: ___________________________________ Region: __________ Office Address: _____________________________________________ Home Address: ______________________________________________ ___________________________________________________________ Marital Status: Birthdate:
MM
______________________________ Leave Division, OCA or Admin Ofc.
2.
Clearance as to NO pending Criminal/Administrative Cases: _______________________________ Docket & Clearance Div., OCA-Legal/ Admin. Officer of Appellate Courts
Single
Married Widow/er Age as of date of application:
DD
YY
Landline & Mobile Nos.: ______________________________________ Monthly Net Take Home Pay as of application: (Pls. attach copy of latest Pay Slip) PhP 3. Clearance as to JDF loan/balance:. 4. Clearance as to JDF loan/balance:
_______________
___________________ President, SC-SCSLA
_______________
___________________ President, SC-COOP
************************************************************************************
Loan Prerequisites per the Court En-Banc Resolution A.M. No. 05-9-18-SC dated 8 Nov 2005, as amended on 24 Jan 2006 1.) Minimum P3,000 net take home pay (after all deductions have been considered, including monthly loan amortization); 2.) Three (3) years continuous service in the Judiciary as reflected in the Service Record; Approved per Committee Resolution 3.) 59 years of age or less as of date of application, except for Judges and Justices; 4.) No pending Administrative or Criminal cases as of date of application as certified by No. __________________ the Docket & Clearance Div., OCA-Legal or Admin. Officer of the Appellate Courts; Dated: _______________ 5.) Minimum of 30 days unused leave credits as certified by the Leave Division; 6.) Must not have any existing JDF loan prior to and until payment of this loan; 6.) Generally, two (2) qualified co-makers (who are permanent Court employees with at least the same salary grade as the borrower, preferably in the same Court/branch); ____________________________ or the surety of SCSLA/SCEMPC for SC lawyers, and JuSLA for judges. MISO Chief, SCAP Chairperson
(Pls. print the obverse and reverse sides back-to-back)
PROMISSORY NOTE
_______________________, 20____ For value received, I hereby promise to pay the Supreme Court thru payroll deduction the amount as reflected in the obverse side of this form in thirty-six (36) equal monthly installments thru automatic deduction from my JDF allowance or if insufficient, from my salary. To accomplish said undertaking, I hereby authorize the CASHIER-FMBO (SC); CASHIERFMO (OCA); FINANCE DIVISION-CA; FINANCE DIVISION-SB; or the FINANCE DIVISION-CTA to deduct from my JDF allowance (or the salary in case of the insufficiency) the required monthly installments due. I hereby agree that in case of resignation, separation, retirement or discharge, I shall immediately inform the SCAP of such event, and that the remaining amortizations shall all become due and demandable without need of demand and that I shall pay the same in cash. In case of failure to pay in cash, the amount due and demandable shall be taken from any monetary benefits, retirement gratuities or terminal leave benefits that have accrued or may accrue to me in the course of my employment. In consideration of this loan, I hereby assign in favor of the Supreme Court or its representative all monies and monetary benefits due or to be due me from the Supreme Court, the GSIS and/or from any other government office or other sources as may be sufficient to cover the entire outstanding balance of this loan including charges and attorney’s fees. I hereby authorize the office concerned to deduct the aforementioned obligation(s) from all monies due me or to be due me and to remit said monies directly to the SCAP thru its authorized representative(s). This assignment is irrevocable for as long as my obligation(s) with the SCAP remain(s) unpaid. I hereby commit to use the laptop unit in accordance with the objective of the computer literacy program of the Judiciary and pledge myself to the understanding and use of technology in the performance of my judicial functions. I hereby undertake to maintain at least thirty (30) days of my earned vacation and/or sick leave credits until my obligation has been fully paid. I hereby promise and commit not to transfer, assign or encumber the laptop or notebook computer until full payment of the loan has been made. In case it shall become necessary to collect this note by and through an attorney-at-law and/or in the event of court litigation, I hereby undertake to pay twenty per cent (20%) of the amount due on the note as attorney’s fees plus cost of suit. Any case arising out of this transaction shall be brought before the Courts in the City of Manila. With my marital consent: _______________________________ Signature over Printed Name of Spouse _____________________________________ Signature over Printed Name of Loan Applicant
CO-MAKERS’ UNDERTAKING In consideration of the above mentioned loan, WE, the undersigned co-makers, bind ourselves jointly and severally to pay, in case of the principal’s default, any and all amounts that may be due hereinafter including all charges and attorney’s fees in accordance with the terms and conditions of the above promissory note. In this connection, we hereby assign in favor of the Supreme Court so much of our monies and monetary benefits due, or to be due us individually from our present offices, the Government Service Insurance System, and such other sources as may be sufficient to pay the above loan. We therefore authorize the office(s) concerned to deduct from all monies due us, individually, the necessary amounts and to remit said monies directly to the SCAP thru its duly authorized representative(s). This authority to deduct and deed of assignment shall be irrevocable for as long as the above loan remains unpaid. Printed Name 1. ____________________________ 2. ____________________________ Signature __________________ __________________ Position/Court ________________________ ________________________ Net Take Home Pay _______________ _______________
The two (2) Co-makers must be permanently employed in the Court, preferably occupying same position or higher than the borrower.
REPUBLIC OF THE PHILIPPINES ) S.S. CITY OF _______________________) BEFORE ME, a Notary Public for and in the City of ________________________, personally appeared:
Name __________________________________ __________________________________
Competent Evidence of Identity _________________________ _________________________
Date/Place of Issue ______________________ ______________________
known to me to be the same persons who executed the foregoing assignment consisting of two (2) pages, including the page on which this acknowledgment is written and they acknowledged to me that the same is their free and voluntary act and deed. WITNESS MY HAND AND SEAL, on this ______ day of ________________ at ____________________.
NOTARY PUBLIC/ ADMINISTRATIVE OFFICER
Doc. No. _______; Page No. _______; Book No. ______; Series of 200____.