CENTURION-CREDIT & LOAN APPLICATION

CENTURION-CANTEEN ONLINE LOAN FORM

Mendez bldg. Nasipit, Talamban, Cebu City
Are you a member of Centurion-Canteen Coop?

Date

MonthDayYear
Date
CENTURION ID NUMBER
VERIFIED EMPLOYEE ID NUMBER
00000
Last Name
First Name
Post: Assignment
Email
After submission kindly open your email to verify your submission.
Contact Number
LOAN AMOUNT
PURPOSE
Payable in (Select how many Months to be fully paid) For P12,000 below up to 3 months only. For P12,000 pesos above you can select up to 4 months.
Signature

Note: Failure to pay for 3 successive periods; your subscribed share will automatically be deducted on your COOP loan balance.

STATEMENT OF GUARANTOR: I am the guarantor whose name, signature and post assignment appears below who acted as the Guarantor of coop loan applied by the borrower whose name above, hereby assume all unpaid balance of said loan after the lapse of five (5) Months from the date of RELEASE and further authorized the Canteen to deduct the same from my salary until the amount shall have been fully paid.
CO_MAKERS ID NUMBER
CO-MAKERS ID NUMBER
Co-Makers Last Name
Co-Makers First Name
CO-MAKERS POST ASSIGNMENT
Signature of the CO- MAKER