B103-SAMPAGUIITA

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BRANCH: TUGUEGARAO

CLUSTER CODE: 039TUG-B107


CLUSTER ADDRESS CARIG NORTE, TUGUEGARAO CITY, CAGAYAN
LOAN OFFICER: VICKY GAMBOL
CREDIT COMMITTEE: LODRIGO RITON JR.
UNIT SUPERVISOR: ROAN IBIS
BRANCH MANAGER: CRISANTO C. GAPOY JR.
LOAN TYPE: TANGLAW
PRED-DISBURSEMENT DATE: May 02, 2024
RELEASE DATE: May 09, 2024
FIRST PAYMENT DATE: May 16, 2024
MATURITY DATE: October 31, 2024
FEMALE MARRIED
MALE WIDOWED
SINGLE
MPL OWNED JESUS PALEG ROAN IBIS CRISANTO C. GAPOY JR.
T1-CTR RENTAL LODRIGO RITON JR. MARYROSE FERNANDEZ
T2-CTR CHANALYN ORQUE
T2-IND JESICA DANGARANG
AGL STEPHEN BAUTISTA
ROWENA LABUGUIN
WINIE DELA CRUZ
VICKY GAMBOL
RODELYN BATANG
JAMES BRYAN QUIZZAGAN
1 2 3 4 5 6

No. Cluster Code Client Number First Name Middle Name Last Name

#01 039TUG-B103 ADOLFO JR GATON GAYON


#02 039TUG-B103 LIZEL ADRIANO DELOS REYES
#03 039TUG-B103 MAGIE BANGAYAN MAGORA
#04 039TUG-B103 RODEL CAYME JUSTO
#05 039TUG-B103 LETICIA TAGUINOD MALSI
#06 039TUG-B103 PALMING TULUGAN BARRIENTOS
#07 039TUG-B103 RUBEN MALLILLIN GALANIOTE
#08 039TUG-B103 MONICA RABET MATIAS
#09 039TUG-B103 CARMINA BANGAYAN DELOS REYES
#10 039TUG-B103 REGINA BANGAYAN DELOS REYES
#11
#12
#13
#14
#15
#16
#17
#18
#19
#20
#21
#22
#23
#24
#25
#26
#27
#28
#29
#30
#31
#32
#33
#34
#35
#36
#37
#38
#39
#40
#41
#42
#43
#44
#45
#46
#47
#48
#49
#50
7 8 9 10 11 12 13 14

IMPORTANT INFORMATION
Street/ City/ Province/
Gender Status Birthday Subdivision Barangay Municipality State ZIP Code

FEMALE WIDOW SAMPAGUISOLANA CAGAYAN 3500


FEMALE SINGLE SAMPAGUISOLANA CAGAYAN 3500
MALE MARRIED SAMPAGUISOLANA CAGAYAN 3500
FEMALE WIDOWED SAMPAGUISOLANA CAGAYAN 3500
FEMALE SINGLE SAMPAGUISOLANA CAGAYAN 3500
MALE MARRIED SAMPAGUISOLANA CAGAYAN 3500
FEMALE MARRIED SAMPAGUISOLANA CAGAYAN 3500
FEMALE MARRIED SAMPAGUISOLANA CAGAYAN 3500
FEMALE MARRIED SAMPAGUISOLANA CAGAYAN 3500
FEMALE MARRIED SAMPAGUISOLANA CAGAYAN 3500
15 16 17 18 19 20

TION
Previous Loan Loan
Business Name Type of Business Business Address Credit Limit Cycle Product

BUY AND SELL SCRTRADING/ SERVICARIG NORTE, TUGUEGARA 76,000.00 T1-CTR


E-BIKE SELLER SERVICE CARIG NORTE, TUGUEGARA 140,000.00 T1-CTR
PLASTICWARES SERVICE CARIG NORTE, TUGUEGARA 124,000.00 T1-CTR
PLASTICWARES TRADING CARIG NORTE, TUGUEGARA 107,000.00 T1-CTR
SARI- SARI STORE TRADING CARIG NORTE, TUGUEGARA 134,000.00 2 T1-CTR
PLASTICWARES SERVICE CARIG NORTE, TUGUEGARA 50,000.00 2 T1-CTR
BUY AND SELL SCRMANUFACTURI CARIG NORTE, TUGUEGARA 23,000.00 2 T1-CTR
VEGETABLE VENDIMANUFACTURINCARIG NORTE, TUGUEGARA 69,000.00 2 T1-CTR
PLASTICWARES TRADING/ SERVICARIG NORTE, TUGUEGARA 73,000.00 9 T1-CTR
LIVESTOCK SERVICE CARIG NORTE, TUGUEGARA 107,000.00 10 T1-CTR
21 22 23 24 25 26

Loan Term # of
Installments SPOUSE CONTACT
Loan Approved CONTACT NUMBER SPOUSE NAME NUMBER

8,000.00 6 24 9973601804 N/A N/A


10,000.00 6 24 N/A N/A N/A
10,000.00 6 24 9363779158 TERESA PARACAT PERCI N/A
8,000.00 6 24
20,000.00 6 24
15,000.00 6 24
15,000.00 6 24
25,000.00 6 24
25,000.00 6 24
10,000.00 6 24
26-Jan-00 28 29 30 31 32

ADDITIONAL INFORMATION
SPOUSE NUMBER OF YEARS OF STAY ON MOTHER MAIDEN
BIRTHDAY DEPENDENTS HOUSE HOUSE TYPE NAME TOTAL CBU

N/A 3 62 OWNED PORTONATA BANC 8816.94


N/A 4 3 OWNED LILIA TAGUIAM T 10921.63
4 40 OWNED SALLY CARAG BAC 6867.68
OWNED 16083.75
OWNED 15115.99
OWNED 8158.28
OWNED 369.19
OWNED 13108.49
OWNED 7482.79
OWNED 12072.54
33 34 35

Loan Applied Previous Loan CO-MAKER

10,000.00 TRINIDAD AREOLA


10,000.00 LEVIE DOLLENTE
10,000.00 FRANCISCO MORALLA
10,000.00 ROSARIO TULIAO
20,000.00 20,000.00 MIRNA PATOC
15,000.00 10,000.00 MARVIN DE OCAMPO
15,000.00 15,000.00 MICHAEL TAOTAO
25,000.00 20,000.00 LEA CENTENO
25,000.00 25,000.00 IRENE CUARTEROS
10,000.00 5,000.00 MARIBEL GUITTU
36 37

ADDRESS
NAME
ADOLFO JR GATON GAYON SAMPAGUITA SOLANA CAGAYAN 3500
LIZEL ADRIANO DELOS REYES SAMPAGUITA SOLANA CAGAYAN 3500
MAGIE BANGAYAN MAGORA SAMPAGUITA SOLANA CAGAYAN 3500
RODEL CAYME JUSTO SAMPAGUITA SOLANA CAGAYAN 3500
LETICIA TAGUINOD MALSI SAMPAGUITA SOLANA CAGAYAN 3500
PALMING TULUGAN BARRIENTOSAMPAGUITA SOLANA CAGAYAN 3500
RUBEN MALLILLIN GALANIOTE SAMPAGUITA SOLANA CAGAYAN 3500
MONICA RABET MATIAS SAMPAGUITA SOLANA CAGAYAN 3500
CARMINA BANGAYAN DELOS RESAMPAGUITA SOLANA CAGAYAN 3500
REGINA BANGAYAN DELOS REYESAMPAGUITA SOLANA CAGAYAN 3500
38 39 40 41 42
CHECK THE
BIRTHDAY/AGE
KAPAG DI
CURRENT LOAN NAGCOUNT
MI TERM Member Spouse Child 1/Siblings
CYCLE
1 6
1 6
1 6
1 6
3 6
3 6
3 6
4 6
9 6
10 6 1

18 6
17 6
17 6
17 6
17 6

-
-
-
-
-
-
-
-
-
1 6 -
1 6 -
1 6 -
1 6 -
1 6 -
1 6 -
1 6 -
1 6 -
1 6 -
1 6 -
1 6 -
1 6 -
1 6 -
1 6 -
1 6 -
1 6 -
1 6 -
1 6 -
1 6 -
1 6 -
1 6 -
43 44.00 45.00 46.00 47

Parent 2 Member Spouse Child 1/Siblings Parent 2

- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 23.00 -
1 - - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
48.00

TOTAL

- 0
-
-
-
-
-
-
-
-
23.00
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
CLUSTER LOAN APPLICATION SUMMARY (CLAS)
Branch Code: 039TUG
Date of Pre-Disbursement Verification: 05/02/2024 Date of Disbursement: 05/09/2024
Cluster Code: 039TUG-B107 Cluster Address: CARIG NORTE, TUGUEGARAO CITY, CAGAYAN Type of Loan: TANGLAW Total Partner-Clients: 10

Loan Loan Loan Current Loan Received by


No. Name Type of Business Purpose of Loan Product Term Cycle Credit Line Total CBU as of Previous Loan Approved Loan (Signature)
#01 ADOLFO JR GATON GAYON BUY AND SELL SCRAP BUSINESS T1-CTR 6 1 76,000.00 8,816.94 - 8,000.00
#02 LIZEL ADRIANO DELOS REYES E-BIKE SELLER BUSINESS T1-CTR 6 1 140,000.00 10,921.63 - 10,000.00
#03 MAGIE BANGAYAN MAGORA PLASTICWARES BUSINESS T1-CTR 6 1 124,000.00 6,867.68 - 10,000.00
#04 RODEL CAYME JUSTO PLASTICWARES BUSINESS T1-CTR 6 1 107,000.00 16,083.75 - 8,000.00
#05 LETICIA TAGUINOD MALSI SARI- SARI STORE BUSINESS T1-CTR 6 3 134,000.00 15,115.99 20,000.00 20,000.00
#06 PALMING TULUGAN BARRIENTOS PLASTICWARES BUSINESS T1-CTR 6 3 50,000.00 8,158.28 10,000.00 15,000.00
#07 RUBEN MALLILLIN GALANIOTE BUY AND SELL SCRAP BUSINESS T1-CTR 6 3 23,000.00 369.19 15,000.00 15,000.00
#08 MONICA RABET MATIAS VEGETABLE VENDING BUSINESS T1-CTR 6 4 69,000.00 13,108.49 20,000.00 25,000.00
#09 CARMINA BANGAYAN DELOS REYES PLASTICWARES BUSINESS T1-CTR 6 9 73,000.00 7,482.79 25,000.00 25,000.00
#10 REGINA BANGAYAN DELOS REYES LIVESTOCK BUSINESS T1-CTR 6 10 107,000.00 12,072.54 5,000.00 10,000.00
#11 0 0 0 - - - - - -
#12 0 0 0 - 18 - - - -
#13 0 0 0 - 17 - - - -
#14 0 0 0 - 17 - - - -
#15 0 0 0 - 17 - - - -
#16 0 0 0 - 17 - - - -
#17 0 0 0 - - - - - -
#18 0 0 0 - - - - - -
#19 0 0 0 - - - - - -
#20 0 0 0 - - - - - -
#21 0 0 0 - - - - - -
#22 0 0 0 - - - - - -
#23 0 0 0 - - - - - -
#24 0 0 0 - - - - - -
#25 0 0 0 - - - - - -
#26 0 0 0 - - - - - -
#27 0 0 0 - - - - - -
#28 0 0 0 - - - - - -
#29 0 0 0 - - - - - -
#30 0 0 - 1 - - - -
#31 0 0 - 1 - - - -
#32 0 0 - 1 - - - -
#33 0 0 - 1 - - - -
#34 0 0 - 1 - - - -
#35 0 0 - 1 - - - -
#36 0 0 - 1 - - - -
#37 0 0 - 1 - - - -
#38 0 0 - 1 - - - -
#39 0 0 - 1 - - - -
#40 0 0 - 1 - - - -
TOTAL 146,000.00
This is computer generated.
Prepared by: Checked by: Certified True & Correct by:
VICKY GAMBOL ROAN IBIS CRISANTO C. GAPOY JR.
Account Officer Unit Supervisor Branch Manager
CLUSTER MEMBERS INFORMATION AND MONITORING FORM (CMIMF)
No. Name of Partner-Client Present Home Address Type of Business Loan Cycle Loan Applied Previous Loan Credit Line Approved Loan Cluster Training Cluster Training Cluster Training Cluster Training Pre-Disbusrement
Amount Sesson 1 Session 2 Session 3 Session 4 Verification

150,000.00 95,000.00 903,000.00 146,000.00 Date: Date: Date: Date: Date:


BUY AND SELL
#01 ADOLFO JR GATON GAYON SAMPAGUITA SOLANA CAGAYAN 3500 SCRAP 1 10,000.00 - 76,000.00 8,000.00
#02 LIZEL ADRIANO DELOS REYES SAMPAGUITA SOLANA CAGAYAN 3500 E-BIKE SELLER 1 10,000.00 - 140,000.00 10,000.00
#03 MAGIE BANGAYAN MAGORA SAMPAGUITA SOLANA CAGAYAN 3500 PLASTICWARES 1 10,000.00 - 124,000.00 10,000.00
#04 RODEL CAYME JUSTO SAMPAGUITA SOLANA CAGAYAN 3500 PLASTICWARES 1 10,000.00 - 107,000.00 8,000.00
#05 LETICIA TAGUINOD MALSI SAMPAGUITA SOLANA CAGAYAN 3500 SARI- SARI STORE 3 20,000.00 20,000.00 134,000.00 20,000.00
#06 PALMING TULUGAN BARRIENTOS SAMPAGUITA SOLANA CAGAYAN 3500 PLASTICWARES 3 15,000.00 10,000.00 50,000.00 15,000.00
BUY AND SELL
#07 RUBEN MALLILLIN GALANIOTE SAMPAGUITA SOLANA CAGAYAN 3500 SCRAP 3 15,000.00 15,000.00 23,000.00 15,000.00
VEGETABLE
#08 MONICA RABET MATIAS SAMPAGUITA SOLANA CAGAYAN 3500 VENDING 4 25,000.00 20,000.00 69,000.00 25,000.00
#09 CARMINA BANGAYAN DELOS REYES SAMPAGUITA SOLANA CAGAYAN 3500 PLASTICWARES 9 25,000.00 25,000.00 73,000.00 25,000.00
#10 REGINA BANGAYAN DELOS REYES SAMPAGUITA SOLANA CAGAYAN 3500 LIVESTOCK 10 10,000.00 5,000.00 107,000.00 10,000.00
#11 0 0 0 0 - - - -
#12 0 0 0 18 - - - -
#13 0 0 0 17 - - - -
#14 0 0 0 17 - - - -
#15 0 0 0 17 - - - -
#16 0 0 0 17 - - - -
#17 0 0 0 0 - - - -
#18 0 0 0 0 - - - -
#19 0 0 0 0 - - - -
#20 0 0 0 0 - - - -
#21 0 0 0 0 - - - -
#22 0 0 0 0 - - - -
#23 0 0 0 0 - - - -
#24 0 0 0 0 - - - -
#25 0 0 0 0 - - - -
#26 0 0 0 0 - - - -
#27 0 0 0 0 - - - -
#28 0 0 0 0 - - - -
#29 0 0 0 0 - - - -
#30 0 1 - - - -
#31 0 1 - - - -
#32 0 1 - - - -
#33 0 1 - - - -
#34 0 1 - - - -
#35 0 1 - - - -
#36 0 1 - - - -
#37 0 1 - - - -
#38 0 1 - - - -
#39 0 1 - - - -
#40 0 1 - - - -
Prepared by: VICKY GAMBOL Signature:

Checked by: ROAN IBIS Signature:

Certified True & Correct by: CRISANTO C. GAPOY JR. Signature:

Page 1
LIGHT MICROFINANCE, INC.
SUMMARY OF LOAN FEES
AO: VICKY GAMBOL
Cluster Code: 039TUG-B107 Cluster Address: CARIG NORTE, T

LOAN
NO PARTNER CLIENT'S NAME COMPLETE ADDRESS
CYCLE

#01 ADOLFO JR GATON GAYON SAMPAGUITA SOLANA CAGAYAN 3500 01


#02 LIZEL ADRIANO DELOS REYES SAMPAGUITA SOLANA CAGAYAN 3500 01
#03 MAGIE BANGAYAN MAGORA SAMPAGUITA SOLANA CAGAYAN 3500 01
#04 RODEL CAYME JUSTO SAMPAGUITA SOLANA CAGAYAN 3500 01
#05 LETICIA TAGUINOD MALSI SAMPAGUITA SOLANA CAGAYAN 3500 03
#06 PALMING TULUGAN BARRIENTOS SAMPAGUITA SOLANA CAGAYAN 3500 03
#07 RUBEN MALLILLIN GALANIOTE SAMPAGUITA SOLANA CAGAYAN 3500 03
#08 MONICA RABET MATIAS SAMPAGUITA SOLANA CAGAYAN 3500 04
#09 CARMINA BANGAYAN DELOS REYES SAMPAGUITA SOLANA CAGAYAN 3500 09
#10 REGINA BANGAYAN DELOS REYES SAMPAGUITA SOLANA CAGAYAN 3500 10
#11 Php - - 00
#12 Php - - 18
#13 Php - - 17
#14 Php - - 17
#15 Php - - 17
#16 Php - - 17
#17 Php - - 00
#18 Php - - 00
#19 Php - - 00
#20 Php - - 00
#21 Php - - 00
#22 Php - - 00
#23 Php - - 00
#24 Php - - 00
#25 Php - - 00
#26 Php - - 00
#27 Php - - 00
#28 Php - - 00
#29 Php - - 00
#30 01
#31 01
#32 01
#33 01
#34 01
#35 01
#36 01
#37 01
#38 01
#39 01
#40 01
#41 01
#42 01
#43 01
#44 01
#45 01
#46 01
#47 01
#48 01
#49 01
#50 01
GRAND TOTAL

Name of Field Staff in-charge Cluster Code


VICKY GAMBOL 002TAL-B325
: CARIG NORTE, TUGUEGARAO CITY, CAGAYAN

LOAN
LOAN NO OF DST PROCESSING DOCUMENTAR MICROINSURANC
AMOUNT
TERM WEEKS DAYS FEE (1.5%) Y STAMP TAX E PAYABLE
(PRINCIPAL)
06 24 180 8,000.00 120.00 29.59 -
06 24 180 10,000.00 150.00 36.99 -
06 24 180 10,000.00 150.00 36.99 -
06 24 180 8,000.00 120.00 29.59 -
06 24 180 20,000.00 300.00 73.97 -
06 24 180 15,000.00 225.00 55.48 -
06 24 180 15,000.00 225.00 55.48 -
06 24 180 25,000.00 375.00 92.47 -
06 24 180 25,000.00 375.00 92.47 -
06 24 180 10,000.00 150.00 36.99 23.00
00 00 00 - - - -
00 00 00 - - - -
00 00 00 - - - -
00 00 00 - - - -
00 00 00 - - - -
00 00 00 - - - -
00 00 00 - - - -
00 00 00 - - - -
00 00 00 - - - -
00 00 00 - - - -
00 00 00 - - - -
00 00 00 - - - -
00 00 00 - - - -
00 00 00 - - - -
00 00 00 - - - -
00 00 00 - - - -
00 00 00 - - - -
00 00 00 - - - -
00 00 00 - - - -
00 00 - - - -
00 00 - - - -
00 00 - - - -
00 00 - - - -
00 00 - - - -
00 00 - - - -
00 00 - - - -
00 00 - - - -
00 00 - - - -
00 00 - - - -
00 00 - - - -
00 00 - - - -
00 00 - - - -
00 00 - - - -
00 00 - - - -
00 00 - - - -
00 00 - - - -
00 00 - - - -
00 00 - - - -
00 00 - - - -
00 00 - - - -
146,000.00 2,190.00 540.02 23.00

Male Female NL - PC Product RL - PC RL - Amount


- - - MPL-New Loan - 0.00
DATE OF RELEASE: Thursday, May 02, 2024
FIRST PAYMENT DUE ON: Thursday, May 16, 2024
LAST PAYMENT DUE ON: Thursday, Oct 31, 2024
50
MICROINSURA NOTARIAL
CGLI PAYABLE CGLI FEE NOTARIAL FEE I.D FEE
NCE FEE INCOME (10)

90.00 21.60 18.40 - - 20.00


90.00 27.00 23.00 10.00 50.00 -
90.00 27.00 23.00 10.00 50.00 20.00
90.00 21.60 18.40 - - 20.00
90.00 54.00 46.00 10.00 50.00 20.00
90.00 40.50 34.50 10.00 50.00 20.00
90.00 40.50 34.50 10.00 50.00 20.00
90.00 67.50 57.50 10.00 50.00 20.00
90.00 67.50 57.50 10.00 50.00 20.00
90.00 27.00 23.00 10.00 50.00 20.00
- - - - - 20.00
- - - - - 20.00
- - - - - 20.00
- - - - - 20.00
- - - - - -
- - - - - -
- - - - - 20.00
- - - - - 20.00
- - - - - 20.00
- - - - - 20.00
- - - - - 20.00
- - - - - 20.00
- - - - - 20.00
- - - - - 20.00
- - - - - 20.00
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
900.00 394.20 335.80 80.00 400.00 440.00

Product Total Date of Release Product


MPL-Reloan #REF! 8/18/2021 MPL
UFRONT CBU TOTAL FEES
I.D??
400.00 699.59 YES
500.00 886.99 NO
500.00 906.99 YES
400.00 699.59 YES
600.00 1,243.97 YES
450.00 975.48 YES
450.00 975.48 YES
750.00 1,512.47 YES
750.00 1,512.47 YES
300.00 729.99 YES
- 20.00 YES
- 20.00 YES
- 20.00 YES
- 20.00 YES
- - NO
- - NO
- 20.00 YES
- 20.00 YES
- 20.00 YES
- 20.00 YES
- 20.00 YES
- 20.00 YES
- 20.00 YES
- 20.00 YES
- 20.00 YES
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
5,100.00 10,403.02
MINUTES OF MEETING FORM
DATE: PAYMENT CLUSTER: 039TUG-B107 WEEK NO.:
TIME MINUTES OF MEETING
NO. NAME OF PC TIME- IN SIGN OUT SIGN LOAN CBU FARE
1 ADOLFO JR GATON GAYON I. OPENING PRAYER
2 LIZEL ADRIANO DELOS REYES
3 MAGIE BANGAYAN MAGORA
4 RODEL CAYME JUSTO II. TOPIC
5 LETICIA TAGUINOD MALSI
6 PALMING TULUGAN BARRIENTOS
7 RUBEN MALLILLIN GALANIOTE III. LEARNINGS/ACTIVITIES
8 MONICA RABET MATIAS
9 CARMINA BANGAYAN DELOS REYES
10 REGINA BANGAYAN DELOS REYES
11 0
12 0 IV. OTHER CONCERN/S
13 0
14 0
15 0
16 0
17 0
18 0
19 0
20 0
21 0
22 0 V. ANNOUNCEMENT
23 0
24 0
25 0
26 0 VI. CLOSING PRAYER:
27 0
28 0 NAME AND SIGNATURE
29 0 DEPOSITOR1:
30 DEPOSITOR2:
ACCOUNT OFFICER: VICKY GAMBOL TIME OF ARRIVAL: PREPARED BY SECRETARY:
AMOUNT FOR DEPOSIT: PHP CERTIFIED TRUE & CORRECT BY PRESIDENT:
VISITOR/S: VERIFIED BY AO:
TIME LEFT THE CLUSTER:
MINUTES OF MEETING FORM
DATE: PAYMENT CLUSTER: 039TUG-B107 WEEK NO.:
TIME MINUTES OF MEETING
NO. NAME OF PC TIME- IN SIGN OUT SIGN LOAN CBU FARE
1 ADOLFO JR GATON GAYON I. OPENING PRAYER
2 LIZEL ADRIANO DELOS REYES
3 MAGIE BANGAYAN MAGORA
4 RODEL CAYME JUSTO II. TOPIC : CLUSTER TRAINING SESSION 1 (INTRODUCTION OF LIGHT AND NON-FINANCIAL
SERVICES
5 LETICIA TAGUINOD MALSI
6 PALMING TULUGAN BARRIENTOS
7 RUBEN MALLILLIN GALANIOTE III. LEARNINGS/ACTIVITIES
8 MONICA RABET MATIAS
9 CARMINA BANGAYAN DELOS REYES
10 REGINA BANGAYAN DELOS REYES
11 0
12 0 IV. OTHER CONCERN/S
13 0
14 0
15 0
16 0
17 0
18 0
19 0
20 0
21 0
22 0 V. ANNOUNCEMENT
23 0
24 0
25 0
26 0 VI. CLOSING PRAYER:
27 0
28 0 NAME AND SIGNATURE
29 0 DEPOSITOR1:
30 DEPOSITOR2:
ACCOUNT OFFICER: VICKY GAMBOL TIME OF ARRIVAL: PREPARED BY SECRETARY:
AMOUNT FOR DEPOSIT: PHP CERTIFIED TRUE & CORRECT BY PRESIDENT:
VISITOR/S: VERIFIED BY AO:
TIME LEFT THE CLUSTER:

CHECKED BY: US/BM REMARKS:


MINUTES OF MEETING FORM
DATE: PAYMENT CLUSTER: 039TUG-B107 WEEK NO.:
TIME MINUTES OF MEETING
NO. NAME OF PC TIME- IN SIGN OUT SIGN LOAN CBU FARE
1 ADOLFO JR GATON GAYON I. OPENING PRAYER
2 LIZEL ADRIANO DELOS REYES
3 MAGIE BANGAYAN MAGORA
4 RODEL CAYME JUSTO II. TOPIC : CLUSTER TRAINING SESSION 2 (FINANCIAL LITERACY)
5 LETICIA TAGUINOD MALSI
6 PALMING TULUGAN BARRIENTOS
7 RUBEN MALLILLIN GALANIOTE III. LEARNINGS/ACTIVITIES
8 MONICA RABET MATIAS
9 CARMINA BANGAYAN DELOS REYES
10 REGINA BANGAYAN DELOS REYES
11 0
12 0 IV. OTHER CONCERN/S
13 0
14 0
15 0
16 0
17 0
18 0
19 0
20 0
21 0
22 0 V. ANNOUNCEMENT
23 0
24 0
25 0
26 0 VI. CLOSING PRAYER:
27 0
28 0 NAME AND SIGNATURE
29 0 DEPOSITOR1:
30 DEPOSITOR2:
ACCOUNT OFFICER: VICKY GAMBOL TIME OF ARRIVAL: PREPARED BY SECRETARY:
AMOUNT FOR DEPOSIT: PHP CERTIFIED TRUE & CORRECT BY PRESIDENT:
VISITOR/S: VERIFIED BY AO:
TIME LEFT THE CLUSTER:

CHECKED BY: US/BM REMARKS:


MINUTES OF MEETING FORM
DATE: PAYMENT CLUSTER: 039TUG-B107 WEEK NO.:
TIME MINUTES OF MEETING
NO. NAME OF PC TIME- IN SIGN OUT SIGN LOAN CBU FARE
1 ADOLFO JR GATON GAYON I. OPENING PRAYER
2 LIZEL ADRIANO DELOS REYES
3 MAGIE BANGAYAN MAGORA
4 RODEL CAYME JUSTO II. TOPIC : CLUSTER TRAINING SESSION 3 (FINANCIAL PRODUCT AND SERVICES)
5 LETICIA TAGUINOD MALSI
6 PALMING TULUGAN BARRIENTOS
7 RUBEN MALLILLIN GALANIOTE III. LEARNINGS/ACTIVITIES
8 MONICA RABET MATIAS
9 CARMINA BANGAYAN DELOS REYES
10 REGINA BANGAYAN DELOS REYES
11 0
12 0 IV. OTHER CONCERN/S
13 0
14 0
15 0
16 0
17 0
18 0
19 0
20 0
21 0
22 0 V. ANNOUNCEMENT
23 0
24 0
25 0
26 0 VI. CLOSING PRAYER:
27 0
28 0 NAME AND SIGNATURE
29 0 DEPOSITOR1:
30 DEPOSITOR2:
ACCOUNT OFFICER: VICKY GAMBOL TIME OF ARRIVAL: PREPARED BY SECRETARY:
AMOUNT FOR DEPOSIT: PHP CERTIFIED TRUE & CORRECT BY PRESIDENT:
VISITOR/S: VERIFIED BY AO:
TIME LEFT THE CLUSTER:

CHECKED BY: US/BM REMARKS:


MINUTES OF MEETING FORM
DATE: PAYMENT CLUSTER: 039TUG-B107 WEEK NO.:
TIME MINUTES OF MEETING
NO. NAME OF PC TIME- IN SIGN OUT SIGN LOAN CBU FARE
1 ADOLFO JR GATON GAYON I. OPENING PRAYER
2 LIZEL ADRIANO DELOS REYES
3 MAGIE BANGAYAN MAGORA
4 RODEL CAYME JUSTO II. TOPIC : CLUSTER TRAINING SESSION 4 (ELECTION OF OFFICER & CLUSTER MANAGEMENT
LOAN DOCUMENTATION)
5 LETICIA TAGUINOD MALSI
6 PALMING TULUGAN BARRIENTOS
7 RUBEN MALLILLIN GALANIOTE III. LEARNINGS/ACTIVITIES
8 MONICA RABET MATIAS
9 CARMINA BANGAYAN DELOS REYES
10 REGINA BANGAYAN DELOS REYES
11 0
12 0 IV. OTHER CONCERN/S
13 0
14 0
15 0
16 0
17 0
18 0
19 0
20 0
21 0
22 0 V. ANNOUNCEMENT
23 0
24 0
25 0
26 0 VI. CLOSING PRAYER:
27 0
28 0 NAME AND SIGNATURE
29 0 DEPOSITOR1:
30 DEPOSITOR2:
ACCOUNT OFFICER: VICKY GAMBOL TIME OF ARRIVAL: PREPARED BY SECRETARY:
AMOUNT FOR DEPOSIT: PHP CERTIFIED TRUE & CORRECT BY PRESIDENT:
VISITOR/S: VERIFIED BY AO:
TIME LEFT THE CLUSTER:

CHECKED BY: US/BM REMARKS:


MINUTES OF MEETING FORM
DATE: PAYMENT CLUSTER: 039TUG-B107 WEEK NO.:
TIME MINUTES OF MEETING
NO. NAME OF PC TIME- IN SIGN OUT SIGN LOAN CBU FARE
1 ADOLFO JR GATON GAYON I. OPENING PRAYER
2 LIZEL ADRIANO DELOS REYES
3 MAGIE BANGAYAN MAGORA
4 RODEL CAYME JUSTO II. TOPIC : PRE-DISBURSEMENT VERIFICATION
5 LETICIA TAGUINOD MALSI
6 PALMING TULUGAN BARRIENTOS
7 RUBEN MALLILLIN GALANIOTE III. LEARNINGS/ACTIVITIES
8 MONICA RABET MATIAS
9 CARMINA BANGAYAN DELOS REYES
10 REGINA BANGAYAN DELOS REYES
11 0
12 0 IV. OTHER CONCERN/S
13 0
14 0
15 0
16 0
17 0
18 0
19 0
20 0
21 0
22 0 V. ANNOUNCEMENT
23 0
24 0
25 0
26 0 VI. CLOSING PRAYER:
27 0
28 0 NAME AND SIGNATURE
29 0 DEPOSITOR1:
30 DEPOSITOR2:
ACCOUNT OFFICER: VICKY GAMBOL TIME OF ARRIVAL: PREPARED BY SECRETARY:
AMOUNT FOR DEPOSIT: PHP CERTIFIED TRUE & CORRECT BY PRESIDENT:
VISITOR/S: VERIFIED BY AO:
TIME LEFT THE CLUSTER:

CHECKED BY: US/BM REMARKS:


CLUSTER MEETING ATTENDANCE SUMMARY (CMAS)
OPN-19-v1028

BRANCH: TUGUEGARAO DISBURSEMENT DATE: 09-May-24 LOAN OFFICER: VICKY GAMBOL CLUSTER CODE: 039TUG-B107
(1) MONTH (2) MONTH: (3) MONTH: (4) MONTH: (5) MONTH: (6) MONTH:
NO. NAME OF PARTNER-CLIENTS TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL IN
W1 W2 W3 W4 W1 W2 W3 W4 W1 W2 W3 W4 W1 W2 W3 W4 W1 W2 W3 W4 W1 W2 W3 W4
THE CYCLE
Module Title --->
1 ADOLFO JR GATON GAYON
2 LIZEL ADRIANO DELOS REYES
3 MAGIE BANGAYAN MAGORA
4 RODEL CAYME JUSTO
5 LETICIA TAGUINOD MALSI
6 PALMING TULUGAN BARRIENTOS
7 RUBEN MALLILLIN GALANIOTE
8 MONICA RABET MATIAS
9 CARMINA BANGAYAN DELOS REYES
10 REGINA BANGAYAN DELOS REYES
11 0
12 0
13 0
14 0
15 0
16 0
17 0
18 0
19 0
20 0
21 0
22 0
23 0
24 0
25 0
26 0
27 0
28 0
29 0
30
31
32
33
34
35
36
37
38
39
40

PREPARED BY VICKY GAMBOL


VALIDATED BY: ROAN IBIS
CHECKED/APPROVED BY CRISANTO C. GAPOY JR.
TOTAL ATTENDANCE
Average Attendance
Legend: W1 - Standard Cluster Meeting with Module Facilitation, Distibution of Passbook W2- Accountability Group W3 - Prayer Time (Share, Care and Pray) BM's Remarks
√ Put a check (√) for PCs with signature at MMF W4 - Thanksgiving Fellowship, Monthly Birthdat Celebration, Gathering of Passbook for Reconciliation

*Birthday - LO highlights the row on the 4th week for PC celebrating thier birthday for the month.
Note: This is printed at the branch level. Just insert column for those months with more than 4 weeks before printing.
LOAN REQUIREMENTS CHECKLIST
Please arrange according to its proper order. BRANCH:
PARTNER-CLIENT'S NAME: RELEASE DATE:
MATURITY DATE:
COMPLETE ADDRESS:
LOAN TERM:
CLUSTER CODE: MONTHLY INTEREST:
LOAN TYPE: AMOUNT APPROVED (P):

a) Three pieces 1X1 ID picture


b) Photocopy of 1 valid ID of PC, front and back, with 3 specimen signature
c) Photocopy of 1 ID valid of Spouse/Family Member, front and back with speciment signature
d) Photocopy of 1 valid ID of Co-maker, front and back with specimen signature
e) Barangay clearance, updated
f) Transport franchise for transport service source of income

Additional for loan of Php50,000 and above


g) Business documents
Barangay/Mayor Business Permit Bank Statement or Audited Financial Statement OR
Post-Dated Cheque (PDC), if applicable Brgy. Micro Business Enterprise (BMBE) Certificate

h) Any one (1) document from valuable asset or property a


Copy of Mototcycle/vehicle OR-CR Copy of Land Title Pawnable items with est. current
value equivalent to loan applied
i) Post-Dated Check (PDC) for INDIVIDUAL LOAN No. of Copies: __________

Additional for Agri-Loan


j) Farmer Certifications (at least 2 of the following):
Land Title Certificate of Tenancy
Tax Declaration BAFSI (Barangay Agriculture & Fisheries Council)
Irrigation Fee Official Receipt Certificate of Tenancy
BARC (Barangay Agrarian Reform Committee)
Certificate from MARO /MAO

Submitted by Client: _________________________________ Date:

LIGHT DOCUMENTARY REQUIREMENTS


TANGLAW / AGRI-LOAN ADDITIONAL FOR AGRI-LOAN
Individual Information Sheet (IIS) MI and CLI forms, if applicable Farm Plan and Budget
a. CB Kalinga Membership Insurance Summary of Farm Location with
Loan Application Form (LAF)
Application Boundaries
Credit Analysis Farm Monitoring Form
c. CGLI Plan and Debtor's Health
Progress out of Poverty Index (PPI), if Statement Others: PCIC forms
applicable
House Sketch
Promissory Note
Pre-Disbursement Verification Others: ______________________
ADDITIONAL FOR INDIVIDUAL
Individual Member’s Passbook PARTNER-CLIENTS WITH PDC
Individual Ledger Schedule of payment
Others: ______________________

Prepared by AO: __________________________________ Verified by US: ________________________________


Date: ____________ Date: ______________

Checked by CC: __________________________________ Certified True & Correct by BM: ___________________________


Date: ____________ Date: ____________
SCHEDULE OF PAYMENT
Partner-Client's Name: Disbursement Date: Branch:

Loan Amount (p+i): Maturity Date: Principal Amount:

Loan Term: Bank Name:

Total Check
Count Amortization Date Loan Payment Due CBU Due Check Number Remarks
Amount
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
TOTAL

Prepared by: Checked by: Validated by: Certified True & Correct by:

Account Officer Unit Supervisor Branch Accountant Branch Manager


BRANCH: _________________________ SUMMARY OF FARM LOCATIONS WITH BOUNDARIES
NAME ( Lastname, Firstname, MI) Location of Farm( Sitio, Brgy, Municipality)
NO. Has. North South East West Signature

10

Prepared by: Checked & Validated by: Certified True & Correct by:

AO-Agri Unit Supervisor Branch Manager


FARM MONITORING FORM
Date of Release:
Date of Harvest: Noted by US/BM

CLIENT: 1 2 3 4 WEEKLY
Date: Date: Date: Date: Signature/Date
Observation: Observation: Observation: Observation:

WEEK 1

Date: Date: Date: Date:


Observation: Observation: Observation: Observation:

WEEK 2

Date: Date: Date: Date:


Observation: Observation: Observation: Observation:

WEEK 3

Date: Date: Date: Date:


Observation: Observation: Observation: Observation:

WEEK 4

Use additional page if necessary


Prepared by AO-Agri: _______________________________ Branch: _________________________________

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