COMMISSION ON AUDIT

Quezon City
GSIS LOAN APPLICATION APPROVAL SLIP
(Pre-requisite to GSIS Loan Application)

Name: ABOUT, GLICER GREGORIO Date: AUGUST 23, 2019

(Last Name, First Name, MI) GSIS ID No.
Policy No.__________________
Loan Type :_CONSO LOAN
Loan Amount: 100,000 + Term:6 YEARS NEW RENEWAL

This is to certify that the above named borrower is a

For use of HRMO
Bona fide employee of the Commission and is not on
Date Received:_____________
Leave without pay as of_________________________
Time Received:_____________
Received By:_______________
ARLENE C.
MYDEE MAR REALIZA
MANDIN ABIGAIL DS LUNA
ARLENE
Director
State MAR
Auditor REALIZA
II/Service Chief
IV/OIC-RSA Supervising Administrative Officer
Director II/Service
NGS-1-4/COA Chie
RegionIX
AFTSS/COA Region IX Leave and Personnel Section Date Released:_____________
AFTSS/COA Reion IX AFTSS/COA Region IX

I hereby attest that I have no This is to certify that the above For use of IAO

pending case in any court
within and outside of the
Philippines as of this date
Signature of Borrower
named borrower has no pending Date Received:_____________
administrative case on record as of Time Received:____________
Received By:______________
Name
Designation
Date Released____________
Internal Affairs Office

This is to certify that the above named borrower has a For use of Accounting Office
net pay of P____________ as _____________ Date Received:_____________
Monthly loan deduction_____________________ Time Received:_____________
(for the same type of loan applied for, if renewal) Received By:_______________
______________________________________
Name Date Released:_____________
Designation
Accounting Office

This is to certify that the above named borrower is For use of PWA
With loan application === Date Received:_____________
In good standing Time Received:_____________

Not In good standing Received By:_______________

Date Released:_____________

Name
Designation
PWA Officer