LBP Motor Vehicle Loan Application
LBP Motor Vehicle Loan Application
LBP Motor Vehicle Loan Application
Officer/PG___
Email Address:
Rank & File/PG___ Personnel No: __________ Tel. No./Local No.:
Department/Unit
LAST NAME FIRST NAME MIDDLE NAME
If spouse is also a Landbanker, Officer Rank & File PG_____ Tel. No./Local No.
For SPOUSES application, sharing of Deduction: Equal (50%-50%) Others, specify __________
LOAN DETAILS
Type of Loan: Name of Dealer: Amount Applied For:
Motor Vehicle Loan
Motor Vehicle Lease PHP
Pari-Passu (Combination of Loan/Lease) Vehicle to be purchased: Term (in years):
Conversion from
LOAN to LEASE
I/We hereby authorize the Provident Fund Department, Administrative Accounting Department, Personnel
Administration Department, or any authorized unit of the Land Bank of the Philippines to deduct the corresponding
monthly amortization of the loan from my/our salary/ies every payroll period until the loan is fully paid.
________________________________ ________________________________
Signature over printed name of Signature over printed name of
Applicant-Borrower Applicant-Borrower’s Spouse
Application Received on
____________________________
Class D
PF MVL Application Set v2.12.2018
__________________
Date
Dear Sir/Madam:
1. Clearance for the dealer/seller to release in my favor the motor vehicle subject of my
loan/lease availment with Provident Fund Department (PFD) and pending approval of the
Mortgage Redemption Insurance (MRI) application.
2. Release the proceeds of my Motor Vehicle Loan &/or Lease, as applicable, pending receipt
of LBP-PFD of the approval of the LBP Insurance Brokerage, Inc. (LIBI) of my MRI
application.
Relative to the release of my loan &/or lease proceeds, I hereby agree to the following, as may
be applicable:
1. Pay the insurer thru LBP-PFD the actual amount of premium for comprehensive car
insurance and MRI and pay LBP-PFD the deficiency if the amount deposited as part of the
equity share is lower than the actual premium paid.
2. Deduct my outstanding MV loan or lease balance from my benefits from the Land Bank of
the Philippines and/or LBP-PFD, upon separation from the Bank or in case of my death.
Thank you.
Truly yours,
_________________________
Signature over Printed Name of
Borrower/Availer
Class D
PF MVL Application Set v2.12.2018
I further certify that I will not file any loan application which, after applying all
the necessary statutory and other deductions, will result in my monthly net take home
pay going below P5,000.
_______________________________
Signature over Printed Name of
Borrower/Availer
NOTARY PUBLIC
I hereby agree and consent that Land Bank of the Philippines through its Provident Fund
Department (“LBP-PFD”) may, in accordance with the privacy standards and security measures set forth
in its Privacy Statement, collect, store, modify, retrieve, use or, in any manner it deems appropriate,
process, my personal information and sensitive personal information including, but not limited to:
Name, address, phone numbers, e-mail address and other contact information;
Date of birth, civil status and other personal information for identification documentation;
Government-issued identification numbers such as passport numbers, Social Security Number,
Taxpayer Identification Numbers and/or driver’s license numbers;
Financial and banking details, including my financial interests and holdings;
Other details that may impact on my eligibility for LANDBANK products and services; and
Any further personal information required for LANDBANK to provide its products and services.
I hereby authorize LBP-PFD to process, use and disclose to third parties the foregoing
information pertaining to me to the extent necessary and adequate for any of the following purposes:
To establish, confirm, update and review my records;
To administer my account or the facilities or services provided to me;
To establish my credit standing, conduct credit checks and monitor my creditworthiness at the
time of my application for credit and during regular or special review thereof;
To determine the amounts that I owe or to collect the amounts that are due and outstanding;
To perform internal banking operations such as credit and risk management, product
development and planning, market research, audit and administrative purposes; and
Any other legitimate business interest or purpose that LANDBANK may deem necessary.
I agree that LBP-PFD may provide my personal information or sensitive personal information, in
the ordinary course of business, to the following parties for any of the purposes set out above:
Any agent, contractor or third party service providers who provide relevant services to
LANDBANK;
Credit bureaus or credit reference agencies, and in the event of default, to debt collection
agencies;
Any regulatory, governmental, tax, law enforcement or other agencies or authorities, clearing
houses for the purpose of complying with the laws, rules and regulations.
I acknowledge that I have a right of access to my personal data, to require the correction of any
inaccurate data, or to request the destruction of personal data pertaining to me that are no longer
necessary for the purpose for which they were obtained subject to the procedures prescribed by LBP-
PFD in regard to which I may contact the PF Loan Officer/representative through +63 2 5512200 local
2143, 7754, or 4068.
_________________________________
Name & Signature of Member-Borrower
Date ________________