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This questionnaire should be completely accomplished by the parents of the applicant. Applications with incomplete requiremen ts or
data will NOT be processed. Interview shall be conducted in case of any clarification on the given data or document.
1. One (1) 2” x 2” picture white background taken the within last three months prior submission of application. Please write your
complete name at the back of the photo.
2. Proof of income of each parent.
a. If currently employed
Certificate of Employment and Compensation including bonuses, commissions and allowances
For OFW, Certificate of Employment and Compensation, Employment Contract in English, and Special Power of
Attorney (Please follow the attached format)
Photocopy of three (3) months consecutive payslips or allotment slips prior submission of this form
b. If self-employed or owns a business
Detailed description of the nature of work or business
Income and expense financial statement for the previous year
c. If unemployed
BIR Certificate of Tax Exemption
d. If retired or retrenched parents for the past five (5) years
Certificate of Separation or Retirement with the amount of retirement / separation benefits received
3. Affidavit of support from legal guardian (if applicable)
4. For parents with current liabilities with employer or any other financial institution must submit a certification or statement
indicating the following for each of the loan availed :
Loan type
Monthly payment
Remaining loan amount to be amortized
Payment period of the loan
5. Certified true copy of 3 rd Year and 4th year High School Report Card. If enrolled in college a copy of Transcript of Records.
The Student Loan Assistance Fund of NYK-TDG Maritime Academy provides a Study Now, Pay Later Program to a student for the
duration of six (6) semesters. Loan coverage shall be at the sole discretion of NTIF based on the determined financial capacity after an
independent evaluation of loan application.
Instructions :
1. This application form shall be accomplished by the applicant and the parent/legal guardian.
2. Letters should be written legibly in print. Kindly use blue ink in accomplishing this form and avoid unnecessary markings and
erasures.
3. All questions must be answered. If the question will require numerical information and the answer is none, write 0. If the
question is not applicable, kindly write n/a on the blank provided.
4. All other requirements should be attached with the application form upon submission.
BS Marine Transportation
APPROVED 2x2 picture of student
BS Marine Engineering DISAPPROVED
(white background)
LOAN RECOMMENDATION :
PERSONAL INFORMATION
Name of
Applicant
Last Name First Name Middle Name
Telephone Mobile
Number /s: ( ) Number/s :
Area
Code
Birth
Email Address : Date : Age :
Month/Day/Year
Schools Attended :
Grade School : to
to
to
to
to
to
to
to
FAMILY INFORMATION
FATHER MOTHER GUARDIAN (If applicable)
Complete Name
Age
Marital Status
(single-parent,
widowed,
separated, living
together
Telephone Number
Mobile Number/s
Email Address
Highest Educational
Attainment
Last School
Attended
Occupation
If employed : Name
of employer
Position
If self-employed :
Nature of work or
nature of business
Annual Gross
Income
Civil Status
Number of Children
(if applicable)
Living with family?
Yes or No
Highest Educational
Attainment
Last school
attended
If employed :
Name of employer
Position :
If self-employed :
Nature of work or
nature of business
Annual Gross
Income
Amount
contributed to
family expenses
Complete
Name
Age
Civil Status
Grade /Year
Level
School
Annual School
Fees
Amount of
Scholarship
Amount of
Educational
Plan
Complete
Name
Civil Status
Number of
Children
(if applicable)
Living with
family ?
Yes or No
Highest
Educational
Attainment
Last school
attended
If employed :
Name of
employer
Position :
If self-
employed:
Nature of work
or nature of
business
Annual Gross
Income
Amount
contributed to
family expenses
HOUSEHOLD MEMBERS : Put a cross (X) mark inside the box, if applicable.
Father / Stepfather
Mother / Stepmother
Legal Guardian
Brothers / Stepbrother Number :
Sisters / Stepsisters Number :
Other Extended Family Members Number :
Permanent Residence
Family owned
Free Rent
Area (in sq. m) Location (Municipality / City, Province) Present Market Value Yearly Net income
FAMILY LOANS
MONTHLY PAYMENT
LOAN TYPE BANK / COMPANY LOAN AMOUNT
PAYMENT PERIOD
We hereby certify that the information and data we have declared in this application are accurate, complete and true. We
understand that withholding or providing wrong information could be a ground for the student’s disqualification from the Student Loan
Assistance Program. In such case, any amount released to the student by NTIF, including the interest computed from the date of the
first loan availment shall become immediately due and demandable.