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SLAF APPLICATION FORM

STUDENT LOAN ASSISTANCE FUND (SLAF) APPLICATION FORM


F-NTIF-032
Knowledge Avenue, Carmeltown, Canlubang, 4037, Calamba City, Laguna, Philippines S.N. _________
TELEFAX: (049) 549-0923 * TEL. NO.: (02) 908-4903
E-MAIL: ntma@ntma.edu.ph * WEBSITE: www.ntma.edu.ph

Student Loan Application

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.

Student Loan Assistance Fund Requirements

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.

Student Loan Assistance Application Form


Page 1 of 5
Revision 01 as of 08 January 2014
SLAF APPLICATION FORM
STUDENT LOAN ASSISTANCE FUND (SLAF) APPLICATION FORM
F-NTIF-032
Knowledge Avenue, Carmeltown, Canlubang, 4037, Calamba City, Laguna, Philippines S.N. _________
TELEFAX: (049) 549-0923 * TEL. NO.: (02) 908-4903
E-MAIL: ntma@ntma.edu.ph * WEBSITE: www.ntma.edu.ph

***To be filled-in by SLAF Office. Please do write anything on this space.

COURSE : SCHOLARSHIP REQUEST:

BS Marine Transportation
APPROVED 2x2 picture of student
BS Marine Engineering DISAPPROVED

(white background)
LOAN RECOMMENDATION :

NTIF-Supported Cadet (100% Loan)


Board and Lodging Loan

PERSONAL INFORMATION

Name of
Applicant
Last Name First Name Middle Name

Unit No. & Bldg. Name


Permanent (if applicable) Street No. & Street Name Subdivision / Barangay
Address:

City/Municipality Province Zip Code

Telephone Mobile
Number /s: ( ) Number/s :
Area
Code
Birth
Email Address : Date : Age :
Month/Day/Year

Schools Attended :

Year Level Name of School School Address

Grade School : to

to

to

High School : Year Level Name of School School Address

to

to

to

College : Year Level Name of School School Address

to

to

Student Loan Assistance Application Form


Page 2 of 5
Revision 01 as of 08 January 2014
SLAF APPLICATION FORM
STUDENT LOAN ASSISTANCE FUND (SLAF) APPLICATION FORM
F-NTIF-032
Knowledge Avenue, Carmeltown, Canlubang, 4037, Calamba City, Laguna, Philippines S.N. _________
TELEFAX: (049) 549-0923 * TEL. NO.: (02) 908-4903
E-MAIL: ntma@ntma.edu.ph * WEBSITE: www.ntma.edu.ph

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

SIBLINGS WHO ARE NO LONGER IN SCHOOL / GAINFULLY EMPLOYED


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

Student Loan Assistance Application Form


Page 3 of 5
Revision 01 as of 08 January 2014
SLAF APPLICATION FORM
STUDENT LOAN ASSISTANCE FUND (SLAF) APPLICATION FORM
F-NTIF-032
Knowledge Avenue, Carmeltown, Canlubang, 4037, Calamba City, Laguna, Philippines S.N. _________
TELEFAX: (049) 549-0923 * TEL. NO.: (02) 908-4903
E-MAIL: ntma@ntma.edu.ph * WEBSITE: www.ntma.edu.ph

SIBLINGS STILL IN SCHOOL INCLUDING THE APPLICANT / NOT YET STUDYING


(including applicant)

Complete
Name

Age
Civil Status
Grade /Year
Level
School
Annual School
Fees

Amount of
Scholarship
Amount of
Educational
Plan

OTHER HOUSEHOLD MEMBERS OR RELATIVE CONTRIBUTING TO FAMILY INCOME

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

Student Loan Assistance Application Form


Page 4 of 5
Revision 01 as of 08 January 2014
SLAF APPLICATION FORM
STUDENT LOAN ASSISTANCE FUND (SLAF) APPLICATION FORM
F-NTIF-032
Knowledge Avenue, Carmeltown, Canlubang, 4037, Calamba City, Laguna, Philippines S.N. _________
TELEFAX: (049) 549-0923 * TEL. NO.: (02) 908-4903
E-MAIL: ntma@ntma.edu.ph * WEBSITE: www.ntma.edu.ph

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

Family owned but mortgaged Monthly Amortization :

Rent Monthly Rent :

Free Rent

OTHER RESIDENTIAL OR COMMERCIAL PROPERTIES OWNED :


Area Location
Present Market Value Yearly Net income
(in sq. m) (Municipality / City, Province)

NON-RESIDENTIAL LOTS / AGRICULTURAL LANDS OWNED :

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.

_______________________________ __________________________________ _________________________________ _____________


Signature over Printed Name of Signature over Printed Name of Signature over Printed Name of Date
Applicant Father / Legal Guardian Mother / Legal Guardian

Student Loan Assistance Application Form


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Revision 01 as of 08 January 2014

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