RPSL Application Form
RPSL Application Form
RPSL Application Form
WARNING: Direct or indirect commission of fraud, collusion, falsification, misrepresentation of facts, or any other kind of anomaly in
the accomplishment of this form, or in obtaining any benefit under this application, shall be subject to administrative and/or criminal
action.
UNDERTAKING
1. I certify that the information provided in this form are true, correct, complete and updated.
The signature appearing above my printed name below is authentic.
2. I agree to abide by GSIS policy to submit my GSIS application for benefit claim within the
prescriptive period to forestall loss of future benefit, if any.
3. I authorize GSIS to deduct my Outstanding Balance (OBAL) from my future benefits, if any.
4. I unconditionally agree to the TERMS AND CONDITIONS of the GSIS’s RESTRUCTURING PROGRAM
FOR SERVICE LOANS (GSIS-RPSL) printed at the back of this application form.
5. I authorize:
a. GSIS to regularly submit and disclose my credit data [as defined under Republic Act (R.A.)
9510 and its Implementing Rules and Regulations] to the Credit Information Corporation
(CIC) as well as any updates or corrections thereof; and to send us updates about my loan
applications/account through SMS/text, email, mail or other available means of
communication; and
b. CIC to share my credit data with accessing entities, outsourced entities and data subjects, in
accordance with the Implementing Rules and Regulations of R.A. No. 9510.
6. I hereby further waive confidentiality rules and laws as applicable to establish correctness, validity,
and authenticity of documents that would help facilitate the processing and evaluation of my
application.
7. In case that it is proven that I have given false information or misrepresentation in this document or
in any other documents submitted in connection with my application for GSIS-RPSL, it shall be
considered a ground for disapproval of the application, cancellation of the loan, and shall be a
cause for the total outstanding obligation including condoned penalties and surcharges to be due
and demandable and shall be subject to other sanctions provided in GSIS policies.
8. I agree to notify GSIS of any material change affecting the information contained herein. I agree
that all information obtained by GSIS shall remain its property whether or not the loan is granted.
9. I agree that the Loan Redemption Insurance (LRI) Premium shall be subjected to regular actuarial
review and may be subject to change during the duration of the loan so as to assess the program
viability.
10. I further agree to be bound by the current and general policies of GSIS and those that GSIS may
adopt in the future, that may have relation to or in any way affect my loan.
I understand that the processing/servicing/filing fee, notarial and all other fees pertaining to my loan
obligation shall be for my account.
Educational Assistance Loan (EAL); (o) Stock Purchase Loan (SPL); (p)
Policy Loan (PRG); (q) Optional Policy Loan (POL);
Coverage
(r) GSIS Financial Assistance Loan (GFL); (s) Program for Restructuring and
Repayment of Debts (PRD); (t) Multi-Purpose Loan (MPL); (u) Computer
1. This program shall apply to the following borrowers, regardless of
Loan (CPL); and (v) All other loans that may be introduced by GSIS in the
their Period with Paid Premiums, age, and/or future benefits: (a)
future.
Inactive members; (b) Old-age pensioners; (c) Those who previously
availed of Program for Restructuring and Repayment of Debts
(PRRD); and (d) Re-employed members who cannot qualify or
benefit from the Multi-Purpose Loan Program.
2. This program shall cover the following service loan accounts that
are already considered in default: (a) Salary Loan (SL); (b)
Enhanced Salary Loan (ESL);
(c) Restructured Salary Loan (RSL); (d) Emergency Loan Assistance
(ELA);
(e) Summer One-Month Salary Loan (SOS); (f) Member’s Cash
Advance (MCA); (g) eCard Plus Cash Advance (ECP); (h)
Consolidated Loan (CNL); (i) Enhanced Conso-Loan (CNL); (j)
Emergency Loan (EML); (k) Home Emergency Loan Program (HLP);
(l) Study Now, Pay Later (SNP); (m) Fly PAL, Pay Later (FPL); (n)
Exclusion
The following loan accounts are not covered by this PPG: (1) Real
Estate Loan; (2) Deed of Conditional Sale; (3) Restructured Real
Estate Loan; (4) Pension Loan; (5) Pension Emergency Loan; and
(6) Pensioner’s Restructured Loan.
Account Amount
OBAL as of Date of Availment xxx,xxx.xx
Less: Condonable Amount
Penalties xx,xxx.xx
Surcharges xx,xxx.xx
Remaining OBAL after Condonation xx,xxx.xx
(TO BE PAID IN FULL)
b. Restructuring Program:
Account Amount
OBAL as of Date of Availment xxx,xxx.xx
Less: Condonable Amount
Penalties xx,xxx.xx
Surcharges xx,xxx.xx
Remaining OBAL After Condonation xx,xxx.xx
Less: Chosen DP xx,xxx.xx
Net OBAL for Restructuring xx,xxx.xx
The premium for LRI shall form part of the computed monthly
amortization of the restructured loan and shall be subjected to
regular actuarial review and may be subject to change during the
duration of the loan so as to assess the program viability.
To ensure that the member is covered with LRI from the date of loan
restructuring, an advance LRI premium equivalent to one (1) month
shall be collected upon approval of the GSIS-RPSL application
together with the DP.
The first due date (FDD) of the restructured loan amortization shall
be on or before the 10th day of each month following the First Due
Month (FDM). Meanwhile, the FDM depends on the date of the
granting of the loan.
If the loan is granted on or before the 23 rd day of the month, the FDM
shall be the calendar month following the granting of the loan. To
illustrate, the table below shows the FDM and FDD of a loan that is
granted before the 23rd of the month.
For example:
If the loan is granted after the 23 rd of the month, the FDM shall be the
2nd calendar month following the granting of the loan. For instance,
the table below shows the FDM and FDD of a loan that is granted
after the 23rd of the month.
as sufficient notice to the borrower for all legal intents and purposes.
8.
8. Filing of GSIS-RPSL. The processing of unclaimed benefit and
deduction therefrom of outstanding obligations, if any, shall
follow the existing policies on determining the reckoning MEMBER-BORROWER / DATE SIGNED
dates in the accrual of interests for service loans and shall AUTHORIZED REPRESENTATIVE
precede the processing of the GSIS-RPSL.
(Signature over Printed Name)
The GSIS-RPSL may be filed through any of the following modes:
TIN
a. Over-the-counter (OTC) at any GSIS office;
b. Through drop box or courier service; or
c. Through GSIS email or eGSISMO, if applicable.
12. Penalty for Arrearages. An account incurs penalty for arrearages if:
a. There is payment for monthly installment but such payment is
delayed;
b. The actual amount paid is less than the amount due for the month;
or
c. There is no payment made for the month.
16. Refund of Overpayment after End of Loan Term. At the end of the
loan term, any overpayment shall be treated in accordance
with the policies on the refund of loan overpayments.
18. Attorney’s fees. Should the GSIS be compelled to refer the loan
or any portion thereof to an Attorney-at-Law for collection or
to enforce any right hereunder against the borrower or avail
of any remedy under the law or this Agreement, the borrower
shall pay an amount equivalent to twenty-five percent (25%)
of all amounts outstanding and unpaid as and for attorney’s
fees and litigation expenses.
20. Notices. All notices required under this Agreement for its
enforcement shall be sent to the residential address indicated
in the personal data portion of this loan application. The
notices sent to the said address shall be valid and shall serve