Armed Forces and Police Savings and Loans Association, Inc.

EMERGENCY e-LOAN XTRA APPLICATION FORM

Fill all the mandatory fields ( * ) to proceed to the next step

Application Type*

Branch Name*

CCA No.*

Personal and Employment Details

First Name*

Middle Name

Last Name*

Extension Name

Date of Birth*

Age

Civil Status*

Home Phone Number

Office/Business Number

Mobile No.*

Email Address*

Rank / Positon

Serial No./ Payslip Acct No.

Date of Original Enlistment

Date of Retirement

Length Of Service

Branch Of Service*

Others*

Non Uniform Personnel*

Civilian Employee*

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Loan Details

Loan Purpose*

Release of Loan Proceeds*

SD(02) Account Number

Loan Amount* *Minimum loan amount is 10,000.00 *Maximum loan amount is 1,000,000.00

Loan Term*

Estimated Net Proceeds* *Please be advised that the computation above is only an estimate and is subject to change. You may call us or visit any AFPSLAI Branch nearest you for the actual amount and other details

For monthly amortization computation, please click here

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Address Details

Complete Unit Assignment/Office/Business Address

Street Number

Street Name

Region Name

Province Name

City Name

Barangay Name

Zipcode

Complete Present Address*

Street Number

Street Name

Region Name*

Province Name*

City Name*

Barangay Name*

Zipcode

Complete Permanent Address*
Same as present address

Street Number

Street Name

Region Name*

Province Name*

City Name*

Barangay Name*

Zipcode

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AFPSLAI Privacy Notice

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By submitting this form, I am agreeing to the AFPSLAI Privacy Notice and giving consent to the collection and processing of my personal data for the purpose of loan application.

Upload Requirements

*supported file ("jpg", "jpeg", "png", "pdf")

Government ID:

Payslip: