X.

AGREEMENT TO ROLLBACK:

We, members of______________________________, SKA located at Brgy.

______________________do hereby promise on our honor as persons the following:
1. To
use
the
seed
capital
assistance
in
the
amount
of
________________________________________________________(P___________)
which we received from the SEA Revolving and Settlement Fund of DSWD for relending
to the members of the association to finance income-generating projects that can
augment our low incomes; and,
2. To roll-back the seed capital assistance received from DSWD within twenty-four (24)
months
through
monthly
roll-back
payment
of
________________________________________________________(P___________)
in order to assist other associations to avail of the same assistance under the SEAKaunlaran Scheme.

________________________
SKA President
Date: ____________________

CONCURRED BY:
Group Members
1. ______________________________
2. ______________________________
3. ______________________________
4. ______________________________
5. ______________________________
6. ______________________________
7. ______________________________
8. ______________________________
9. ______________________________
10. ______________________________
11. ______________________________
12. ______________________________
13. ______________________________
14. ______________________________
15. ______________________________
16. ______________________________
17. ______________________________
18. ______________________________
19. ______________________________
20. ______________________________
21. ______________________________
22. ______________________________
23. ______________________________
24. ______________________________
25. ______________________________
26. ______________________________
27. ______________________________
28. ______________________________
29. ______________________________
30. ______________________________

Signature
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________

Republic of the Philippines

DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT
FIELD OFFICE 02
ADDRESS
____________________
Date
CERTIFICATE OF ELIGIBILITY
Name of Association
Complete Address
Amount of Credit Assistance
Date Organized
No. of Member Participants

____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________

Complied with the following:

( ) Passed the Eligibility Requirements of SLP
( ) Social Preparation Stage
( ) Capacity Building Stage
( ) Reviewed/Assessed member beneficiaries as basis
for Individual project proposal
( ) Attended the mandatory SEA-K training
__________________
( ) Formulation of Constitution and By-Laws
Savings Account No. ____________________ Account balance:
Name of Bank
____________________
Address
____________________

Date of Completion
__________________
__________________
__________________
__________________

__________________
__________________

This is to certify that the above-mentioned association has met the requirements/criteria
established by the SLP Program, has undergone the Social Preparation and Capacity Building
phases of the SLP, is ready to engage in livelihood activity, and does not have access from
formal lending institutions. The case records and other documents are kept on file at the Field
Office No. ________________, and with the City/Municipality of ________________________.
This certification is being issued in connection with the application for credit assistance.
Recommending Approval:

CLEOPATRA FLOJO
MSWDO

MAE VANESSA U. GENOBILI

PDO II

Reviewed by:
NENA T. MAYO
PDO III/RPC
Approved:
REMIA T. TAPISPISAN
Regional Director

12.2
12.3

Sec.13

Sec.14

Sec.15

Sec.16

Emergency Fund (EF)

This shall depend on the agreed amount by the members on a
Weekly/monthly/production cycle amortization payment.
Operational Fund (OF)
This amount shall be equal to 10% of the
Weekly/monthly/production cycle amortization payment by the
members for his loan. Actual amount may be higher or lower than
10% depending on the SKAs agreement.

By its mandatory nature ,failure on the part of the individual member or

the SKA to comply shall constitute a grave breach of discipline and
agreement and shall be penalized .Penalties shall be identified by the
SKA prior to the commencement of its operations.
Except for the Operational Fund, which shall be the fund source for the
Operational expenses of the SKA ,the Capital Build-up (CBU) and the
Emergency Fund (EF) shall form part of the money of the SKA. Future
loans can be made from these funds based on mutually agreed upon
terms by the members themselves.
If Any member leaves the SKA for whatever reason/s , s/he shall be
entitled to receive in the full the savings s/he has accumulated in the CBU
and EF provided that s/he has settled all his obligations and commitment
wherefore ,all amount due from him/her shall be entitled to received
whatever balance that may be left after these deductions.
The SKA shall agree to raise additional funds to cover expenses not
related to their livelihood project such as: emergency situation,
community project, etc

IV. FINES AND SUNCTIONS

Sec.17 The following shall be considered breach of discipline;
17.1 Tardiness and absenteeism in weekly/monthly meeting and
assemblies;
17.2 Irregularity in weekly/monthly/production cycle payments of
amortization in terms of underpayments and non-payments
17.3 Deviation in the utilization of loan money;
17.4 Non-utilization of loan money within the required time limit of
one day to one week.

Signed on the _____________________________________________________________.

_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________

_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________

Republic of the Philippines

DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT
FIELD OFFICE 02
ADDRESS
____________________
Date
CERTIFICATE OF ELIGIBILITY
Name of Association
Complete Address
Amount of Credit Assistance
Date Organized
No. of Member Participants

____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________

Complied with the following:

( ) Passed the Eligibility Requirements of SLP
( ) Social Preparation Stage
( ) Capacity Building Stage
( ) Reviewed/Assessed member beneficiaries as basis
for Individual project proposal
( ) Attended the mandatory SEA-K training
__________________
( ) Formulation of Constitution and By-Laws
Savings Account No. ____________________ Account balance:
Name of Bank
____________________
Address
____________________

Date of Completion
__________________
__________________
__________________
__________________

__________________
__________________

This is to certify that the above-mentioned association has met the requirements/criteria
established by the SLP Program, has undergone the Social Preparation and Capacity Building
phases of the SLP, is ready to engage in livelihood activity, and does not have access from
formal lending institutions. The case records and other documents are kept on file at the Field
Office No. ________________, and with the City/Municipality of ________________________.
This certification is being issued in connection with the application for credit assistance.
Recommending Approval:

LOLITA MENOR
MSWDO

MELISEN A. TAQUIQUI
PDO II

Reviewed by:
NENA T. MAYO
PDO III/RPC
Approved:
REMIA T. TAPISPISAN

Regional Director