CREDIT APPLICATION

All information will be

Treated as strictly confidential
Diamond Group of Companies PLEASE PRINT CLEARLY

HYUNDAI MARCOS HIGHWAY

Marcos Highway Corner MRR St. Salesman:
Dela Paz, Pasig City Date:
Tel. Nos. 646-7773; 668-1650
Fax No. 681-3664 / 681-4141

Last Name First Middle Date of Birth Birthplace Single ( x) Separated ( ) Citizenship
Domingo Johna Gonzaga
7/28/1978 Pasig City Widow(er) ( )
Married ( )

Name of Spouse Date of Birth Birthplace No. Of Dependents and Ages

Present Address Blk 17 lot 42 Phase 1, Villa Luisa, San Agustin III,
Dasmarinas, Cavite Length of Stay ____x______Owned __________Provided
_6years_______Yrs.________Mos. __________Rented __________Amortized

Monthly Rental Name of Landlord Address of Landlord Telephone

If above address less than two

Years give previous home address.
Yrs.
Present Employer Position / Department Yrs.__________ Monthly Income Tel. No.

Mos._________

Previous Employer Address Nature of Business Monthly Income Tel. No.

Business Address District & City Business Telephone

Street No.

Spouse’s Occupation/Employer Address Position Salary Telephone

Nearest Relative Not Complete Address Relationship Telephone

Living With You

Spouse’s Nearest Relative Not Complete Address Relationship Telephone

Living With You

Monthly Earnings & Expenses Bank Account With Account Number Date Opened Present Balance
Salary

_____________________ P _____________ ________________ _______________ _______________ _____________

_____________________ P _____________ ________________ _______________ _______________ _____________

Personal References (list 2 friends and 1 close relative not living with you)
Name Address Relationship Telephone

_________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________
Real or Personal Properties Owned:

Location Kind TCT Assessed Value Market Value Encumbrances

__________ ____________ ___________ P ______________ P ____________ P ___________
__________ ____________ ___________ P ______________ P ____________ P ___________
__________ ____________ ___________ P ______________ P ____________ P ___________
TOTAL

ITEM APPLIED FOR _________________________ CASH PRICE P_________________________DOWNPAYMENT __________________________

CASH BALANCE ____________________________ PAYABLE IN __________________________ MONTHS

I hereby certify that all data statement in this application are correct and complete and are made for the purpose of obtaining credit and the signature appearing thereon
are genuine. I authorize you to obtain such information as you may require concerning the statements made in this application and that the sources to which you may apply
are authorized to provide any information relative to this application. I agree the application may remain your property whether the credit is granted or not.

Residence Certificate __________________ Issued On_______________ On _______________

________________________________
Residence Certificate __________________ Issued On _______________ On _______________ Signature of Applicant

T.I.N. ACR __________________ Issued On _______________ On _______________

(PLEASE MAKE SKETCH OF LOCATION OF ADDRESS AT THE BACK) _______________________________
Signature of Spouse

______________________________
Witness by
_______________________________
Salesman