Professional Documents
Culture Documents
INDIVIDUAL
IMPORTANT: PLEASE FILL UP THIS FORM TO FACILITATE PROCESSING OF YOUR LOAN APPLICATION. ALL INFORMATION WILL BE TREATED STRICTLY CONFIDENTIAL.
U Item Applied For (Please Check) Auto AUV LCV Truck Others________________________________________
N New Used Brand _______________________________________ Type & Year Model _________________________________________
I Accessories ___________________________________________________________________________________________________________________________
T Cash Price P________________________ Downpayment P_______________________ Amount Finance P________________________ Term ________________
A Last Name First Name Middle Name Status Single Widowed Birthday (Mr. and Mrs.)
P Married Separated
P Spouse's Last Name First Name Middle Name No. of Education Elementary High School
L Dependents College Post Graduate
I
C Home Address Telephone Nos.
A
N Own Free Living with Parents Lived There Provincial Address
T Rented Others __________Yrs __________ Mos
Comm. Tax Cert. _______________________ Issued At _______________________ Date _______________________ TIN _______________________ SSS No. _______________________
Gov't ID ______________________________ ID No. __________________________ Issued At __________________ Date ______________________
I hereby certify that all data and statement in this application are correct and complete, and are made for the purpose of obtaining credit, and the signatures 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.
Amount of Loan _____________________ Term [ ] 12 mos [ ] 24 mos Purpose [ ] Appliance [ ] Tuition [ ] Home
[ ] 18 mos [ ] 36 mos [ ] Travel [ ] Medical [ ] Debt Consolidation
[ ] Others ________________________________
BORROWER INFORMATION
idation
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