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Customer Information Sheet

1) This document is a customer information sheet that collects personal and financial information from customers applying for a loan or lease. 2) It requests information such as the customer's name, address, contact details, income sources, employment details, and specimen signatures. 3) The customer also provides consent for the company to collect, process, verify and share their personal information for purposes related to their application and in compliance with applicable privacy laws.

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teliscopides
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0% found this document useful (2 votes)
6K views1 page

Customer Information Sheet

1) This document is a customer information sheet that collects personal and financial information from customers applying for a loan or lease. 2) It requests information such as the customer's name, address, contact details, income sources, employment details, and specimen signatures. 3) The customer also provides consent for the company to collect, process, verify and share their personal information for purposes related to their application and in compliance with applicable privacy laws.

Uploaded by

teliscopides
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CUSTOMER INFORMATION SHEET

Please completely fill-out the form and print legibly.

Type: Principal Borrower Spouse / Co-maker

PERSONAL INFORMATION
Full Name:
First Name Middle Name Last Name

Present Address:

Permanent Address:

Mobile Number/s: Landline Number/s: Gender: Male Female

Email Address: TIN: SSS/GSIS No.:

Birthdate: Birthplace: Mother's Maiden Name:


mm/dd/yyyy

Civil Status: Single Married Living Apart Separated Widowed Citizenship:

INCOME INFORMATION
Type of Employment: Employed Self-employed OFW Seafarer Others:

Employer/Business Name: Landline Number/s:

Industry/Nature of Business: Occupation/Position:

Business Address:

Source of funds: Salary Business Profession Remittance Pension Others:

SPECIMEN SIGNATURE
Long Signature: Short Signature:

1) 1)

2) 2)

3) 3)

Relative to my/our basic credit data, I/We hereby authorize and give full consent to TFSPH to do any or all of the following: collection and processing of information which shall include the use, loading,
consolidation, transfer and storage; outsourcing of the collection and processing of Information to service providers or engagement of service providers/external parties by TFSPH whether based
within or outside the Philippines and such other persons or entities that TFSPH may deem necessary for whatever purpose including collection, marketing and promotions; verification or validation of
Information from any and all sources and in any reasonable manner, including but not limited to: (i) the Bureau of Internal Revenue (BIR) to establish the authenticity of the income tax return ("ITR")
and the accompanying financial statements, if applicable and (ii )courts or government or administrative agencies or arbitral tribunals on the status of any case or proceeding to which I/we is/are
party/ies; disclosure and sharing of Information: i. among subsidiaries, partners and affiliates ii. to credit information or investigation companies, credit bureaus (including, but not limited to, the Credit
Information Corporation (CIC) pursuant to Republic Act No. 9510 and its implementing rules and regulations), financial institutions, consumer reporting or reference agencies, credit protection
provider, brokers, insurers, underwriters, outsourced providers, Toyota and Lexus dealers, Toyota Motor Philippines and other relevant and related entities iii.to any judicial, governmental,
supervisory, regulatory or equivalent body of the Philippines or other jurisdictions;
The foregoing constitutes the consent of the data subject under the applicable confidentiality and data privacy laws of the Philippines and other jurisdiction and agree to hold TFSPH and its officers
free and harmless from any and all liabilities, claims, damages and suits of whatever kind and nature, that may arise in connection with the implementation and compliance with the authorization
conferred hereunder.
I/we consent to receive all notices, Certifications and communications via e-mail, and such consent shall operate as a waiver of my/our right and privilege to the confidentiality/privacy/secrecy of
information in respect of such Certifications, statements or notices. I/We acknowledge that security of any Certification, statement, notice or communication sent through electronic means is not
guaranteed and I/we assume all risks in relations to its transmission. I/We are responsible for keeping declared email address active and existing during the term of the loan/lease/transaction. I/We
hereby quitclaim, release, discharge and waive any and all actions of whatever nature, expected, real or apparent, which I/we may have against TFSPH, its employees, agents and/or clients in relation
to the consent given.

Signature Over Printed Name Date

--- FOR TFSPH USE ONLY ---

ID/s Presented: Processed by: (LAD Personnel)


1) No.:

2) No.:
Customer Service:

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