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Application Form

The document is a loan application form that collects information about the applicant and co-applicant. It requests information such as photo ID, proof of income, personal details, bank account and pension details, and references. The applicant certifies that the information provided is true and correct and authorizes the regular submission of credit data to the Credit Information Corporation.

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sss.dolores2020
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21 views

Application Form

The document is a loan application form that collects information about the applicant and co-applicant. It requests information such as photo ID, proof of income, personal details, bank account and pension details, and references. The applicant certifies that the information provided is true and correct and authorizes the regular submission of credit data to the Credit Information Corporation.

Uploaded by

sss.dolores2020
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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SKETCH

Please indicate the description of house:

1. Color of house :
2. Color of Gate :
3. Color of Roof :
4. Number of Floors :
5. Structure of House : wood cement
LOAN APPLICATION FORM
DATE OF APPLICATION BORROWER CO-BORROWER

I. REQUIREMENTS (Indicate by checkmark, if submitted)


ATM Card/ E-Card/ Passbook Photocopy of valid I.D. PHOTO
DDR/ Bank Statement Photocopy of Birth Certificate of Minor
Barangay Clearance/ Proof of Billing Photocopy of Marriage Contract
2x2 ID Picture

II. PERSONAL INFORMATION


NAME:
NICKNAME/A RELATIONSHIP TO CO-BORROWER: GENDER: F M
LIAS:
PRESENT
ADDRESS:
Owned Rented Lessor:
PERMANENT
ADDRESS:
BIRTHDAY: AGE: BIRTHPLACE:
(DD-MM-YYYY)

CONTACT NO.: STATUS: Single Married Widow Live-in Partner

BIRTHDAY: CONTACT NO.:


NAME OF
(SPOUSE) (SPOUSE)
SPOUSE:
SOURCE OF
INCOME: WORK/POSITION:

COMPANY ADDRESS:

NAME OF CHILDREN DATE OF BIRTH CONTACT NUMBER ADDRESS

1.
2.

3.
MOTHER’S MAIDEN FATHER’S NAME:
NAME:

III. PENSION AND BANK INFORMATION


SSS/GSIS NUMBER: TYPE OF PENSION:
AMOUNT OF PENSION: PASSBOOK ATM PIN NO:
BANK: CARD NO.:
ACCOUNT NO.: BANK BRANCH:
WITHDRAWAL DATE: TOTAL NUMBER OF MINOR CHILDREN:
IV. REFERENCES
NAME CONTACT NUMBER ADDRESS

1.
2.
3.
“I hereby certify that the foregoing information is true and correct to the best of my knowledge. If my loan is approved, I also agree to your right to demand full payment of my outstanding loan in
case of "ACOP" or any other reason for failure to receive promptly amortization payment.”

“I hereby acknowledge and authorize: 1.) the regular submission and disclosure of my basic credit data (as defined under Republic Act No. 9510 and its implementing Rules and Regulations) to the
Credit Information Corporation (CIC) as well as any updates or corrections thereof; and 2.) the sharing of my basic credit data with other lenders authorized by the CIC, and credit reporting
agencies duly accredited by the CIC.”

PROCESSED AND EVALUATED BY:

SIGNATURE OF CLIENT OVER PRINTED NAME / DATE SIGNATURE OF EVALUATOR OVER PRINTED NAME / DATE

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