CIBI Report - Form B
CIBI Report - Form B
PIC
E-mail Address:
Present Home Address: Length of Stay:
[ ]Owned [ ]Renting [ ]Others
Permanent Home Address: Length of Stay:
[ ]Owned [ ]Renting [ ]Others
No. of cars owned: Make: Model: Year:
E-mail Address:
Spouse's Employment Data: Position: Company Tel. Nos.:
Company Address:
Children:
Age School/Company name Contact No.
Date of Registration:
Years in Operation:
D. LOAN PARTICULARS
Purpose of Loan: Previous Source of Loan:
[ ] Raw Materials: [ ] Formal (pls specify)
[ ] Wages: [ ] Informal (pls specify)______________________
[ ] Fixed Assets: No. of workers:
[ ] Payment of other obligations: Regular: Non-regular:
Male: Female:
Security /Collateral to be offered:
Verifier's remarks on loan purpose:
Name of CI
Credit Investigator Head
2X2
PICTURE
HERE
CREDIT AND BACKGROUND INVESTIGATION REPORT
Name of Applicant Contact No.
Declared Address:
Nearest Kin: Contact No.
Provincial Address:
Desired Loan Amount: Php Loan Cycle: Loan Type:
Mode Of Payment: [ ]Monthly [ ]Semi-monthly [ ] Individual Loan
Term: [ ] Corporate Loan
Character reference: Character reference: