MS AYRENE TAPEL 09173377421

LOAN APPLICATION FORM

SOURCE: Walk in ✔ Loan Specialist Telemarkter Purpose of Loan: _______________________________

Referrer Name: _______________________
Ms Ayrene Tapel 09173377421 Desired Loan Amount: __________________________ Desired Term: _________

BORROWER’S INFORMATION………………………………………………. CO-BORROWER’S INFORMATION………………………………………….

FULL NAME: (Last, First, Middle) FULL NAME: (Last, First, Middle)
Civil Status: Single Married Gender: _____________ Civil Status: Single Married Gender: _____________
Date of Birth: _____________Place of Birth: ________________ Date of Birth: _____________Place of Birth: ________________
Present Address: _______________________________________ Present Address: _______________________________________
_______________________________________________________ _______________________________________________________
Length of Stay: _________________________________________ Length of Stay: _________________________________________
Permanent Address: _____________________________________ Permanent Address: _____________________________________
_______________________________________________________ _______________________________________________________
Length of Stay: _________________________________________ Length of Stay: _________________________________________
Mobile No.: _______________________________ Mobile No.: _______________________________
Email Address: ____________________________ Email Address: ____________________________
Facebook/Viber: ___________________________ Facebook/Viber: ___________________________
Nationality: Filipino Others: _____________________________ Nationality: Filipino Others: _____________________________
TIN #: _____________________ SSS #: ___________________________ TIN #: _____________________ SSS #: ___________________________
Educational Attainment: Educational Attainment:
High School Undergraduate College High School Undergraduate College
INCOME INFORMATION………………………………………………………. INCOME INFORMATION……………………………………………………….
Source of funds: Source of funds:
Salary/ Profession Business Salary/ Profession Business
Remittances Others Remittances Others
Name of Employer/Business: Name of Employer/Business:
_________________________________________________________ _________________________________________________________
O ice/Business Address: O ice/Business Address:
_________________________________________________________ _________________________________________________________
Nature of Business/ Employment: Nature of Business/ Employment:
_________________________________________________________ _________________________________________________________
Contact Information: _____________________________________ Contact Information: _____________________________________
Designation/Position_____________________________________ Designation/Position_____________________________________

CHARACTER REFERENCES (not living in the same household)……………………………………………………………….

BORROWER’S INFORMATION 1CHARACTER REFERENCES (not living in the same household
NAME ADDRESS CONTACT NO.
_____________________________ ___________________________________________________ ________________________________
_____________________________ ___________________________________________________ ________________________________
_____________________________ ___________________________________________________ ________________________________

BORROWER AND CO-BORROWER’S UNDERTAKING AND SIGNATURE………………………………………………

I/We hereby certify that all the information furnished in this Loan Application Form (LAF) are true, correct, and complete. I/We further certify that the signatures a ixed
herein are true and genuine.
I/We hereby authorize GSLI to obtain such information, as may be required, concerning the validity and veracity of the information provided in this application. I/We
agree that this LAF, all supporting documents and any other information obtained by GSLI relative to this application, shall remain as the property of GSLI whether or not
the loan is granted.
I/We agree that any false statement or concealment of information which may be discovered after the loan has been granted shall be su icient basis for GSLII to
consider the loan as due and demandable.
GSLI branches DO NOT accept cash payments. Payments of any kind must be settled directly at GSLI accredited payment centers. Please refer to GSLI's list of
accredited payment centers. In case the loan has been denied, GSLI has no obligation to disclose the reason to the Borrower.
We further understand that a cooling-o period of three (3) business days shall be applied following the execution of this transaction. You may cancel this transaction
without penalty; however, nothing herein prevents GSLI from recovering the processing costs incurred.
DATA PRIVACY AND CONSENT FORM…………..……….…………………………………………
The privacy and security of your personal data (“Personal Information”) that GSLI collects is important to us. It is equally important that you understand how GSLI
handles this data. In conducting our business, we must collect your “Personal Information”. It will be strictly used to administer your account and to provide the
products and services you have requested from us and to further meet your needs and the standard procedures of GSLI’s business.
We will treat your “Personal Information” as confidential data. It will only be disclosed, subject to our permission, to GSLI’s a iliates and partners such as credit
bureaus, collection companies, and other financial institutions for the purpose of assisting you in your financial needs and for the e ective handling of your account.
For the proper assessment of your loan application, you hereby allow GSLI directly or through its partners, to collect, retrieve, process, use, and store your “Personal
Information” such as name, age, photographs, mobile number/s, employment details, income, financial data, financial profile, credit standing, loan payment history,
other means of positive identification such as photograph, signature, and/or such other identifiable features, and other information required in the application form for
the purpose of reviewing and processing your loan application. Further, you hereby give consent to the collection of your personal data from telecommunication
companies, banks, credit bureaus, payment platforms, airlines, utility companies, suppliers, and employers for credit evaluation purposes. Furthermore, in case of
restructuring your loan obligation, you are giving consent and allow GSLI to disclose and collect information from the above-mentioned institutions and people.
Throughout the processing of the your “Personal Information”, your rights under the Data Privacy Act of 2012, such as the (1) right to be informed, (2) right to object, (3)
right to access, (4) right to rectification, (5) right to erasure or blocking, and (6) right to damages, shall be upheld. For your complete rights as a data subject, please visit
https://www.privacy.gov.ph/data-privacy-act/

GSLI affiliates and partners:

A. Collection Companies:

Pinnacle Collection and Resource Management Inc. Prudent Collection Services. Inc.
Executive Collection & Credit Management Services, Inc. Legion Credit and Collections Corporation
Eagle Eye Business & Collection Services, Inc.
Titan Collection & Credit Management, Inc.
Sparta Credit Management Services , Inc.
Supreme Collection Management Services, Inc.

B. Loan Specialist Accredited by GSLI

__________________________________ ____________________________________
Borrower Signature Co-Borrower Signature
Date:_________________________________ Date:__________________________________
GSLI_ApplicationForm_2024