ATTENTION:

SUZUKI AUTO KALOOKAN

MATRIX MOTOR CORPORATION 198 Edsa Corner Tandang Sora Street, Caloocan City

Tel. No. 364 9093

Sales Manager Cell No. Sales Consultant Cell No. Source

Fax No. 366 6469 / 990 1570

CREDIT APPLICATION
: ETHEL A. SUSI : 09494428449 : BOY ADRIAN MANALO : 0906-3464702 : Unit MSRP Terms Control No. : Swift dezire : : Down payment_____ Mos.______ :

PRINCIPAL BORROWER Last Name Email Address: Address: Date of Birth: (mm/dd/yyyy) Place of Birth: ( )Owned ( )Provided ( )Rented ( )Amortized Age: ____ years Citizenship: old SEX: ( )F ( )M Position: Length of Stay: Yrs. ________ Mo.________ OTHER INCOME Age Type of income Monthly Income Tel. No: Contact Person: First Name Middle Name Landline Cell No. Length of stay Years:______ Mos: ______ Status: ( )Single ( ) Married ( )Separated ( ) Widow Fax No: Monthly Income:

Name of Employer: Employers Address:

DEPENDENTS Name of Dependents

BANK INFORMATION Bank Name Bank Branch Type of Account Account Name

PERSONAL/TRADE REFERENCES (NOT RELATED) Name (First Name, M.I., Last Name) 1. 2. 3. Address Relationship Contact Number

CO- BORROWER _______________________ Last Name Name Address: Date of Birth: (mm/dd/yyyy) Name of Employer: Employers Address: OTHER PERTINENT DETAILS: Place of Birth: First Name

RELTIONSHIP To Principal Borrower Middle Landline Cell No.

( )Owned ( )Provided ( )Rented ( )Amortized Age:___ years Citizenship: old SEX: ( )F ( )M Position: Tel. No: Length of Stay: Yrs. _____ Mo. _____

Length of stay Years: _____ Mos: _____ Status: ( )Single ( )Married ( )Separated ( )Widow Fax No: Monthly Income:

Contact Person: