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DATE OF BIRTH (MM/DD/YY) CITIZENSHIP Tel. No. Cel. No. Ofc. No.
SPOUSE/CO-MAKER
LAST NAME
FIRST NAME
MIDDLE NAME
NAME OF EMPLOYER/BUSINESS
Cel No./Tel.No.
OFFICE ADDRESS
NATURE OF BUSINESS Position/Title
Length of Stay or Years in Business
&
ASSETS INCOME
BORROWER'S MONTHLY SALARY SPOUSE'S MONTHLY SALARY OTHER SOURCE OF INCOME TOTAL MONTHLY INCOME NAME OF DEPENDENTS PERSONAL REFERENCES CREDIT REFERENCES SAVINGS ACCOUNT/BANK & BRANCH AGE COMPLETE HOME ADDRESS ADDRESS CURRENT ACCOUNT/BANK & BRANCH
REMARKS
Property rentals
SCHOOL ADRRESS RELATIONSHIP CONTACT PERSON CREDIT CARD HOME TEL. NO. TEL. NO. CREDIT LIMIT
I Hereby certify that all data and statement in this application are correct and complete, and are made for the purpose of obtaining credit and signature appearing thereon are genuine. I authorize you to obtain such information as you may require concerning the statements made in this application and that the source to which you may appply are authorized to proide any information to this application. I agree the application may remain your property whether the credit is granted or not.
Signature of Borrower
To facilitate processing of application, the borrower should submit photocopy of the following documents: Bank Statement (3 months) 5. Sketch of Residence at the back Registration of Business 6. Others: _________________________ Certificate of Employment 2 VALID IDs Govt Issued Proof of Remittance (OFW) Submitted by: Manila Bay Sales Executive E. Rodriguez
Date
1 2 3 4
Sales Manager
INDIVIDUAL TERM
Yrs. Mos.
AGE
Yrs. Mos.
GRADE/YEAR
O.
obtaining
Date