DATE

GROUP:

10 - MJR

MARKETING PROF.

GENESIS C. GUTIERREZ

728 Quezon Avenue, Quezon City

Tel. Nos. 554-2000 Loc. 115
Fax Nos. 731-7661 / 731-8211
CREDIT APPLICATION FOR INDIVIDUAL & SINGLE PROPRIETORSHIP

PLEASE FILL UP COMPLETELY TO FACILITATE APPROVAL

I/We certify that all this information entered into this loan application are true, correct and complete. I/We authorize you to verify and investigate said
information from whatever sources you may consider appropriate. I/We authorize the sources that you approach to provide information relative to this application. I
agree that this application and the information derived will remain your property whether the loan is granted or not.
I/We understand that any misrepresentation may adversely affect approval of this application and status of my loan if already granted.

U
N
I
T

MODEL

VARIANT

UNIT PRICE

DOWN PAYMENT

AMOUNT FINANCED

CIVIL STATUS

A
P
P
L
I
C
A
N
T

I
N
C
O
M
E

PRINCIPAL BORROWER
LAST NAME
FIRST NAME
CO-BORROWER / CO-MAKER
LAST NAME
FIRST NAME

F
L
O
W

DATE OF BIRTH

CITIZENSHIP

NO. OF
DEPENDENTS

DATE OF BIRTH

CITIZENSHIP

NO. OF
DEPENDENTS

MIDDLE NAME

MIDDLE NAME

COMPLETE ADDRESS

HOME TEL. NO./

YEARS STAYED

CELLPHONE NO.
PROVINCIAL ADDRESS

APPLICANTS EMPLOYER/BUSINESS NAME

CO-BORROWERS/CO-MAKERS EMPLOYER/BUSINESS NAME

BUSINESS ADDRESS

BUSINESS ADDRESS

TEL. NO.

YRS. WITH THE COMPANY

APPLICANTS MONTHLY SALARY

C
A
S
H

TERM

POSITION

TEL. NO.

YRS. WITH THE COMPANY

___________________

POSITION

LESS MONTHLY EXPENSES

CO-BUYERS/CO-MAKERS MONTHLY SALARY ___________________

__________________

RENTALS

ADD. OTHER MONTHLY INCOME

__________________

MORTGAGES

___________________
___________________
__________________
___________________
__________________
___________________
__________________

___________________
___________________

HOUSEHOLD
EXPENSES

___________________

OTHER EXPENSES

___________________

TOTAL EXPENSES

TOTAL MONTHLY INCOME

__________________

__________________

NET MO. INCOME

MAIN BANK/BRANCH:

C/A #:

S/A #:

NAME

R
E
F
E
R
E
N
C
E
S

ADDRESS

PERSONAL ___________________________
_________________
___________________________
_________________

______________________________________

TRADE/
___________________________
_________________
SUPPLIER
___________________________
_________________
___________________________
_________________

______________________________________

______________________________________

______________________________________
______________________________________
Bank / institution

SAVINGS
CHECKING

HAVE YOU FILLED-OUT CAR LOAN APPLICATION TO OTHER

CAR DEALER/FINANCING CO.?
If yes, please state the name of the car dealer/financing company.

YES
[ ]

NO
[ ]

____________________

HAVE YOU HAD PREVIOUS CAR LOAN?

YES
[ ]

If yes, please state the name of the financing company.

____________________

SIGNATURE OF APPLICANT

TEL. NO.

NO
[ ]

Branch