AUTOPLUS LOAN APPLICATION
For Individuals and Sole Proprietorships
MOTOR VEHICLE TO BE PURCHASED
Unit/Model Selling Price Amount For Financing
P P
Dealer/Agent Downpayment (actual amount and %) Terms 6 12 18 24
(in months)
P % 36 48 60 72
BORROWER'S INFORMATION
Name (Last Name / First Name / Middle Name) Nick Name Date of Birth Place of Birth
Civil Status Single Married No. of Years No. of Mother's Maiden Name Citizenship
Widow/er Separated Dependents
Annulled
Present Home Address Zip Code Years of Residency
Tel No/s.
Owned Living with Relatives Renting for P _____________ Presently Mortgaged for P _____________
Previous Address (if residency is less than 2 years) Zip Code E-Mail Address
Employment / Occupation EMPLOYED SELF-EMPLOYED / BUSINESS
Employer's / Business Name
Office / Business Address
Telephone No.
Position
Yrs. in Employment/Business
Monthly Income
GSIS/SSS No. Previous Employer (if less than 2 years in current employment) Nature of Business DTI Registration No.
SPOUSE'S / CO-BORROWER'S INFORMATION
Name (Last Name / First Name / Middle Name) Nick Name Date of Birth Place of Birth
Employment / Occupation EMPLOYED SELF-EMPLOYED / BUSINESS
Employer's / Business Name
Office / Business Address
Telephone No.
Position
Yrs. in Employment/Business
Monthly Income
GSIS/SSS No. Previous Employer (if less than 2 years in current employment) Nature of Business DTI Registration No.
BANK ACCOUNTS CREDIT CARDS OWNED
Bank/Branch Type of Account Account No. Card Company Credit Limit Expiry Date
EXISTING LOANS
Bank/Branch Type of Facility Amount Collateral
OTHER ASSETS
Location Lot Area Estimated Market Value
REAL ESTATE
Year / Make Model Estimated Market Value
AUTOMOBILE
Company Name No. of Shares Estimated Market Value
SHARES OF STOCK
TRADE AND BUSINESS REFERENCES
Name Contact Person Telephone No. Nature of Transaction / Volume
AGREEMENT
I/We affirm that each of the statements made in this application is true and correct and the signatures appearing herein are genuine. I/We agree to notify China Banking
Corporation (the Bank) of any changes affecting the information contained herein. I/We further confirm that I/we do not have any outstanding civil or criminal case filed
against me/us and that I/we do not have any arrearages/past due with any bank or financial institution. I/We authorize the Bank to obtain and verify such information as may
be required covering this application from the above references or any other sources. For this purpose, I/we hereby waive my/our rights in the confidentiality of client
information. A photocopy of this authorization shall be effective and valid as the original. I/We agree that any information obtained by the Bank shall remain its property
whether or not the loan is granted.
I/We confirm that I/we do not have any relative within the first degree of consanguinity or affinity working in the Bank. I/We agree that this loan application shall be subject to
Bangko Sentral ng Pilipinas regulations including those pertaining to directors, officers, stockholders and related interests of the Bank. I/We further agree and understand
that, should this application be denied, the Bank is not obliged to furnish the reason for denial.
I/We fully understand that any material misrepresentation or failure to disclose information on my/our part as required herein, may cause disapproval of my/our loan
application; and the Bank at any time, shall have the right to cancel the loan approval and/or declare the loan due and demandable.
Borrower's Signature Over Printed Name / Date Spouse's/Co-Borrower's Signature Over Printed Name / Date
Tax Identification No.: Tax Identification No.:
Community Tax Certificate No.: Community Tax Certificate No.:
Date Issued / Place of Issue: Date Issued / Place of Issue:
CBG-001 (06-08) P/T
