GLOBAL CITY AUTO SALES, INC.

BLK15 FORD GLOBAL CITY BLDG. RIZAL DRIVE,CRESCENT

PARK WEST BONIFACIO,TAGUIG

CREDIT APPLICATION FOR INDIVIDUAL/SINGLE PROPRIETORSHIP

Applicant: Unit :
Marital Status: Single Selling Price :
Spouse Name: N/A Downpayment :
Address : Amount Financed :
Term :
Date of Birth: 3-Jun-84
Years in above address: ___________ 6 months Community Tax Certificate No.:
Own Rented Issued on :
Tel. Nos.: Issued at :
No. of Dependents: _____________ 1 TIN :

APPLICANT'S EMPLOYMENT/OCCUPATION
( ) EMPLOYMENT TEL. NO.: ____________________ ( ) BUSINESS TEL. NO.: ______________________
NAME OF EMPLOYER: BUSINESS NAME:

ADDRESS: ADDRESS:

POSITION: ______________________________________ POSITION: ____________________________________

YRS. W/THE CO.: ________________________________ YRS. W/THE CO.: _______________________________

APPLICANT'S SIGNATURE:__________________________ DATE:____________________

SALES CONSULTANT:_____________________

SPOUSE'S EMPLOYMENT
( ) EMPLOYMENT TEL. NO.: ___________________ ( ) BUSINESS TEL. NO.: ______________________
NAME OF EMPLOYER: BUSINESS NAME:

ADDRESS: ADDRESS:

POSITION: ______________________________________ POSITION: _______________________________________

YRS. W/THE CO.: ________________________________ YRS. W/THE CO.: __________________________________

MONTHLY INCOME
BORROWER : PHP ______________________________SPOUSE : PHP _______________________________
OTHER INCOME : _____________________________ OTHER INCOME : _______________________________

CREDIT REFERENCES
BANK AMOUNT OF DEPOSIT ACCOUNT/CC NO.
SAVINGS ACCT.:: __________________________________________________________________________________
TIME DEP.: __________________________________________________________________________________
CHECKING ACCT.: __________________________________________________________________________________
CREDIT CARD : __________________________________________________________________________________

TRADE REFERENCES
SUPPLIERS ADDRESS TEL. NO. VOLUME OF BUSINESS
_____________________________________________________ ____________________ ________________________
_____________________________________________________ ____________________ ________________________
_____________________________________________________ ____________________ ________________________
_____________________________________________________ ____________________ ________________________
_____________________________________________________ ____________________ ________________________

CLIENTS ADDRESS TEL. NO. VOLUME OF BUSINESS

____________________________
____________________________
____________________________
____________________________
____________________________
________________________ ____________________ ________________________
________________________ ____________________ ________________________
________________________ ____________________ ________________________
________________________ ____________________ ________________________
________________________ ____________________ ________________________

APPLICANT'S SIGNATURE ___________________________ DATE : _________________

SALES CONSULTANT : _____________________________