BORROWER'S INFORMATION

Principal Spouse
Contact Nos. (Landline / Mobile)
E-mail Address
Address
Education / School (College)
Licensed?
Civil Status:
For Employment Verification
Contact Person (HR)
Contact No. (HR)
Email Address (HR)
Previous Employer (If Less than 2 years with Current)
Company Name
Position
Tenure / No. of years employed
If OFW / Immigrant / Pensioner:
No of years abroad
Address abroad
Residence Ownership
Rental Fee / Relationship w/ Relatives
Frequency of Visit to Phils/How long?
If Seaman
-Ave. # of mos. on board
If Separated/Annulled/Divorced
How many years if separated/annulled/divorced?:
For Common-Law Partners:
Who will be the registered owner?
How long have they been living together?
Attorney-In-Fact (If Applicable):
Name: Relationship to Principal:
Birthday: Contact Nos.:
Address: Civil Status: Name of Spouse:
Employer/Business Name:
Contact Nos.: Address:

LOAN DETAILS
Usage of Property: If Others, pls. specify:
If Refinancing:
Reason for Transfer:
If Purchase of another House & Lot:
What will happen to the old residence?: