PROMISSORY NOTE

(Personal Loan Program)

PN No. Date Maturity

FOR VALUE RECEIVED, the undersigned (the "BORROWER & the "CO-MAKER," irrespective of numbers) jointly and
severally promise/s to pay to Robinsons Bank Corporation (the "BANK") or its order, at its office at the 17th Floor, Galleria
Corporate Center, EDSA corner Ortigas Avenue, Quezon City, the amount of
PESOS: (Php ) with
interest at the rate of per annum, without need of notice or demand, in installments of the following amounts
and at these dates, to wit: PESOS:
(Php ) monthly for months due and payable on the day of each month
starting 20 provided that the late payment charge of per month shall be added
on each unpaid installment from due date thereof until fully paid.

SIGNATURE OVER PRINTED NAME SIGNATURE OVER PRINTED NAME SIGNATURE OVER PRINTED NAME
Principal Borrower Spouse of Borrower Co Maker

Signed in the Presense of:

Signature over Printed Name Signature over Printed Name

ACKNOWLEDGMENT
REPUBLIC OF THE PHILIPPINES
)S.S.
BEFORE ME, this day of , 20 , in the above jurisdiction personally
appeared:

Name Competent Evidence of Identity Place & Date of Issue

known to me and to me known to be the same person/s who executed the foregoing promissory note and each/they acknowledged to me that
the same is his/their free and voluntary act and deed.

WITNESS MY HAND AND SEAL at the date and place above written.

Doc. No.
Page No.
Book No.
Series of
DISCLOSURE STATEMENT
(In Compliance with RA 3765)

1. LOAN GRANTED (AMOUNT FINANCED) P (A) 8. MODE OF PAYMENT

2. FINANCE CHARGES
a. Interest of % p.a for
from to
b. Non Interest Charges
c. Commitment Fee
d. Guarantee Fee
e. Other Finance Charges
TOTAL FINANCE CHARGES
3. NON FINANCE CHARGES
a. Insurance Premium
b. Taxes
c. Documentary Stamp Taxes
d. Notarial Fees
e. Others
TOTAL NON FINANCE CHARGES
4. TOTAL DEDUCTION FROM LOANS B+C
5. NET PROCEEDS OF LOAN (A LESS D)
6. PERCENTAGE OF FINANCE CHARGES
TO TOTAL AMOUNT FINANCED (Computed
In accordance with Section 2(1) of CB Circular 158)
7. EFFECTIVE INTEREST RATE
EIR = 2 x installment charges
Amount financed/installment
a) Single Payment on
Not Deducted Deducted from Proceeds b) Installment amount P
Payable in Mos/Qrts/Yrs
days 9. COLLATERAL
P P 10. ADDITIONAL CHARGES IN
CASE CERTAIN STIPULATIONS
ARE NOT MET BY BORROWER
(B)
P P CERTIFIED CORRECT:
(BANK OFFICER)
(C) I acknowledge receipt of this statement
(D) prior to the consummation of the credit
P transaction and I understand and fully
agree to the terms and condition thereof
% p.a
% p.a (Borrower's Signature)
x installment charges x 100 %
Total No. of Payments
(Co-maker's Signature)