SALARY LOAN APPLICATION FORM CI NEW [J RENEWAL
‘Amount Applied:
Referred By:
Prey Te) PERSONA Oo
tastHame, Fist Name Midde Name | Birthday Age
Moral Status Single CMaried Others Course
Fathers Name Hee Mothers Name:
(CHILDREN (TBLINGS FSINGLE) SCHOOL [FOR EMPLOYED ~ ENPLOYER/ POSTION)
Present Address (House No/.o/ Block Steet/llage/Subaision/Barangay/Muniopalty/Ciy/Previncs) Nearest Landmark
Residence Ownership: —ClOwned CiMorgaged _CiRented Chwithnalaives Wome Telephone Number] Mobile Number/s
Monthy Rental Amortization:
Permanent Adress Length oF Stay mall dress
Provingal Adarese Length of stay FB Account
Company Name main office Basie Salary!
HEREC EEE EE Devaney
‘Company Address (Unit Floor Bulding/Steet/Vilage/Barangay/Munlcpaliy/Gty/ Provnce/HR Contac Person & Postion Weta
Capa TN Potion Yeas tmplond | SSS, TH ‘Status Contractual
Permanent
PO OR )
LastName Fist Name Midcle name Birthdayimm/cey) Ae ‘Gender: Male
Dremate
Favcational Atainment ‘Course Taken: SehoolUniversy Contact Nomber:
high choo! 0 colege C1 Post-Graduate
raployment: Self-Employed Li Government | Employer/Business Name Nature of Business
DPevate 1 Professional
Trployer/ Business Areas [UnitFloor/uiling/ Steet VMage Barangav/ Manicpalty/Ciy/ Province) Tanah of Says: Employed
Postion Gross ncome Netincome SNe, ‘aus Contractual
Permanent
Amount Approved =
Terms
Remarks
(ASH FLOW:
Monthy income: Expenses Remarks/¢omment
Tt Sola oa
Incentives/Conm. ulties
Spouse Income. Eaueation
Other income Rental/Anor
Transoo./635
‘thers
Tora TOTAL
NET INCOME
‘AO'S Remarks
Employee Verification
DERTA
Wwe hereby cert that al the data or Information furnished inthis Applaton Form ae tru, correct and compete, and the signatures heren are true an
authentic. /We hereby authorize FORBES LENDING SOLUTION CORPORATION, is subsidiaries or afilates, to obtain, validate or verfy an if necessary, hare, report or
Alsace such data or information and thereby walve my/our ght relation to confidentiality of accounts under RA 140, and privacy of credit data or other data or
Information persining to me/us or my/our accounts as may be necessary or for FLSCto comply with RA 9510 {Cre Information System Act), RA 10173 (Oata Privacy
‘ct) and thelr implementing rules and regulations as wel as other laws and issuances. We agree that tis application and all supporting documents and anyother
Information obtained by FORBES LENDING SOLUTION CORPORATION relative to this application shall mains its property irrespective of the granting of the lan. We
further acknowledge that any false statement or concealment ofan information which may be discovered after the loan has been granted shal besuifcan bas for
FORBES LENDING SOLUTION CORPORATION to consider the loan immediately due and demandable
ewrower [Signature over Printed Name) Spouse [Sigature over Printed Name)Cited
lusiness Name Income
business Adress Year in Business
Nr
Bank — | Account Type | Account No | Date Opened
Name contact Acoress
PRIVACY NOTICE AND CONSENT FORM.
Here at Forbes Lending Soon Corp, we take Your privacy serious
‘The privacy and security of your personal data (the “Personal
Information) which we ellect rom you is important tous, ts equally
Important that you understand how we handle this data
inthe course of conducting our business, we must collet “Personal
Information” from you. The nature of the information that we collect
vl be strictly used to adinister your account and to prove the
brodts and services you have requested ftom us and to further most
‘yur neods andthe standard procedures of our businass
‘We wil treat your “Personal Information” consent. wil only be
‘isoosed for the purpose of hanelirg. your accoum ecient,
eiecvely and to further assist you in your financial neecs, to our
alates such as crest bureaus, collection companies and other
financial institutions. We have tusted relationships, with carefully
selected third parties who perform series on our behal. Al sevice
Brovders are bound by the contract to maintain te security of your
personal information and to use it only 26 permitted by us. We
‘uarantoe that your personal information val be strictly kept in private
\Ukewise, in order to atain your goals and financial goals, we might
eed to collect and gather information in relation to your loan
‘appication.n ths regan wl aso serves as yout consentin ving
Forbes Lending Solution Corp. "FL" for brevity the ight to collect
‘and gather Infomation from any bank institutions, your empioyer,
supoler, agencies, rom your declared character relerences in the
‘aophication form,
You ae also allowing FISC to collect personal and sensitive
information fom your relatives up to 3rd consarguiity and vice versa,
that we ate albwed to disclose any personal information to the
‘tove mentioned people and institutions in any case We cannot
contact you to lscuss your loan and your exsing obigation fan.
‘Yu ae ago aun FLSC to collec information trom ary nsttutions
that you are connected wit oF related to n certo property assess
your loan applation. Furthermore, you are allowing any of these
‘ove mentioned insttutons and persons to iscose any information
‘aout you tht Wil help usin ascertaining your lon appication,
Furthermore, in any case of restructuring your loon abligation, you are
Bing consent anc lowing FLSC to disclose and collect information
from the above-mentioned institutions and people
Here at Forbes Lending Solution Corp, we make sure that you are
protec
‘APPUCANT'S SSGNATURE
Signature Over Printed Name