Loan Application No.

___________
PHOTO Promissory Note No. ___________

Desired LoanAmount: PHP Term of Loan: ________________________

PERSONAL INFORMATION
NAME ( LAST NAME )(FIRST NAME ) ( MIDDLE NAME )

BIRTHDATE (MM/DD/YEAR): AGE: CITIZENSHIP:

PLACE OF BIRTH: SEX: (M/F) CIVIL STATUS:

SSS NO.: TAX IDENTIFICATION NO.: (TIN)

EMAIL ADDRESS: CELLPHONE NO(S).:

ADDRESS(1)

______| _____ | ____________________________| ________________________________ |

________________________________
Lot No. Blk. No. Street Subd./Barangay Town/City/Province
HOME OWNERSHIP: (KINDLY CHECK APPROPRIATE BOX)

OWNED RENTED MORTGAGE LIVING W/ PARENTS/ RELATIVES

LENGTH OF STAY: | ZIP CODE: TELEPHONE/ CONTACT NO.:

ADDRESS (2):
| LENTH OF STAY:________________
PARENTS NAME:
(FATHER): | (MOTHER):|TELEPHONE NO.:
PARENTS ADDRESS:
______| _____ | _____________________| _______________________________________ |
________________________________
Lot No. Blk. No. Street Subd. / Barangay Town/City/Province
ZIP CODE: | LENGTH OF STAY:

NAME OF SPOUSE: |AGE: | TELEPHONE NO.:

PRESENT/PREVIOUS EMPLOYER: | TELEPHONE NO.:

ADDRESS:

OCCUPATION: | LENGTH OF SERVICE: | SALARY:

(SPOUSE) PARENTS’ NAME: | TELEPHONE NO.:

(SPOUSE) PARENT’S ADDRESS:

NAME OF CHILDREN & OTHER DEPENDENTS: | NO. OF CHILDREN/DEPENDENTS: _______________

NAME | AGE | SCHOOL/EMPLOYER |TEL. NO.:

1. _________________________ __________ _______________________________________________

__________________

2. _________________________ __________ _______________________________________________

__________________

3. ________________________ ___________ _______________________________________________

__________________

WORK AND FINANCES

PRESENT/PREVIOUS EMPLOYER: TELEPHONE NO.:

ADRESS:

POSITION: | LENGTH OF SERVICE: | SALARY:

DEPARTMENT / BRANCH: | OTHER INCOME:

OTHER MAJOR ASSETS: (PROPERTY / CARS / ETC.)

EXISTING CREDITS / LOANS:

NAME/COMPANY | ADDRESS | TELEPHONE NO. | OUTSTANDING
BALANCE

1. _______________________ ______________________________ _________________

_______________________
2. _______________________ ______________________________ _________________
_______________________
3. _______________________ ______________________________ _________________
_______________________

____________________________________
 Applicant’s Signature
Certified correct by Co-Applicant/s:
1._________________________________ Address:___________________________________Tel.
No.:_______________
( Signature over printed name )

2._________________________________ Address:___________________________________Tel.
No.:_______________
( Signature over printed name )

LOCAL AGENCY INFORMATION

AGENCY NAME: TELEPHONE NO.:
ADDRESS: CONTACT PERSON:
PAYABLES: FLIGHT SCHEDULE:

OVERSEAS EMPLOYMENT DETAILS

EMPLOYER’S NAME:

EMLOYEER’S ADDRESS/COUNTRY: TELEPHONE NO.:

POSITION: SALARY:

CONTRACT DURATION:

APPLICANT’S INTERNATIONAL/ROAMING NUMBER(S):

PERSONAL REFERRENCES

NAME ADDRESS / CONTACT NUMBER RELATIONSHIP

1. ________________________________ _________________________________________ __________________

2. ________________________________ _________________________________________ __________________

3. ________________________________ _________________________________________ __________________

4. ________________________________ _________________________________________ __________________

5. ________________________________ _________________________________________ __________________

"I executed this loan request to attest to the truth of the above-set facts and for whatever legal purpose
this may serve. I have also attached the necessary loan documents and forms as per your company
regulations.I understand that this application may be denied for any reason whatsoever. In this regard, I
recognize that such reason is proper and the Company has no obligation to disclose the same.

____________________________________
Applicant’s Signature
CO-MAKER’S LOAN APPLICATION
Desired Loan Amount: PHP__________________ PHOTO
Term of Loan: _____________________________

PERSONAL INFORMATION
NAME ( LAST NAME ) (FIRST NAME ) ( MIDDLE NAME )

BIRTHDATE (MM/DD/YEAR): AGE: CITIZENSHIP:

PLACE OF BIRTH: SEX: (M/F) CIVIL STATUS:

SSS NO.: TAX IDENTIFICATION NO.: (TIN)

EMAIL ADDRESS: CELLPHONE NO(S).:

ADDRESS (1)

______| _____ | ____________________________| ________________________________ | ________________________________

Lot No. Blk. No. Street Subd./ Barangay Town/City/Province
HOME OWNERSHIP: (KINDLY CHECK APPROPRIATE BOX)

OWNED RENTED MORTGAGE LIVING W/ PARENTS/ RELATIVES

LENGTH OF STAY: | ZIP CODE: TELEPHONE/ CONTACT NO.:

ADDRESS (2):
| LENTH OF STAY:________________
PARENTS NAME:
(FATHER): | (MOTHER): |TELEPHONE NO.:
PARENTS ADDRESS:
______| _____ | _____________________| _______________________________________ | ________________________________
Lot No. Blk. No. Street Subd. / Barangay Town/City/Province
ZIP CODE: | LENGTH OF STAY:

NAME OF SPOUSE: |AGE: | TELEPHONE NO.:

PRESENT/PREVIOUS EMPLOYER: | TELEPHONE NO.:

ADDRESS:

OCCUPATION: | LENGTH OF SERVICE: | SALARY:

(SPOUSE) PARENTS’ NAME: | TELEPHONE NO.:

(SPOUSE) PARENT’S ADDRESS:

NAME OF CHILDREN & OTHER DEPENDENTS: | NO. OF CHILDREN/DEPENDENTS: _______________

NAME | AGE | SCHOOL/EMPLOYER |TEL. NO.:

4. _________________________ __________ _______________________________________________

__________________

5. _________________________ __________ _______________________________________________

__________________

6. ________________________ ___________ _______________________________________________

__________________

WORK AND FINANCES

PRESENT/PREVIOUS EMPLOYER: TELEPHONE NO.:

ADRESS:

POSITION: | LENGTH OF SERVICE: | SALARY:

DEPARTMENT / BRANCH: | OTHER INCOME:

OTHER MAJOR ASSETS: (PROPERTY / CARS / ETC.)

EXISTING CREDITS / LOANS:

NAME/COMPANY | ADDRESS | TELEPHONE NO. | OUTSTANDING BALANCE

4. _______________________ ______________________________ _________________ _______________________

5. _______________________ ______________________________ _________________ _______________________
6. _______________________ ______________________________ _________________ _______________________
CHARACTER REFERENCES
NAME ADDRESS / CONTACT NUMBER RELATIONSHIP
6. ________________________________ _________________________________________ __________________
7. ________________________________ _________________________________________ __________________
8. ________________________________ _________________________________________ _______________

"I executed this loan request to attest to the truth of the above-set facts and for whatever legal purpose this may serve. I have
also attached the necessary loan documents and forms as per your company regulations. I understand that this application
may be denied for any reason whatsoever. In this regard, I recognize that such reason is proper and the Company has no
obligation to disclose the same.
____________________________________
Co-Applicant’s Signature