APPLICATION FORM FOR VEHICLES LOAN

Application No.: ____________________________________ Date: ___________________________

Name: ____________________________________________ Occupation: _____________________
Address: __________________________________________ Business: _______________________
Location No: ______________________________________ Type of Loan: ____________________
Number of Years: __________________________________ Monthly due: ____________________
Name of Housewife/Husband: ________________________________________________________
Occupation: _______________________________________ Agency: __________________________
Monthly Income: __________________________________ Description Until: __________________
Membership Pay: _________________________________ Collection Charge: _________________
Amount Deposit: __________________________________ Identification Card: ________________

Approved By:

______________________ ______________________ __________________________

Applicant Signature Loan Officer Branch Manager

Subscribed and sworn before me this _________ day of _______________ 2018 at Tacloban city
the applicant presents his valid I.D.

NOTARY PUBLIC