FOR INDIVIDUAL

21/F GT Tower International, Ayala Avenue cor. H.V. dela Costa St., 1227 Makati City
Tel: (632) 8858-8888, 8982-9400 Fax: (632) 8858-8832
• All information will be treated strictly confidential.
• Please fill out this form completely and write legibly.
CREDIT APPLICATION
Application Number:________________________________
www.orix.com.ph Client Source:
( ) Dealer: _______________________________________
Sales Rep.: ____________________________________
( ) Metrobank Group:______________________________
( ) Others: ______________________________________
Date Received:_____________________________________

PURPOSE
Please select:
( ) Auto ( ) Appliance ( ) Business Equipment ( ) Others
( ) New ( ) Used Brand ______________ Type and Year Model ______________
Loan/Lease Amount Php ________________________ Downpayment Php ________________________ Term ___________________________

MODE OF PAYMENT
( ) Debit My Account Send billing to: ( ) Home ( ) Office
( ) Post-Dated Checks

PERSONAL INFORMATION
Last Name First Name Middle Name

Alias/Nickname Civil Status Nationality

O Single O Separated O Married O Widowed

Alien Certificate of Registration (ACR) No. Gender Birthdate (mm/dd/yy) Age Birthplace
O Male O Female

Present Address

Years in Above Address Ownership of Residence

O Owned O Company housing
O Rented O Others (please specify) _________________
O Living with relatives ____________________________________

Permanent Address (if different from present address)

No. of Dependents Names and Ages of Dependents

TIN SSS/GSIS No.

CONTACT DETAILS
Mobile No. Telephone No.

E-mail Address Facebook Account

EMPLOYMENT INFORMATION
Employer Name Position Years in current work

Office Address Phone/Fax No.

Business Name (if self-employed) Years in current business

Business Address Phone/Fax No.

SPOUSE INFORMATION
Last Name First Name Middle Name

Alias/Nickname Alien Certification of Registration (ACR) No. Nationality

Age Birthdate (mm/dd/yy) Birthplace

Mobile No. E-mail Address TIN SSS/GSIS No.

Employer Name Position Years in current

work

Office Address Phone/Fax No.

Business Name (if self-employed) Years in current business

Business Address Phone/Fax No.

MONTHLY INCOME AND EXPENSES

Monthly Income Monthly Expenses

Source of Income Principal Applicant Spouse Description of Expenses Amount

Gross Monthly Income Rental Expenses

Bonuses (Total Bonuses/12) Household Expenses (food, utilities, etc.)

Other source of income/wealth (please specify) Loan and credit card payments

Others

TOTAL MONTHLY INCOME TOTAL MONTHLY EXPENSES

 BANK DEPOSIT/S
(A separate sheet may be attached if necessary)

Bank Branch Type of Deposit

VEHICLE/S OWNED

Brand Model Year If mortgaged, state bank and branch

REAL ESTATE PROPERTY/PROPERTIES OWNED

(A separate sheet may be attached if necessary)

Address of Property Type of Property If mortgaged, state bank and branch

LOANS WITH OTHER BANKS/FINANCIAL INSTITUTIONS

(A separate sheet may be attached if necessary)

Type of Loan Bank/Financial Institution Monthly Amortization Outstanding Balance

CREDIT CARD DETAILS

(A separate sheet may be attached if necessary)

Card Company Card Type Credit Limit Outstanding Balance

ARE YOU RELATED TO ANYONE IN THE METROBANK GROUP?

1. Are you a Director, Officer, Stockholder (DOS) of If yes, specify the name/s and relationship, such as, but not Name - Relationship to DOS - Company & Position (e.g.
Metrobank Group?
limited to: spouse, relative by consanguinity or affiliation (e.g. Juan Dela Cruz - Brother - Metrobank, VP)
O Yes O No
2. Are you related to any DOS of Metrobank Group? parent, child, brother, sister-in-law, grandparent, niece, uncle, _______________________________________________
O Yes O No first cousin, etc.) or others (e.g. general partner, co-owner of _______________________________________________
Note: Please disclose all relationships. A separate sheet may be
attached if necessary. collateral, etc.) _______________________________________________

By signing this form, I/we authorize ORIX METRO Leasing and Finance Corporation (OMLF) to share my/our personal data with the subsidiaries and affiliates within the OMLF Group as well as agents or third parties
that provide services or have contractual obligations with the said Group.

I am/We are doing this:

• so that OMLF, its subsidiaries and affiliates, can further secure me/us from fraud, unauthorized and illegal transactions and anti-money laundering and terrorist financing risks;
• so that my/our data can be used in the settlement of disputes or claims regarding my/our accounts through prosecution or the defense of OMLF or its staff;
• so that I/we can be provided a customized experience and offered products and services within the OMLF Group that are relevant and suitable to me/us; and
• so that OMLF can better perform its obligations to the law, rules and regulations, contracts, or orders from any courts or quasi-judicial and administrative offices.

I/We acknowledge that OMLF is committed to protecting my/our personal data against unauthorized use or disclosure, by complying with the Data Privacy Act of 2012 (Republic Act No. 10173), the Law on Secrecy
of Bank Deposits (Republic Act No. 1405), the Foreign Currency Deposit Act (Republic Act No. 6426) and the General Banking Law of 2000 (Republic Act No. 8971), as well as rules and regulations issued by the Bangko
Sentral ng Pilipinas (BSP) and other regulatory bodies that uphold data privacy.

I/We expressly authorize OMLF, in case my/our loan application is approved, to submit my/our basic credit data to the Credit Information Corporation (CIC) in accordance with Republic Act No. 9510, otherwise known
as the Credit Information System Act.

I/We acknowledge that OMLF may share data to its third-party provider such as but not limited to external auditor and legal counsel. Service provider shall contractually agree to OMLF’s data protection procedures
and ensure that the confidentiality of all personal data is protected.

Pursuant to BSP Circular No. 472, as amended by Circular No. 549 and Circular No. 622, I/we hereby execute a Waiver of Confidentiality of Information authorizing OMLF to conduct random verification with the
Bureau of Internal Revenue (BIR) for purposes of establishing the authenticity of the Income Tax Return (ITR) and accompanying financial statements submitted by me/us in connection with loans, other credit
accommodations and credit lines granted, renewed or extended by the said financial institution.

I am/We are also aware that the details of how my/our personal data will be processed, as well as the rights available to me/us, are listed on OMLF’s privacy policy statement, available on www.orix.com.ph.

If I/we want to access, update or correct my/our personal data, or withdraw my/our consent, I/we know that I/we have the following options:
• Send a letter to my/our branch of account;
• Email the Data Protection Officer at dataprotection@orix.com.ph; or
• Use OMLF’s website.

If I/we withdraw my/our consent to use my/our data, or if I/we settle and close my/our engagements with OMLF, I/we understand that OMLF has five (5) years to delete and securely dispose of my/our data.

AMLA Compliance

To enable OMLF to comply with local and international anti-money laundering laws and regulations, I/we hereby authorize the Company to disclose to local and/or international government entities, subsidiaries
and affiliates, and/or its local and/or foreign correspondent banks, information which shall include, but not limited to, the following personal information: e.g. birthdate, birthplace, employment, profession, business,
contact numbers, date when account was opened. The foregoing includes the authority of OMLF to supply any supporting transactional documents when required by any of these entities. I/We release and hold the
Company, its directors, officers, staff, representative and/or agent, free and harmless from any liabilities, suits, actions, losses, and/or damages that may arise out of such disclosure.

_________________________________________ ___________________________
Customer’s signature over printed name Date

Signature of Principal Applicant Date Signature of Spouse Date

TO BE FILLED OUT BY ORIX METRO ONLY

Date O Principal Applicant O Referred by __________________ O Endorsed by _________________

O Co-Borrower Referring Branch RC ___________ Endorsing Branch RC __________

___________________________________
Signature over printed name of BH/BIC
The information contained herein was obtained from the credit applicant whose name appears in this application form.

DOCUMENTARY REQUIREMENTS
For Individual Clients: For Sole Proprietorship/Partnership/Corporation:
Duly filled out ORIX METRO Credit Application form Duly filled out ORIX METRO Credit Application form
Two (2) copies of latest 2” x 2” colored I.D. picture Audited Financial Statements with Income Tax Return (ITR) for the past three (3) years
Photocopy of company I.D. For Corporations: SEC Registration, Articles of Incorporation, By-Laws and General Information Sheet (3 years)
Photocopy of any valid government-issued I.D. For Partnership: SEC Registration, Articles of Partnership and Partner’s Resolution
Certificate of employment from employer indicating status of compensation, designation, position and tenure For Sole Proprietorship: DTI papers
Certified true copy of monthly payslip for the past three (3) months Business permit
Latest Income Tax Return (ITR) Updated company profile
Latest interim financial statements
Photocopy of two valid IDs of signatories and corporate secretary
Copy of unit price quotation from supplier, if available

Revised August 2019

 FOR SOLE PROPRIETORSHIP/PARTNERSHIP/CORPORATION

21/F GT Tower International, Ayala Avenue cor. H.V. dela Costa St., 1227 Makati City Application Number:________________________________
Tel: (632) 8858-8888, 8982-9400 Fax: (632) 8858-8832 www.orix.com.ph Client Source:
( ) Dealer: _______________________________________
• All information will be treated strictly confidential.
• Please fill out this form completely and write legibly. Sales Rep.: ____________________________________
( ) Metrobank Group:______________________________
( ) Others: ______________________________________
CREDIT APPLICATION Date Received:_____________________________________

Name of Business/Company:

ITEM APPLIED FOR

Please select:
( ) Brand New Auto/AUV ( ) Appliance ( ) Brand New Truck/LCV
( ) Used Auto/AUV ( ) Business Equipment ( ) Used Truck/LCV

PURPOSE
( ) Private/Personal Use ( ) Business/Service Place of use:
( ) Public Utility ( ) Others, please specify:
__________________________________

Dealer’s Name List Cash Price Sales Discount

Name of User (if not applicant) Downpayment Amount Financed

Item Description Terms

( ) 6 months ( ) 30 months ( ) 48 months
( ) 12 months ( ) 36 months ( ) 54 months
( ) 18 months ( ) 42 months ( ) 60 months

BUSINESS INFORMATION
Business Address (Head/Main Office) Telephone No. Years of Stay

Factory/Branch Address Contact Person Position

Type of Business (Nature of Operation) Year Incorporated Years of Operation Net Total Income (Year/Month)

Gross Revenue Net Income Total Assets Equity

MAJOR STOCKHOLDERS/PARTNERS/OFFICERS
(A separate sheet may be attached if necessary)

Amount of Stock/ Birthdate

Name Position % Address Birthplace Contact Number
Participation (mm/dd/yy)

BANK, CREDIT AND TRADE REFERENCES

(A separate sheet may be attached if necessary)

Type Bank/Institution Address Deposit/Credit Information

Savings/Time Deposit Deposit Balance

Checking Account Outstanding Balance

Credit Card ( ) Full Payment Balance

( ) Partial Payment

Loan/Credit Facilities Amortization Outstanding Balance

Trade/Supplier References Telephone No.

Telephone No.
 ARE YOU RELATED TO ANYONE IN THE METROBANK GROUP?
1. Are you a Director, Officer, Stockholder (DOS) of If yes, specify the name/s and relationship, such as, but not Name - Relationship to DOS - Company & Position (e.g.
Metrobank Group?
limited to: spouse, relative by consanguinity or affiliation (e.g. Juan Dela Cruz - Brother - Metrobank, VP)
O Yes O No
2. Are you related to any DOS of Metrobank Group? parent, child, brother, sister-in-law, grandparent, niece, uncle, _______________________________________________
O Yes O No first cousin, etc.) or others (e.g. general partner, co-owner of _______________________________________________
Note: Please disclose all relationships. A separate sheet may be
attached if necessary. collateral, etc.) _______________________________________________

By signing this form, I/we authorize ORIX METRO Leasing and Finance Corporation (OMLF) to share my/our personal data with the subsidiaries and affiliates within the OMLF Group as
well as agents or third parties that provide services or have contractual obligations with the said Group.

I am/We are doing this:

• so that OMLF, its subsidiaries and affiliates, can further secure me/us from fraud, unauthorized and illegal transactions and anti-money laundering and terrorist financing risks;
• so that my/our data can be used in the settlement of disputes or claims regarding my/our accounts through prosecution or the defense of OMLF or its staff;
• so that I/we can be provided a customized experience and offered products and services within the OMLF Group that are relevant and suitable to me/us; and
• so that OMLF can better perform its obligations to the law, rules and regulations, contracts, or orders from any courts or quasi-judicial and administrative offices.

I/We acknowledge that OMLF is committed to protecting my/our personal data against unauthorized use or disclosure, by complying with the Data Privacy Act of 2012 (Republic Act
No. 10173), the Law on Secrecy of Bank Deposits (Republic Act No. 1405), the Foreign Currency Deposit Act (Republic Act No. 6426) and the General Banking Law of 2000 (Republic Act
No. 8971), as well as rules and regulations issued by the Bangko Sentral ng Pilipinas (BSP) and other regulatory bodies that uphold data privacy.

I/We expressly authorize OMLF, in case my/our loan application is approved, to submit my/our basic credit data to the Credit Information Corporation (CIC) in accordance with Republic
Act No. 9510, otherwise known as the Credit Information System Act.

I We acknowledge that OMLF may share data to its third-party provider such as but not limited to external auditor and legal counsel. Service provider shall contractually agree to OMLF’s
data protection procedures and ensure that the confidentiality of all personal data is protected.

Pursuant to BSP Circular No. 472, as amended by Circular No. 549 and Circular No. 622, I/we hereby execute a Waiver of Confidentiality of Information authorizing OMLF to conduct
random verification with the Bureau of Internal Revenue (BIR) for purposes of establishing the authenticity of the Income Tax Return (ITR) and accompanying financial statements
submitted by me/us in connection with loans, other credit accommodations and credit lines granted, renewed or extended by the said financial institution.

I am/We are also aware that the details of how my/our personal data will be processed, as well as the rights available to me/us, are listed on OMLF’s privacy policy statement, available
on www.orix.com.ph.

If I/we want to access, update or correct my/our personal data, or withdraw my/our consent, I/we know that I/we have the following options:
• Send a letter to my/our branch of account;
• Email the Data Protection Officer at dataprotection@orix.com.ph; or
• Use OMLF’s website.

If I/we withdraw my/our consent to use my/our data, or if I/we settle and close my/our engagements with OMLF, I/we understand that OMLF has five (5) years to delete and securely
dispose of my/our data.

AMLA Compliance

To enable OMLF to comply with local and international anti-money laundering laws and regulations, I/we hereby authorize the Company to disclose to local and/or international
government entities, subsidiaries and affiliates, and/or its local and/or foreign correspondent banks, information which shall include, but not limited to, the following personal
information: e.g. birthdate, birthplace, employment, profession, business, contact numbers, date when account was opened. The foregoing includes the authority of OMLF to supply
any supporting transactional documents when required by any of these entities. I/We release and hold the Company, its directors, officers, staff, representative and/or agent, free and
harmless from any liabilities, suits, actions, losses, and/or damages that may arise out of such disclosure.

_________________________________________ ___________________________
Customer’s signature over printed name Date

TO BE FILLED OUT BY ORIX METRO ONLY

Date O Referred by __________________

Referring Branch RC ___________

O Endorsed by _________________

Endorsing Branch RC __________

___________________________________
Signature over printed name of BH/BIC
The information contained herein was obtained from the credit applicant whose name appears in this application form.

DOCUMENTARY REQUIREMENTS
For Individual Clients:
Duly filled out ORIX METRO Credit Application form
Two (2) copies of latest 2” x 2” colored I.D. picture
Photocopy of company I.D.
Photocopy of any valid government-issued I.D.
Certificate of employment from employer indicating status of compensation, designation, position and tenure
Certified true copy of monthly payslip for the past three (3) months
Latest Income Tax Return (ITR)

For Sole Proprietorship/Partnership/Corporation:

Duly filled out ORIX METRO Credit Application form
Audited Financial Statements with Income Tax Return (ITR) for the past three (3) years
For Corporations: SEC Registration, Articles of Incorporation, By-Laws and General Information Sheet (3 years)
For Partnership: SEC Registration, Articles of Partnership and Partner’s Resolution
For Sole Proprietorship: DTI papers
Business permit
Updated company profile
Latest interim financial statements
Photocopy of two valid IDs of signatories and corporate secretary
Copy of unit price quotation from supplier, if available

Revised August 2019