BENEFICIARY VERIFICATION REPORT – CONFIDENTIAL -

BORROWER’S NAME
LAST NAME FIRST NAME MIDDLE NAME

OFW NAME LAST NAME FIRST NAME MIDDLE NAME

EMPLOYER’S INFO
NAME OF EMPLOYER: YRS IN OPERATION:
NATURE OF BUSINESS: EST. NO. OF EMPLOYEES:
BUSINESS ADD / COUNTRY:
CONTACT NOS: EMAIL/WEBSITE:

YRS AS OFW: NEXT VACATION (ARRIVAL) DATE: RECEIVING REMITTANCES FROM OFW FOR HOW LONG?

YRS WITH PRESENT EMPLOYER: VACATION DURATION: DOES OFW KNOW ABOUT THE LOAN?

POSITION: CONTACT NO. OF OFW ABROAD: REMITTANCE AMOUNT:

CONTRACT DURATION: EMAIL ADD OF OFW: REMITTANCE FREQUENCY (monthly, weekly etc.):

EMP STATUS: ADDRESS OF OFW IN THE PHILS: REMITTANCE SCHEDULE (1st week of the mo, end of month etc.):

GROSS SALARY INCLUDING ALLOWANCE: MODE OF REMITTANCE (THRU BANK, EXCHANGE, etc.):

DEDUCTIONS: RELATION WITH OFW: ANY REMITTANCE DELAY:

NET SALARY: REASON FOR RECEIVNG THE REMITTANCE (If beneficiary REASON FOR DELAY:
is not immediate relative):

LAST DEPARTURE DATE:

LATEST CONTRACT / OFW INFO SHEET IF YES, TYPE OF DOCUMENT: IF NO, WRITE REASON:
SUBMITTED:

OTHER INCOME: WITH PROOF OF OTHER INCOME WITHOUT PROOF OF OTHER INCOME

NDI COMPUTATION
NET INCOME EXPENSES NDI COMPUTATION
BORROWER’S GROSS INCOME: LIVING EXPENSES TOTAL GROSS INCOME:

OTHER INCOME: OTHER EXPENSES TOTAL EXPENSES:

CO-MAKER INCOME MONTHLY AMORT. DBR: NDI:

TOTAL NET INCOME: TOTAL EXPENSES: NOTE: COMPUTATION OF NDI = TOTAL GROSS
INCOME / OVER TOTAL EXPENSES

PREPARED BY:

NAME OF CREDIT INVESTIGATOR SIGNATURE DATE PREPARED