REQUIREMENTS:

 FULLY ACCOMPLISHED AND SIGNED APPLICATION FORM

 3 MONTHS LATEST BANK STATEMENT (CHECKING ACCOUNT WITH
CERTIFIED COPY) AND BANK CERTIFICATION
 2 PCS. 2X2 ID PICTURE
 COPY OF 2 VALID IDs (GOVERNMENT)
 PHOTOCOPY OF VALID MAYORS PERMIT
 PHOTOCOPY OF DTI REGISTRATION CERTIFICATE
 LATEST PROOF OF BILLING (OFFICE AND RESIDENCE)
 PHOTOS OF ACTUAL BUSINESS ESTABLISHMENT OR STOCKS
 SKETCH / MAP OF BUSINESS AND RESIDENCE LOCATION WITH
NEAREST LANDMARK

ADDITIONAL REQUIREMENTS IF CORPORATION:

 SEC REGISTRATION
 2 YEARS ITR
 FINANCIAL STATEMENT
 COMPANY PROFILE
 GENERAL INFORMATION SHEET
 PHOTO

ALL FIELDS ARE REQUIRED (PLEASE WRITE IN CAPITAL LETTERS)*

APPLICANT’S INFORMATION
LAST NAME: FIRST NAME: MIDDLE NAME:

RESIDENCE ADDRESS: OWN/RENT:

LENGTH OF STAY:
BIRTHDATE: NATIONALITY: GENDER: CIVIL STATUS:
PROVINCIAL ADDRESS: OWN/RENT:
LENGTH OF STAY:

TIN NO.: SSS NO.: COMMUNITY TAX CERTIFICATE:

FAMILY INFORMATION
SPOUSE NAME: OCCUPATION: BIRTHDATE:

NAME OF CHILDREN BIRTHDATE SCHOOL OCCUPATION

BANK INFORMATION
BANK BRANCH ACCOUNT NUMBER DATE OPENED

BUSINESS INFORMATION
BUSINESS NAME: NATURE OF BUSINESS:

BUSINESS ADDRESS: NO. OF EMPLOYEES:

LENGTH OF OPERATION: NO. OF BRANCHES:

OWN / RENT: PAYROLL:
LOAN DETAILS
AMOUNT APPLIED: TERM ACQUIRED:
PURPOSE OF LOAN:
TYPE OF LOAN: NEW: RELOAN: ADDITIONAL:

________________________________________
SIGNATURE OF PRINCIPAL BORROWER OVER PRINTED NAME WITH DATE

HOME TEL. NO.:

MOBILE NO.:
EMAIL:
OFFICE TEL. NO.:

PHOTO
ALL FIELDS ARE REQUIRED*
CO-MAKER’S INFORMATION
LAST NAME: FIRST NAME: MIDDLE NAME:

RESIDENCE ADDRESS: OWN/RENT:

LENGTH OF STAY:
BIRTHDATE: NATIONALITY: GENDER: CIVIL STATUS:
PROVINCIAL ADDRESS: RENT/OWN:
LENGTH OF STAY:
TIN NO.: SSS NO.: COMMUNITY TAX CERT:
FAMILY INFORMATION
SPOUSE NAME: OCCUPATION: BIRTHDATE:

NAME OF CHILDREN BIRTHDATE SCHOOL OCCUPATION

BANK INFORMATION
BANK BRANCH ACCOUNT NUMBER DATE OPENED

BUSINESS INFORMATION
BUSINESS NAME: NATURE OF BUSINESS:

BUSINESS ADDRESS: NO. OF EMPLOYEES:

LENGTH OF OPERATION: NO. OF BRANCHES:

RENT / OWN: PAYROLL:
AFFILIATED COMPANY: RELATION TO BORROWER:

______________________________
CO-MAKER’S SIGNATURE OVER PRINTED NAME

HOME TEL. NO.:

MOBILE NO.:
EMAIL:
OFFICE TEL.NO.:

TRADE REFERENCES
MAJOR CLIENTS CONTACT PERSON CONTACT NUMBER
 MAJOR SUPPLIERS CONTACT PERSON CONTACT NUMBER

RELATIVES ADDRESS CONTACT NUMBER

EMPLOYEES/POSITION ADDRESS CONTACT NUMBER

_______________________________________
AGENT’S SIGNATURE OVER PRINTED NAME

AUTHORIZATION LETTER TO VERIFY ACCOUNT AND PREMISES

DATE: ________________

TO WHOM IT MAY CONCERN,

 THIS IS TO AUTHORIZE ______________________________________________ AND ANY OF
ITSREPRESENTATIVES TO VERIFY ANY AND ALL ACCOUNTS WITH THE BANK AND OTHER ESTABLISHMENTS
AND INSTITUTIONS (GOVERNMENT OR PRIVATE).

BANK NAME: ____________________________________________________

BANK BRANCH: __________________________________________________
ACCOUNT NUMBER: ______________________________________________
ACCOUNT NAME: ________________________________________________
DATE OPENED: __________________________________________________
ACTIVE / INACTIVE: _______________________________________________
HISTORY OF RETURNED CHECKS: ____________________________________
CONTACT PERSON / POSITION: ______________________________________

FURTHER, THIS IS TO AUTHORIZE ____________________________________________ OR ANY OF ITS

AUTHORIZEDFREPRESENTATIVES TO ENTER AND INSPECT MY/OUR PREMISES WHICH IS PART OF THEIR
CREDIT INVESTIGATION.

SINCERELY,

______________________________________________
FULL NAME & SIGNATURE OF AUTHORIZED SIGNATORY