BORROWER’S NAME:__________________________________ COMAKER’S NAME:______________________

B-DAY:________________________________ B-DAY:____________________

CP N0.:___________________________________ CP NO.:_______________________

OCCUPATION:____________________________________ OCCUPATION: ________________________

Address:__________________________________________ Address:__________________________________

Ako si ______________________________________, umuutang ng halagang ________________

ay nanganagakong babayaran sa loob ng ______________________ simula sa petsang nakasaad
kung kalian ko natanggap ang nasabing halaga na aking inutang.

Date:________________

_______________________________________ __________________________________

Borrower’s Signature over Printed Name CoMaker’s Signature over Printed name

BORROWER’S NAME:__________________________________ COMAKER’S NAME:______________________

B-DAY:________________________________ B-DAY:____________________

CP N0.:___________________________________ CP NO.:_______________________

OCCUPATION:____________________________________ OCCUPATION: ________________________

Address:__________________________________________ Address:__________________________________

Ako si ______________________________________, umuutang ng halagang ________________

ay nanganagakong babayaran sa loob ng ______________________ simula sa petsang nakasaad
kung kalian ko natanggap ang nasabing halaga na aking inutang.

Date:________________

_______________________________________ __________________________________

Borrower’s Signature over Printed Name CoMaker’s Signature over Printed name