Applpication Form p.

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ADDITIONAL CO-BORROWER INFORMATION
LAST NAME FIRST NAME MIDDLE NAME Birthday Sex Relation to Borrower
Male
Female
Education High School Graduate College Graduate Course:
High School Level College Level School Last Attended: Year Graduated:
Employment Self-Employed Government Employer/Bussiness Name: DTI/SEC Reg. No.
Private Professional
Employer/Buss. Address: Bldg./No./Street Village/Subdivision Municipality Province Lenght of Stay

Employer/Buss. Address: Position Monthly Income Prof. License No. SSS No. TIN

Previous Employer: Lenght of Stay:

BORROWER'S BANK ACCOUNTS

BANK BRANCH DATE OPENED ACCOUNT TYPE ACCOUNT NUMBER

BANK AUTHORIZATION
___________________________ (Bank/Branch)

This is to authorize Annapolis Finance Inc. or its authorized representative to verify my/our savings/checking account with you bank.

You are allowed to disclose the date of opening or my/our savings/checking account, the handling and the Average Daily Balance (ADB)
for the last six months.

BANK BRANCH/ADDRESS ACCOUNT TYPE ACCOUNT NO.

Thank you very much for your assistance.

Very truly yours,

Borrower (Signature Over Printed Name) DATE

To be filled up by AFI employee:

REMARKS:

For more inquiries contact: 09176283715-Ms. Yzai

09159592861-Ms. Aya
09989495956-Ms. Via