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VEHICLE FINANCE
INDIVIDUAL + SINGLE PROP THE MORTGAGOR HEREBY AUTHORIZES THE
MORTGAGEE OR ITS ASSIGNEE TO PROCURE
FOR THE ACCOUNT OF THE MORTGAGOR
COMPREHENSIVE INSURANCE COVERAGE
I WANT TO FINANCE: Unit Description Dealer EVERY YEAR THEREAFTER UNTIL THE
MORTGAGE OBLIGATIONS ARE FULLY PAID AND
Brand New Pre-loved ANY MONEYSO DISBURSED SHALL BE PAYABLE
Cash Price Term (Mos) 12 24 36 48 60 AND SHALL BEAR INTEREST AND/OR FINANCE
I am an individual depositor with CHARGE IN THE SAME MANNER AS STIPULATED
you
My company has an account Downpayment Purpose Private Use Business Use
IN THE PRECEDING SENTENCE. IT IS
UNDERSTOOD THAT MORTGAGEE HAS NO
with you is with you
My payroll
OBLIGATION TO CARRY OUT AFOREMENTIONED
Loan Value Unionbank Account Number AUTHORITY TO PROCURE INSURANCE FOR THE
ACCOUNT OF THE MORTGAGOR.
I hope to bank with you soon

MY PERSONAL INFORMATION TIN

First Name Middle Name Last Name Nationality


Widowe
Date of Birth Place of Birth Civil Status Single Married Separated Gender Male Female
d
Permanent Address Unit, Building, Street Brgy. City Zip

Home Phone Mobile Office Email

MY EMPLOYMENT AND SOURCE OF FUNDS

Sources of Funds: Salary Business Commission Fees Remittance Others

Company Name Years of stay Position Nature of Business

Office/Business Address Brgy. City Phone

CO-MAKER <OR SPOUSE> TIN × SSS

First Name Middle Name Last Name Nationality

Date of Birth Home Phone Mobile Office Email

CO-MAKER <OR SPOUSE> SOURCE OF INCOME

Company Name Years of stay Position Nature of Business

Address Brgy. City Phone

FINANCIAL INFORMATION

My Gross Annual Income Co-Maker <or Spouse> Gross Annual Income Total Gross Annual Income

I want to get a credit card. Yes No


What type of credit card do you want?
Lazada Mastercard Cashback Mastercard Miles+ Visa

I/We hereby certify that all data and statements in this application are correct, and are made for purpose of obtaining credit and signatures appearing thereon are genuine. I/We authorize you to obtain such information as you may require concerning the statements
made in this application and that the sources to which you may apply are authorized to provide any information relative to this application. All documents and annexes hereto shall remain your property whether the credit is granted or not.

10/22/2022
DATE APPLICANT CO-MAKER <OR SPOUSE>
- TERMS AND CONDITIONS AT THE BACK IF HARDCOPY OR IN THE NEXT TAB IF SOFT COPY -
Unionbank of the Philippines is supervised by the Bangko Sentral ng Pilipinas.
For concerns, you can contact us at (+632) 8841-8600 or customer.service@unionbankph.com or the BSP Financial Consumer Protection Department at (+632) 8708-7087 or consumeraffairs@bsp.gov.ph
HOW DO YOU KNOW UNIONBANK?

I am an individual depositor with you Account#

My payroll is with you Account#

I hope to bank with you soon >>Proof of Income: Other Philippine bank credit cards, COE x ITR.
Lazada Mastercard CashBack Mastercard Miles+ Visa
MY PERSONAL INFORMATION Online Shopping Made Easy Every Day Saving Made Simple Travel Without Boundaries
Name: First Middle Last
Get P6.00 Lazada Wallet Credits for every Earn Unlimited Savings with 1.5% Cash 1.5 Points for every P25 spend for Airline
P200 spend in Lazada Back on ALL Purchases! tickets, Hotel & Lodging, and Overseas
spend and 1 Point for everything else
Get P1.00 Lazada Wallet Credit for every
Name on Card (21 characters only) P200 spend on other mechants
Convert points to cash OR convert points to
PAL Mabuhay Miles or Cebu Pacific GetGo
Points
Enjoy unlimited complimentary lounge Enjoy unlimited complimentary lounge access at Club Manila at NAIA 1 and Skyview at
Birthdate Place of Birth TIN / SSS access at Club Manila at NAIA 1 NAIA 3
FEES AND CHARGES
Home Address Annual Fee Principal Supplementary Card Replacement P400 for every lost or damaged card.
Lazada Mastercard P3,000 P1,500 Sales Slip Retrieval P200 for every transaction slip requested.
Brgy City Zip CashBack MasterCard P3,000 P1,500 Returned Check P1,000 for every returned check.
Miles+ Visa P3,000 P1,500 Dispute P1,000 for every invalid dispute case.
Years of Stay Nationality
3.5% Monthly Effective Interest Rate (EIR) which is computed based on average daily balance. Payment of only the
Complete Mother's Maiden Name Interest minimum amount due or any amount less than the total amount due for the billing/cycle period would automatically
result to interest and/or other charges.
YOU CAN REACH ME AT DELIVER CARD TO Late Payment 6% (Computed based on minimum amount due) or P500, whichever is higher.
Life Insurance P0.36 (U-Protect) or P0.55 (U-Secure) will be charged for every P100 outstanding balance
Home Mobile Office Home
6% of the transaction amount or P300, whichever is higher. If done over-the-counter, an additional fee of P500 per of
transaction shall be charged. Interest charge of 3.5% per month will also be due on each cash advance from the date the
*Leave an authorization letter & Cash Advance
Office Email Service
advance until date of repayment in full (including unbilled charges). Cash Advance Fee is not considered in the
valid ID if you will be unable to derivation for Cash Advance EIR. Total Annual EIR for Cash Advance transactions is 42% - for P5,000 and above
receive the card personally. transactions via ATM.
MY EMPLOYMENT INFORMATION
P500, automatically billed to the cardholder on cycle date, when total transactions and system generated interest/charges
Overlimit
Company Name exceed the credit limit.

Refund P50 which covers the cost of processing of a refund request in Manager's Check as a result of cardholder's overpayment.
Company Address
Applicable to all pre-terminated Installment Transactions; P500 or 5% of remaining principal balance, whichever is
Pre-Termination
Brgy City Zip higher.

I have worked here for Source of Income All charges made in currencies other than Philippined Peso (PhP) shall automatically be converted to the (PhP) billing
Service Fee for currency on posting date at the prevailing exchange rate selected by MasterCard or Visa International. This will be based
Foreign Currency on the range of rates available in the wholesale currency markets or the government-mandated rate if in effect. A 2% fee
My rank is Position Transactions will be added for Cebu Pacific Gold Credit Cards and UnionBank Platinum MasterCard while a 3% fee for Cebu Pacific
Platinum Credit Cards covering the cost of processing transactions in foreign currencies.
My Gross Annual Income is roughly
REQUIRED IDs Any One: Current Passport, UMID, SSS, GSIS, PRC, Driver's License
I AM THE PRINCIPAL CARDHOLDER FOR THESE PHILIPPINE CREDIT CARDS For applicants without a Any Two: Company ID, TIN, Voter's, Postal, Senior Citizen, GOCC, Philhealth
UBP deposit account
only. Foreigners: Mandatory ACR or DOLE ID for EMPLOYMENT
Bank Name Card Number Credit Limit

Bank Name Card Number Credit Limit


REFFERED BY: EMAIL: NAME OVER SIGNATURE DATE
TERMS AND CONDITIONS ON THE BACK IF HARDCOPY OR IN THE NEXT TAB IF SOFT COPY.
LAZADA MASTERCARD PLATINUM MASTERCARD MILES + PLATINUM VISA
EMV and Contactless Dual Interface Contact Only Dual Interface
Worldwide Acceptance YES YES YES
Flexible Monthly Payment YES YES YES
Longer Payment Terms YES YES YES
0% Installment and Discount Program YES YES YES
24-hour Customer Service 02-8631-7528 02-8631-7528 02-8631-7528
Domestic Toll Free Number 1800-1888-2277
Universal Toll Free Number IAC+800-82772273
Car Secure Auto-Insurance Plan YES YES
Bill Manager Auto-Charge facility YES YES YES
Numerous Payment Channels YES YES YES
Unlimited Number of Supplementary Cards YES YES YES
Email Statement of Account (CyberStatement) YES YES YES
Internet Access to Account YES YES YES
Credit Life Insurance – UProtect / USecure P0.36 (U-Protect) or P0.55 (U-Secure) will be charged for every P100 outstanding balance
PHP25 to 1 pt
EVERY P200 SPEND AT LAZADA = P6
LAZADA CREDITS AND EVERY P200 SPEND 1.5% CASHBACK REBATE ON ALL AF Waiver / Travel Expense
Rewards Program Reimbursement / PAL Mabuhay
AT ALL OTHER MERCHANTS = P1 LAZADA PURCHASES
CREDITS Miles Conversion / Cebu Pacific
Get Go / Asiatravel e-voucher

YES
Philippine Airlines Mabuhay Miles Program N/A N/A
P50 to 1 Mile
Airport Lounge Access NO YES (Cluba Manila @ T1 & Skyview @ T3)
Global Discount Program with top Dining & Hotel Merchants YES YES YES
Global Emergency Assistance NO NO YES
Travel Insurance NO YES YES
Annual Fee Principal/Supple P3,000/P1,500 P3,000/P1,500 3,000 / 1,500
NO NO YES

cards with less than 100k CL at


least 12MOB - 10% of CL at least
12MOB , 20% of CL at least
Cash Advance 24MOB, 30% of CL at least
N/A N/A
36MOB

cards with atleast 100k CL - 50%


upon issuance
Credit limit Setting Starts at 100K Starts at 100K Starts at 100k
Secured Card Option YES YES YES
PAGE 2 0F 2
By signing below:
1. I/we authorize UnionBank of the Philippines (“Bank”) to notify me/us, through text or e-mail messages, of any and all reminders, notices, marketing materials, promotions, loan offerings and
all other Bank offerings and product updates. I/we understand that the Bank may use my/our personal information to pre-qualify me/us for other product offerings. I/we confirm that I/we am/are
solely responsible for the security of my/our cellphone and e-mail and thus here by hold the Bank free and harmless from any and all damages, causes of action and liabilities if the information
contained in the electronic or text notification is, for whatever reason, by any means accessed by any person other than myself. I/we fully understand that the contact information provided above
shall be used by the Bank for any and all correspondences unless I/we otherwise notify the Bank.

2. Pursuant to Republic Act No. 9510 otherwise known as “the Credit Information System Act” and its Implementing Rules and Regulations, I/we acknowledge that the Bank is mandated to
submit or disclose my/our basic credit data to the Credit Information Corporation (CIC) as well as any updates or corrections thereof, and share said basic data with other lenders authorized by the
CIC, credit reporting agencies duly accredited by the CIC and financial service providers.

3. For Credit Cards:


a. I/We understand and accept that my failure to provide true, complete and correct information toUnionBank of the Philippines or its authorized representative/s regarding my/our financial
knowledge and experience may result in UnionBank of the Philippines’ inability to accurately determine the appropriateness of a product and/or service for me/us given the limited information
available. I/We understand that should my application be denied, UnionBank of the Philippines or its authorized representative/s has no obligation to provide me/us with the reason for such
rejection.
b. I/We hereby agree that depending on the assessment of my/our application, the Bank will only send me/us the Card/s I/we are qualified for.
c. I/We authorize UnionBank of the Philippines or its authorized representative to, pursuant to MORB Section 301 GRANT OF LOANS AND OTHER CREDIT ACCOMMODATIONS as
implemented by BIR Revenue Regulation RR-4-2005, conduct random verification with the Bureau of Internal Revenue in order to establish authenticity of the Income Tax Returns (ITR),
accompanying financial statements and such other documents/information/data submitted by me/us.
d. I/We hereby agree to be bound by the Terms and Conditions of credit card application promos (whenever applicable) and the Terms and Conditions governing the issuance and use of the
UnionBank Credit Card.

4. For Auto Loans:


a. I/We certify that the information provided in the application and all supporting documents are accurate and verifiable.
b. I/We authorize the Bank to conduct checking on the accuracy/correctness of all information including loan and deposit checkings contained in the application form and all supporting
documents.
c. I/we certify that the full price or cost to the consumer including all interest, fees, charges, and penalties has been disclosed. It states whether interest, fees, charges, and penalties can change
over time. The method for computing said interest, fees, charges, and penalties are disclosed consistent with existing regulations. Rates, fees and charges may vary depending on the date of
application. Client accepted rates and charges may be confirmed upon signing the Customer Acceptance Form.

5. I/we consent to the processing, sharing and/or transferring of my/our Personal Data as this term is defined under Republic Act No. 10173 otherwise known as the “Data Privacy Act of 2012”,
its Implementing Rules and Regulations and all other issuances of the National Privacy Commission and hereinafter referred to as the “Applicable Date Privacy Regulations”, or otherwise,
relating to the loan/credit facilities that I/we are applying for and/or our account(s) without need of notice, for legitimate interest of verification , to (i) government regulatory agencies, credit
information/investigation companies, financial institutions, credit bureaus, other banks, other credit card companies, consumer reporting or reference agencies such as Credit Card Association of
the Philippines, Bankers Association of the Philippines, Credit Information Corporation, and the Transunion Credit Bureau for the purpose of credit investigation, consumer reporting, or for
reports of my/our credit history and account updates; (ii) third persons, correspondent banks, service providers and entities, as the Bank deems necessary, to enable the Bank to service my/our
account/s and to provide all the existing features of my account/s, the Bank in the processing of my/our data, including its collection, recording, organization, storage, management, protection,
updating or modification, retrieval, consultation, use, consolidation, blocking, erasure or destruction ; (iii) insurers, insurance brokers or providers of deposit or credit protection or protection
against all kinds of risk; or (iv) such other persons or entities the Bank may deem as having authority or right to such disclosure of information as in the case of regulatory agencies, governmental
or otherwise, which have required such disclosure of information as in the case of regulatory agencies, governmental or otherwise, which have required such disclosure from the Bank. I/we agree
to hold the Bank, its affiliates, subsidiaries and third party service providers free and harmless from any liability that may arise from, or in connection with, the collection, processing, use, storage,
updating and transfer/ disclosure/ sharing/ communication of my personal information pursuant to, and in compliance with the consent given by me/us under this Agreement.

Please click below if it is okay for us to share your personal data with our partners and affiliates so we can jointly offer you bank products and services you might find interesting or useful.

____ Yes, please! I'd like to receive offers from UnionBank's partners, subsidiaries, and affiliates

For any concerns, you may contact us through our Customer Service Hotline at (+632) 8841-8600, or email customer.service@unionbankph.com. Union Bank of the Philippines is an entity
regulated by the Bangko Sentral ng Pilipinas (BSP) with email address consumeraffairs@bsp.gov.ph.
For complaints resolution, please be guided by the turnaround time set by the Bangko Sentral ng Pilipinas (BSP) and in line with UnionBank's Consumer Assistance Management System
(CAMS).

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