ANNAPOLIS FINANCE INC.

APPLICATION FORM Form no. 003-9112019

BORROWER'S PERSONAL INFORMATION SPOUSE' PERSONAL INFORMATION
LAST NAME FIRST NAME MIDDLE NAME LAST NAME FIRST NAME MIDDLE NAME

BIRTHDAY AGE SEX CIVIL STATUS BIRTHDAY AGE SEX CIVIL STATUS
Male Single Married Male Single Married
Female Separated Widowed Female Separated Widowed
CONTACT NUMBER CONTACT NUMBER
EMAIL ADDRESS EMAIL ADDRESS
High School Graduate College Graduate High School Graduate College Graduate
EDUCATION EDUCATION
High School Level College Level High School Level College Level

COURSE COURSE
SCHOOL LAST ATTENDED YEAR GRADUATED SCHOOL LAST ATTENDED YEAR GRADUATED

SSS NO. TIN SSS NO. TIN

FATHER'S NAME FATHER'S NAME
MOTHER'S MAIDEN NAME MOTHER'S MAIDEN NAME
PARENT'S ADDRESS PARENT'S ADDRESS

SIBILINGS (BROTHERS/SISTERS) AGE ADDRESS SIBILINGS (BROTHERS/SISTERS) AGE ADDRESS

NO. OF CHILDREN
NAME AGE SCHOOL

PRESENT ADDRESS LENGTH OF STAY

HOME OWNERSHIP
PHONE
Owned (not Mortgaged) Owned (Mortgaged) Rented (Php_______/mo.) Used Free NO.:

PREVIOUS ADDRESS LENGTH OF STAY

PROVINCIAL ADDRESS LENGTH OF STAY

IF YES, HOW
DO YOU OWN A MOTORCYCLE MANY MODEL PLATE NO.
CO-BORROWER INFORMATION (other than spouse)
LAST NAME FIRST NAME MIDDLE NAME BIRTHDAY SEX RELATION TO BORROWER
Male
Female

EDUCATION High School Graduate College Graduate COURSE YEAR GRADUATED

High School Level College Level SCHOOL LAST ATTENDED
Self-Employed Government EMPLOYER/BUSINESS NAME DTI/SEC REG. NO.
EMPLOYMENT
Private Professional
EMPLOYER/BUSS. ADDRESS LENGTH OF STAY

POSITION MONTHLY INCOME PROF. LICENSE NO. SSS NO. TIN

PREVIOUS EMPLOYER LENGTH OF STAY

BORROWER'S CHARACTER REFERENCES CO-BORROWER'S CHARACTER REFERENCES

NAME ADDRESS CONTACT NO. NAME ADDRESS CONTACT NO.

PURPOSE OF LOAN:
To be filled up by AFI employee: Checked by:

MASTER LIST

Borrower's 2x2 Photo Co-Borrower's 2x2 Photo Borrower: ____________________________

Spouse: Marketing Staff (Signature)
CB1:
CB2:

UNDERTAKING
I/We hereby certify that all the information furnished in this application form are true, correct and complete, and that the signatures herein are true and genuine. I/We hereby
authorize Annapolis Finance Inc. to obtain such information as may be required concerning the validity and veracity of the information provided in this application using any applicable
methods of process, including my/our loan and deposit account, and waive my/our rights under R.A. 1405. I/We further agree that this application and all supporting documents and
any other information obtained by Annapolis Finance Inc. relative to this application shall remain as Annapolis Finance Inc.'s property whether or not the loan is granted. I/We agree
that Annapolis Finance Inc. has no obligation to furnish me/us the reason for such rejection. I/We also understand that any false statement or concealment of information which may
be discovered after the loan has been granted shall be sufficient basis for Annapolis Finance Inc. to consider the loan due and demandable immeidately. I/We hereby undertake that
the proceeds of the loan application if approved shall not be used for placement purposes and/or to pay any chargeable and allowable fees in relation to my travel and/or work
abroad. Otherwise, Annapolis Finance Inc. has the right to disapprove the loan, or if granted to rescind the contract of the loan and shall declare all unpaid amortization
immediately due and demandable together with all interest and damages.

Borrower (Signature Over Printed Name) DATE AGENT NAME

Spouse (Signature Over Printed Name) Co-Borrower (Signature Over Printed Name) (Borrower's Signature Confirmation)
APPLICATION FORM 2ND PAGE
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

 ANNAPOLIS FINANCE INC.
CREDIT INVESTIGATION FORM Form no. 004-9112019RM
SOURCE OF INCOME (you may check all applicable) :
Salary Business Remittance Pension Other: _______
COMPUTATION OF NET INCOME
INCOME EXPENSES
SOURCE AMOUNT
Salary 1 Household:
Salary 2 Rent/Amortization -
Borrower
Food Allowance -
TOTAL - Groceries
Education 1
Salary 1 Education 2
Salary 2 Education 3
Spouse
Education 4
TOTAL - TOTAL -

Buss. 1 Utilities:
Buss. 2 Electricity
Business
Water
TOTAL - Telephone -
Postpaid line -
Remittance Internet -
Pension Cable -
Other
Others TOTAL -

TOTAL - Other Expenses:

TOTAL -

Total Income - Total Expenses -

To be filled up by AFI employee: Checked by:
COMPUTATION OF DISPOSABLE INCOME
MASTER LIST
Total Income
less Borrower: ____________________________
Total Expenses CRECOM Staff (Signature)
Spouse:
Total Disposable Income: