(To be filled up by marketing officer)

TOTAL CONTRACT PRICE:

SUBDIVISION:
BLOCK & LOT: FLOOR AREA:
SALES AGENT:
BUYER INFORMATION SHEET CONTACT NUMBER:
Buyer's Information
Last Name: First Name: Middle Name:
Permanent Address: Years of Residency:
Single Married
Civil Status:
Present Home Address: Seperated Widower

Email Address:
Gender: Male Female
Birthday: Age: Cellphone:
Tin#: PAG-IBIG #:
Citezenship:
Employment Details: Employed Self Employed OFW Others___________

Occupation Information
Employer/Business Name: Contact Details:
Employer/Business Address: C
Position: Years Employed:
Character Reference:
Nature of Business/Industry: Email Address:
Spouse Information (if applicable)
Last Name: First Name: Middle Name:
Permanent Address: Years of Residency:
Single Married
Civil Status:
Present Home Address: Seperated Widower

Email Address: Gender: Male Female

Birthday: Age: Cellphone:
Tin#: PAG-IBIG #: Citezenship:
Employment Details: Employed Self Employed OFW Others___________
Occupation Information
Employer/Business Name:
Employer/Business Address:
Position: Years Employed:
Character Reference: Contact Details:
1 1
2 2
3 3
Nature of Business/Industry:
Company Email Address:
Company Address:
Co-Borrower's Information (if needed)
Last Name: First Name: Middle Name:
Permanent Address: Years of Residency:
Single Married
Civil Status:
Email Adress: Seperated Widower
Birthday: Age: Cellphone: Gender: Male Female
Tin#: PAG-IBIG #:
Citezenship:
Employment Details: Employed Self Employed OFW Others__________________

Occupation Information
Employer/Business Name:
Employer/Business Address:
Position: Years Employed:
Character Reference: Contact Details:
Nature of Business/Industry: Email Address:

Buyer (signature over printed name) Spouse/Co- Borrower (signature over printed name)

Date Date
 Co-Borrower's Information (if needed)
Last Name: First Name: Middle Name:
Permanent Address: Years of Residency:
Single Married
Civil Status:
Present Home Address: Seperated Widower

Email Address: Gender: Male Female

Birthday: Age: Cellphone:
Tin#: PAG-IBIG #: Citezenship:

Employment Details: Employed Self Employed OFW Others___________

Occupation Information
Employer/Business Name:
Employer/Business Address:
Position: Years Employed:
Character Reference: Contact Details:
Nature of Business/Industry: Email Address:
Financial Information
Monthly Income
Buyer Spouse Co-Borrower Co-Borrower
Salaries:
Business Income:
Commissions:
Rental Income:
Others:____________

Monthly Expenses
Buyer Spouse Co-Borrower Co-Borrower
Living & Utilities:
Education:
Transportation:
Amortizations:
Other:____________

Credit Information
Existing Loans/Principal Buyer (if non please put N/A)

Name of Creditor Type of loan Date Availed Loan Amount Outstanding Balance

1
2
3

Character References
Name Address Contact #

I/We signify our confirmity to the foregoing and certify that all information provided are true and correct. The signatures appearing herein are
genuine. I/We autorize BHI to obtain such information as may deemed necessary to validate the statements made in this application and that the
persons from whom such questions maybe solicited are hereby autorized to provide information relative hereto, I hereby agree that this application
will remain to BHI whether or not this application is approved.

Buyer (signature over printed name) Spouse/Co- Borrower (signature over printed name)

Date Date