UNION MOTORS CORPORATION

KALOOCAN BRANCH

SALES MANAGER : CCN UNIT : 2023 L300 FB DAC

SALES REP PRICE : 1,016,900.00
CONTACT # : DOWNPAYMENT : 20%
FAX # : TERMS : 60 mos

Borrower's Name Co-Borrower's Name

LAST NAME FIRST NAME MIDLE NAME LAST NAME FIRST NAME MIDLE NAME

Birth Date: TIN # : Birth Date: TIN # :

Mobile #: Mobile #:
Residence Address: Residence Address:

email add: Relationship to Borrower:

[ X ] Owned (Mortgaged) [ ] Company Provided [ X ] Owned (Mortgaged) [ ] Company Provided
[ ] Owned (Not Mortgaged) [ ] Rented [ ] Owned (Not Mortgaged) [ ] Rented
[ ] Living w/Family [ ] Living w/Family
Length of Stay Length of Stay

Civil Status Civil Status

[ ] Single [ ] Widowed [ ] Single [ ] Widowed
[ X ] Married [ ] Separated [ X ] Married [ ] Separated

Citizenship: Citizenship:

Employer/Business Name: Employer/Business Name:

Position/Department: Tenure: Position/Department: Tenure:

Office Address: Office Address:

Nature of Business: Nature of Business:

Office Tel No. Office Tel No.

PREVIOUS JOB EX-SPOUSE

Position/Department: Tenure: BDAY

FINANCIAL STANDING
Monthly Income: Additional Information for Self- Employed
Borrower Spouse/Co-maker Major Customers/Tel No.
Salaries 1

Allowance 2

Commissions 3

Combined Monthly Income: - Major Suppliers/Tel No.

Banks Branch Type 1

DATA PRIVACY ACT WAIVER TO BE INCLUDED IN AND CONSIDERED PART AND PARCEL OF THE CREDIT APPLICATION FORM AND DOCUMENTS:

I hereby authorize UNION MOTOR CORPORATION to process and share my personal data to any of its accredited banks, which is likewise authorized to receive,use, collect and process my personal data, for the purpose of financing my purchase of auto
vehicles/s from the dealer or assignment of the dealer's rights to its accredited banks, including verification,customer profiling,cross-checking and credit investigation. In this regard my personal information may also be shared with accredited banks'
branches, subsidiaries,affiliates,representative or third party service provider. I am also aware that the details of how my personal data will be processed and the rights available to me are listed in the accredited banks' Privacy Policy Statement, which I
may secure from the accredited bank(s) concerned.

YES YES, I ACCEPT AND AGREE WITH THE TERMS AND CONDITIONS OF "DATA PRIVACY ACT".
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****NOTE: PLS PUT "YES" ON THE YELLOW BOX IF YOU AGREE ON DATA PRIVACY ACT. THANK YOU AND KEEP SAFE.