FOR INDIVIDUAL/SOLE PROPRIETOR

Honda Cars Quezon City

A YGC Member
SALES EXECUTIVE DATE

ERWIN PURIFICACION(09156331811)
ITEM APPLIED FOR CASH PRICE DOWNPAYMENT AMOUNT FINANCED TERM RATE

APPLICANT
LAST NAME FIRST NAME MIDDLE NAME BIRTHDATE TEL NO.

ADDRESS CIVIL STATUS MOBILE NO.

NAME OF EMPLOYER/BUSINESS PREVIOUS EMPLOYER

ADDRESS ADDRESS

TEL. NO YEARS WITH COMPANY POSITION TEL NO. YEARS WITH COMPANY POSITION

SPOUSE/COMAKER
LAST NAME FIRST NAME MIDDLE NAME BIRTHDATE TEL NO.

ADDRESS CIVIL STATUS MOBILE NO.

NAME OF EMPLOYER/BUSINESS PREVIOUS EMPLOYER

ADDRESS ADDRESS

TEL. NO YEARS WITH COMPANY POSITION TEL NO. YEARS WITH COMPANY POSITION

NET INCOME

APPLICANTS MONTHLY SALARY MONTHLY EXPENSES

SPOUSE MONTHLY INCOME RENTAL

OTHER MONTHLY INCOME FROM MORTGAGES

TOTAL EXPENSES

TOTAL MONTHLY INCOME NET MONTHLY INCOME

CREDIT REFERENCES
BANK & BR SAVINGS ACCOUNT NO. CURRENT ACCOUNT NO. CREDIT CARDS

BANK & BR SAVINGS ACCOUNT NO. CURRENT ACCOUNT NO. CREDIT CARDS

BANK & BR SAVINGS ACCOUNT NO. CURRENT ACCOUNT NO. CREDIT CARDS

I hereby certify that all data and statements in this application are correct and complete, and are made for the purpose of obtaining credit, and the signatures appearing
hereon are genuine. I authorize you to obtain such information such as you may require concerning the statements made in this application and that the sources from which you

may verify are authorized to provide any information relative to this application. I agree that the application may remain your property wether the credit is granted or not.
SIGNATURE OF APPLICANT SIGNATURE OF SPOUSE/COMAKER SIGNATURE OF SALES EXECUTIVE