2X2

PIC

VALIDATION OF CLIENT INFORMATION

Desired Loan Amount: Php Loan Type: Loan Cycle:
Mode Of Payment: [] Monthly [] Semi-monthly [ ] Individual Loan
Term: [ ] Corporate Loan

A.PROFILE OF BUSINESS OWNER/PRINCIPAL

Applicant / Contact Person Birthday: Age:
Place of Birth: Nationality:
Contact Details [ ] Postpaid [ ] Prepaid SSS No: TIN No:

E-mail Address:
Present Home Address: Length of Stay:
[ ]Owned [ ]Renting [ ]Others
Permanent Home Address: Length of Stay:
[ ]Owned [ ]Renting [ ]Others
No. of cars owned: Make: Model: Year:

Make: Model: Year:

Marital Status: [ ] Single [ ] Married [ ] widow [ ] Others No. of children:
Name of Spouse: Birthday: Age:

Place of Birth: Nationality:

Contact Details [ ] Postpaid [ ] Prepaid SSS No: TIN No:

E-mail Address:
Spouse's Employment Data: Position: Company Tel. Nos.:
Company Address:
Children:
Age School/Company name Contact No.

Parents: Name Middle Name Surname Age Contact No. Occupation

Father
Mother

Verifier's remarks on principal business of the owner:

Business / Company Name: Registration Number:

Date of Registration:

Business / Company Address Length of Stay:

Years in Operation:

[]Owned [] Renting [] Others

Business /Company Contact Details [ ] Postpaid SSS No: TIN No:
[ ] Prepaid E-mail address:
Registered to: [ ]SEC [ ]DTI [ ]BIR [ ]BFAD [ ]Mayor's Permit [ ]Others
With Financial Statement? [ ] Yes [ ] No With Bank Statement? [ ] Yes [ ] No
Network / Organization:
Stockholders and Stockholding: 3 6
1 4 7
2 5 8
Verifier's remarks on loan applicant (person/corporation):

Previous source/s of working capital:

Any existing Loan?
Compliance to regulations: [ ]Fully complying [ ] Partly complying [ ] Not complying

Verifier's remarks on the enterprise:

D. LOAN PARTICULARS
Purpose of Loan: Previous Source of Loan:
[ ] Raw Materials: [ ] Formal (pls specify)
[ ] Wages: [ ] Informal (pls specify)______________________
[ ] Fixed Assets: No. of workers:
[ ] Payment of other obligations: Regular: Non-regular:
Male: Female:
Security /Collateral to be offered:
Verifier's remarks on loan purpose:

Prepared by: Approved by:

Name of CI
Credit Investigator Head
 2X2
PICTURE
HERE
CREDIT AND BACKGROUND INVESTIGATION REPORT
Name of Applicant Contact No.
Declared Address:
Nearest Kin: Contact No.
Provincial Address:
Desired Loan Amount: Php Loan Cycle: Loan Type:
Mode Of Payment: [ ]Monthly [ ]Semi-monthly [ ] Individual Loan
Term: [ ] Corporate Loan
Character reference: Character reference:

A. CHARACTER AND BACKGROUND CHECKING Rating (1 lowest - 4 highest) Remarks

A.1. Years of Residency and house ownership
A.1. Nearest neighbor's feedback (next house)
A.2. Furthest neighbor's feedback (10 houses away)
A.3. Feedback from the Barangay
A.4. Membership with civic/social organization
A.5. If renting, feedback from landlord/lady
A.6. If employed, feedback from peers
A.7. If employed, feedback from HR
A.8. Comments from Character references
Remarks: (to include comments on the neighborhood) Total Score: Name of Informants:
1 3
2 4
B. CREDIT CHECKING Rating (1 lowest - 4 highest) Remarks
B.1. Does the applicant have other existing loans?
B.2. Does the applicant have existing credit cards?
B.3. What is the applicant's credit record?
B.4. History of small claims, BP 22, collection case
B.5. History of foreclosure or Dacion
B.6. Results of Checking with Credit Bureau
B.7. Results of Bank Checking
Remarks: Total Score: Name of Informants:
1 3
2 4
C. TRADE CHECKING Rating (1 lowest - 4 highest) Remarks
C.1. Years of business relationship
C.2. Satisfaction dealing with the Loan Applicant
C.3. Freqeuncy of Transactions
C.4. Nature of Payment
C.5. Repayment History/Record
C.6. Would you consider applicant as valued client Yes - No -
Remarks: Total Score: Name of Informants:
1 3
2 4
Over-all Remarks This BI/CI Conducted by:
[ ] No adverse findings
[ ] With minor advere findings Name
[ ] With major adverse findings Position Date: