APPLICATION FORM

Buying used quality cars and selling at competitive prices.

Citysquare Homes Edison Ave. Merville Paranaque City, Metro Manila
09177001302 (Globe)

Unit Applied Years of Payment Date

Honda city 2012 AT 3 years 25/03/2024

BORROWER'S PROFILE
Borrower's Name Birthday Age
Paolin Gregorio Hitosis 28/07/1997 26

Spouse Name Birthday Civil Status

Single

Complete Exact Address

8084 isdaan street, San Pablo City, Laguna 4000, Philippines

Length of Stay House of Ownership Contact Number No. Of Dependents

26 Owned 09190980476

BORROWER'S WORK PROFILE

Position Employer / Business Nature of Work /
Self employed PAO'S UNIFIED BILLS PAYMENT AND Business
REMITTANCE CENTER Bills payment &
Remitance center

Employer / Business Address

Length of Stay Monthly Gross Income Other Source of Income TIN No.
₱80,000.00

Email Address Bank / Branch Account Type / Number

paogregorio28@gmail.com BPI 9009093233

With Co-Borrower
No

AUTHORIZATION AND UNDERTAKING

I/We certify that the aforesaid information are true and correct and shall form part of the loan
documentation. Any wrong or outdated information which I/We provided may result to automatically reject
this application or cancel its approval.