Credit Management & Services Division

RESTRICTED
PERSONAL DATA / RESIDENCE & NEIGHBORHOOD CHECKING (PDRN)
Account Name : Requested By : CMD
Date Requested :
Date of Report : Purpose :
HL ✔ MCL AL BL PEL

PERSONAL DATA
INFORMANT/S : 1. 2.

NAME ALIAS / NICKNAME STATUS AGE DATE OF BIRTH

Principal Borrower

Co-Borrower

RELATIONSHIP OF CB1 TO PRINCIPAL BORROWER

FACEBOOK PB: KRISTIAN JAN GONZAGA FACEBOOK CB: N/P

CHILDREN AGE SCHOOL / EMPLOYMENT / ADDRESS / TUITION FEE

1
2
3
4
5

SOURCE OF INCOME

SOURCE OF INCOME : PRINCIPAL BORROWER

EMPLOYMENT: Position Tenure :

Previous Empl. Position Tenure :

BUSINESS: Years Operating :

SOURCE OF INCOME : CO-BORROWER

EMPLOYMENT: Position Tenure :
Previous Empl. Position Tenure :
BUSINESS: Years Operating :

BANK DETAILS

Name of Bank: Savings Checking

With Existing Loan: Yes ✔ No Name of Bank/Financing :

Type of Loan: Car Loan Business Loan Amount of Loan: P

Salary Loan Housing Loan Terms of Loan / Balance:

Others:

RESIDENCE

Present Address :

LENGTH OF STAY: YEAR/S MONTH/S CONTACT / TEL. NO./s

OWNED RENTED USED FREE LIVING W/ PARENTS ✔ OTHERS

MORTGAGE W/ AMOUNT P MONTHLY PAYMENT P
RENTED / LEASED FROM MONTHLY RENT P
PAYMENT STATUS : PROMPT DELAYED month/s

Confirmed Residence/Resident Confirmed Address but Unknown Resident Unknown Residence/Address

TYPE : BUNGALOW 2 STOREY MULTI STOREY LOW COST

APARTMENT doors CONDOMINIUM COM'L BLDG floors OTHERS

MAKE : WOODEN CONCRETE MIXED OTHERS

AGE : 1 TO 3 YRS. 4 TO 6 YRS. 7 TO 10 YRS. > 10 YRS.

RESIDENCE GENERAL APPEARANCE GOOD FAIR POOR

EXTERIOR : VERY GOOD GOOD FAIR POOR
INTERIOR : VERY GOOD GOOD FAIR POOR

LOT AREA : sq. meters FLOOR AREA : sq. meters

 PARKING : W/ Garage W/O Garage Common Parking Street Parking Pay Parking

DISTANCE FROM RESIDENCE PARKING FEE P

OWNER OF GARAGE IF NOT OWNED Cars that can fit the garage:
WHO WILL USE THE UNIT? PB CB CB1 CB2 Others:
PURPOSE OF THE UNIT: Personal Use Business Use Others:

LIVING CONDITION : GOOD FAIR POOR

VEHICLES/OWNED (Make/Year Model/Plate Number))

Mortgaged NO YES (BANK/ FINANCING FIRM) TERM

MONTHLY
AMOUNT P P MATURITY DATE
AMORT

(Continue on next page for additional information)

ADDITIONAL RESIDENCE INFORMATION

Permanent Address : Length of Stay:

Previous Address : Length of Stay:

OWNED RENTED USED FREE LIVING W/ PARENTS OTHERS

Provincial Address : Length of Stay:

NEIGHBORHOOD DATA
Neighborhood Observation FRIENDLY PERSON.

RESIDENTIAL HIGH INCOME MIDDLE INCOME LOW INCOME POCO Area*

COMMERCIAL ✔ ACCESSIBLE NOT ACCESSIBLE OTHERS

INDUSTRIAL ✔ PEACEFUL NOTORIOUS

REPUTATION OF CLIENT within the NEIGHBORHOOD:

GENERAL : GOOD BAD KNOWN UNKNOWN

* SPECIFIC REASON/s :

OTHER CI REMARKS

DATA FROM ACTUAL VISIT

UTILITY BILL : Under Client's Name NOT Under Client's Name NOT Available

RELATIONSHIP TO THE BILL RECIPIENT

PROPERTY OWNERSHIP : OWNED OWNED BY PARENTS RENTED UNVERIFIED

USED FREE Owner: ANNA ROSE Relationship:

LOPEZ GRANDMOTHER
INFORMANT'S NAME (NEIGHBORS / RENTED / NEGATIVE
KNOWN UNKNOWN RESIDENT POSITIVE FINDINGS
BYPASSERS) LEASED FINDINGS

GENERAL LOCATION AND DESCRIPTION OF RESIDENCE : POLCO DILCO

House / Building Color : No. of Levels / Floor : 3 HOA Name : N/A

Gate Color : Fence Color : Nearby Corner :

General Condition : GOOD FAIR POOR

General Location : Main Street Side Street Alley Interior

Accessibility : Private Vehicle Jeepney Buses Tricycles Others

Notable Landmark : RUMYUM KIMCHI (100METERS) Brgy. Name / Tel No. POBLACION / NP

ADDITIONAL REMARKS FROM ACTUAL SITE VISIT

BARANGAY VILLAGE/ SUBDIVISION HOA
POSITIVE FINDINGS NEGATIVE FINDINGS POSITIVE FINDINGS NEGATIVE FINDINGS

3 PERSONAL REFERENCES
NAME RELATIONSHIP WITH THE BORROWER CONTACT NUMBER

Prepared & Reviewed By : Noted By:

AM BUENA G. TAMBAN
Credit Investigator / Credit Evaluator Head - Credit EvalutionSection Cluster A