Philippine Bank of Communications

CUSTOMER INFORMATION REPORT

[for Individual Borrower/Surety]
Other Name (Alias):
Tel. No.

Name:
Home Address:

Cel. No.

Company Address:

Tel. No.

Birthday:
Nationality:
Profession:

Age:
Sex:
C. Status:
ACR No. (if foreigner): N.A.
Gross Annual Income:
Net Taxable Income:

T.I.N.

Income from Other Sources:

School

Fax No.

Networth: Estimated at Php______

EDUCATIONAL BACKGROUND
Address
Year Graduated

Grade School:
High School:
College:
Others:
Fathers Name:

Age:

Mothers Name:

Brothers/Sisters

Age:
Dependents

1.

1.

2.

2.

3.

3.
4.
Spouses Name

Employer

Address

Networth

BUSINESS REFERENCES
1.
2.
3.
TRADE REFERENCES
Major Suppliers
Amount of Purchases
Major Customers
Sales Volume

MAJOR SUPPLIERS

Contact Person

Position

Contact/Tel.
Nos.

CUSTOMERS

Contact Person

Position

Contact/Tel.
Nos.