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____ New
____ Renewal

Business Loan Application No. ________________________

Referring Branch ___________________________________
Business Banking Division/RC ________________________

____ Increase
____ Reduction

BUSINESS LOAN APPLICATION - Sole Proprietorship or Partnership

Borrower Name
Business / Trade Name
Business Address

No of Years In Business
No.of Years Depositor

Name of co-obligor/ CS
Address
Please prepare a separate application for any co-obligor or partner

Relationship to Borrower

Borrower Personal Information

Date of Birth

Age

Spouses Name
Date of Birth

Age

Names of Dependents

Home Address

___ Rented
___ Mortgaged
___ Owned

Other Real Estate Properties

Type

Address

Deposits
Bank - Branch

Type of Deposit

Credit Cards
Issuer

Card No.

ADB

Placements

Credit Limit

Expiry

Relationship to Borrower

Age

No. of Years in Residence ___

Vehicles
Make / Model/ Year

Owned/Mortgaged

Loans
Bank

Loan Type

Amount

Issued Suretyships
Borrower

Loan Type

Amount

Borrower Business Information

Type of Business

____ Trading

____ Manufacturing

____ Services

___ Franchise

Product/ Service Offered

Facilities - Factory, Warehouse, Office

Type

Vehicles
Model/ Make/ Year

Area in sqm.

Address

Number of Units

No. of Employees
Sales
Office
Factory/Warehouse
Working Days ___
# Hours/ Shift___
# Shifts/ Day ___

Leased/Owned/Mortgaged

Ave. Monthly Sales

Cost of Goods Sold
Ave. Monthly Expenses
Salaries and Wages
Utilities
Interest Expenses
Others
Ave. Monthly Net Income

Bank

CASA ADB & Placements

Leased/ Owned Mortgaged

Monthly Lease/
Outstanding
Mortgage

No.
> Contractuals
> Permanent

Total Credits

Total Debits

Major Buyers

Average Monthly Sales

Credit Terms

Contact Person

Contact Number

CI

Major Suppliers

Average Monthly
Purchases

Credit Terms

Contact Person

Contact Number

CI

I hereby warrant that all information contained herein are true and I hereby authorize the bank to make discreet inquiries on the information contained herein as part of its due diligence exercise
and all information shall be held in confidence
Borrower

Date