LOAN APPLICATION CONSENT FORM

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First Name Middle Name Last Name

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Mobile Number Alternate Contact Number Email Address

I declare that my personal information provided above is true and correct. I also agree that my personal
details, including but not limited to my name, mailing address, phone numbers, email address and other
information, personal or otherwise, will be collected and stored by us to process your application. The use
of the information shall be in accordance with applicable laws, rules and regulations of the Republic of
the Philippines.

I authorize eCompareMo to provide my information and submit my application to the bank. I also
authorize the bank to share with eCompareMo the status of my application, final credit decision and date
of approval, if approved. No pertinent information shall be revealed to any third party without my explicit
consent.

Attachment: Valid ID with Signature

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Applicants Signature over Printed Name Date Signed