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CAR APPLICATION FORM

CAR MODEL: TOYOTA WIGO 1.0G A/T

DOWNPAYMENT: 15% D/P

YEARS TO PAY: 5 YEARS

PRINCIPAL

FULL NAME: ACHAY, MARCIAL COSIPAG

CIVIL STATUS: MARRIED

DATE OF BIRTH: JULY 18, 1972

COMPLETE ADDRESS: BLK 9, LOT 28, ST. SCHOLASTICA VILLAGE, GUINDAPUNAN, PALO, LEYTE
6501

YEARS STAYED: 15 YEARS

DEPENDENTS: 1.) LOURDS VAL ACHAY- FEB.11, 2003, 2.) MARCIA ANGELIQUE ACHAY-
JULY 13, 2008, 3.) MARIAN MONIQUE ACHAY- JULY 1, 2011

CITIZENSHIP: FILIPINO

EDUCATIONAL ATTAINMENT: ASSOCIATE IN MARINE ENGINEERING

CELLPHONE NO.: 09085130102

PASSPORT NO:

SSS NO:

CO-BORROWER

FULL NAME: ACHAY, MARIA FLORA D.

BIRTHDATE: DECEMBER 15, 1977

CITIZENSHIP: FILIPINO

RELATIONSHIP: WIFE

CELL NUMBER: 09984626708

TIN NO: 916-723-371

SSS NO: 06-202-7573-6


SOURCE OF INCOME OF PRINCIPAL

APPLICANT’S EMPLOYER: FAIR SHIPPING CORPORATION

BUSINESS ADDRESS: 3F/4F Fair BLDG., 2079 MADRE IGNACIA ST. MALATE, MANILA 1002

TEL NO: (632) 526-0636

YEARS WITH COMPANY: 11 YEARS

POSITION: NO. 01 OILER

SALARY: P75,000.00

BANK:

BANK BRANCH:

ACCOUNT NUMBER:

SOURCE OF INCOME FOR CO-MAKER:

EMPLOYER: DENR-CENRO BORONGAN, EASTERN SAMAR

BUSINESS ADDRESS: CAPITOL SITE, BORONGAN, EASTERN SAMAR

TEL NO.:

YEARS WITH COMPANY: 4 MONTHS

POSITION: ATTORNEY III

SALARY: P47, 779.00

MARCIAL C. ACHAY

APPLICANT

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