OVERSEAS EMPLOYMENT DETAILS:

Employer/ Company:________________________________________ Agency Name: __________________________

Employer’s Address/ Country of Destination: _____________________ Agency Telephone No.__________________

Work Position: ______________________________________ Salary in Foreign Currency: ______________________

Character References:

NAME RELATIONSHIP ADDRESS CONTACT NO.

1.________________________ ________________ _______________________________ ________________

2.________________________ ________________ _______________________________ ________________

3.________________________ ________________ _______________________________ ________________

4.________________________ ________________ _______________________________ ________________

5.________________________ ________________ _______________________________ ________________

Under pain or perjury I hereby confirm that all information provided on this form and attached hereto are true and
correct. I hereby authorize my bank to provide to MONIELEND CORPORATION any account information they may
require. I understand that my application may be denied for any reason whatsoever which the company has no
obligation to disclose.

____________________________________
Applicant’s Signature

TO BE FILLED IN BY MONIELEND CORPORATION

PRE-APPROVAL RECOMMENDATION:

Lacking Documents:
Applicants:

Co-Applicant 1:

Co-Applicant 2:

_______________________________________________________________________________________________

Initial Approved Amount: P_________________

Term of Loan: _____________ months
Loan Purpose:____________________________
________________________________________

By: ______________________
Date: ____________________

Approval Remarks: