6/16/2020 CARES-application

LOAN APPLICATION
Application Details
Requested Loan Amount:
Requested Loan Term:(no. of months)
Purpose of Loan:
COVID-19 Assistance to Restart Enterprises (CARES) Program
PHP 100,000 Application Date: 06/16/2020
24 Repayment Mode: MONTHLY
WORKING CAPITAL FOR RESTARTING OF BUSINESS OPERATIONS

Personal Information
SALVADOR JOSE BATONGBAKAL
Name:
Last First Middle

Gender: MALE Civil Status: SINGLE

Date of Birth: 02/07/1977 Place of Birth: BULACAN, HAGONOY

Citizenship: FILIPINO TIN: 927-979-210-000

No. of Family Members: 4 Total Monthly Income: PHP 30,000

Credit Cards Owned: (specify) Numbers of Cars Owned: 1

Existing SBCorp Client: (Yes or No) NO If yes, client since:

Identification Document Information

Identification Presented: TIN CARD 927979210000
(Government Issued I.D) Type Number

Issue Date: 01/10/2020 Issue By: BIR

Spouse Information
Fullname: Date of Birth:
Place of Birth: Citizenship: FILIPINO

Identification Presented:
(Government Issued I.D) Type Number

Contact Information
Mobile No.: (0915) 6917952 Telephone No.: (024) 239097
Email Address: JOSESALVADOR26@YAHOO.COM Additional Contact No.: BADONG B SALVADOR

Address Information
BLK 4 LOR 35 CRESTA ST MT VIEW FILINVEST 2 QUEZON CITY FILINVEST 2 BAGONG SILANGAN
Business Address:
No. and St. Name / Subdivision Barangay

QUEZON CITY METRO MANILA (2ND DISTRICT) NATIONAL CAPITAL REGION (NCR)
City/Municipality Province Region

Ownership: OWNED Postal Code: 1119

If Renting
Name of Lessor Occupied Since (year) Lessor Contact No.

BLK 4 LOR 35 CRESTA ST MT VIEW FILINVEST 2 QUEZON CITY FILINVEST 2 BAGONG SILANGAN
Residential/Home Address:
No. and St. Name / Subdivision Barangay

QUEZON CITY METRO MANILA (2ND DISTRICT) NATIONAL CAPITAL REGION (NCR)
City/Municipality Province Region

Ownership: OWNED Postal Code: 1119

If Renting
Name of Lessor Occupied Since (year) Lessor Contact No.

Business Data
Businesss Name: FAWE IAD STORE Business Type: SOLE PROPRIETORSHIP
Total Years in Business: 2.50 Current Business Start Date: 06/06/2018
Industry: SERVICES Nature of Business: OTHER
No. of Employees: 2 With Business Permit: NO
(excl. family member)

(0915) 6917952 (423) 9097

Businesss Contact Number:
Mobile Landline Other

https://brs.sbgfc.org.ph/application 1/2
6/16/2020 CARES-application

Financial Information
For Regular Businesses For Small Transport Operators
1. Income 1. Income Regular Trip
Gross Monthly Income PHP 50,000 Daily Amount PHP
(Total income from all sources)

2. Business Monthly Amount 2. Daily Expenses Daily Amount

Monthly Gross Sales/Revenue PHP 30,000 Boundary Fee PHP

Monthly Net Income PHP 50,000 Loan Payments PHP

Business Assets Amount PHP 100,000 Other Expenses PHP

3. Expenses Monthly Net Amount 3. Monthly/Yearly Expenses Monthly Net Amount

Rent Expenses PHP 0 Repair & Maintenance PHP

Other Expenses PHP 0 Insurance PHP

4. Business Cash Outflow Taxes and Licenses PHP

Loan Payments PHP 0 Other Expenses PHP

(Loans from other creditors) Loan Payments PHP
(Loans from other creditors i.e. amortization of vehicle unit)

List of Business Assets

FOOD CART BUSINESS UV EXPRESS

Pinahihintulutan ko ang paggamit at pagbabahagi ng mga ibinigay kong impormasyon para sa aking aplikasyon at pakikipagtransaksiyon sa Small
Business Corporation. Ang mga datos na ito, kung saan kasama ang mga personal at sensitibong impormasyon, ay maaaring tipunin, iproseso, itala,
iupdate o ilahad ng Small Business Corporation: (i) para sa mga lehitimong pakay; (ii) para sa pagsasagawa ng mga transaksyong hiniling, pinayagan
o pinahintulutan ng aplikante ng loan; (iii) para sa pag-aalok at pagbibigay ng mga bago o mga kaugnay na produkto at serbisyo ng Small Business
Corporation o alinmang may koneksyon dito; at (iv) para sa pagsunod sa mga patakarang panloob ng Small Business Corporation at pag-uulat nito sa
mga kinauukulan sa ilalim ng naaayong mga batas.

Ang lahat ng mga ibinigay kong impormasyong may kaugnayan sa aking aplikasyon ng loan sa Small Business Corporation ay pinatutunayan kong
totoo at wasto, at anumang maling pahayag o sadyang di pagbanggit ng mahalagang bagay ay maaaaring gawing dahilan o maging batayan ng
pagsasampa ng kasong sibil at/o kriminal laban sa akin. Pinahihintulutan ko rin ang pagbeberipika at pagsusuri ng Small Business Corporation ng
anumang impormasyong ibinigay ko kung kinakailangan.

Gayunpaman, kinukumpirma ko at kinikilala ko na maaring ibahagi ng Small Business Corporation maging ang kanilang credit delivery partners at
service providers ang mga impormasyon o anumang basic credit data kabilang na ang mga kaugnay na pagbabago/pagwawasto sa mga datos sa
Credit Information Corporation (CIC) at iba pang awtorisadong entidad ayon sa Credit Information System Act of 2008 (R.A. 9510).

SALVADOR, JOSE BATONGBAKAL 06/16/2020

Name and Signature Date

To be filled out by SB Corporation personnel:

Loan O icer: Signature
Date Received: Area/Province:
Endorsing Partner (if any):

https://brs.sbgfc.org.ph/application 2/2