TRUSTED SOUTH LENDING SERVICES INCORPORATED

LOAN APPLICATION FORM

PERSONAL INFORMATION
First Name Middle Name Last Name

Gender Date of Birth DD/MM/YYYY Personal Contact Number

__Male __Female
Permanent Residence Address

Occupation
__Gov't Employee __ Private Employee __AFP Pensioner
__Business Owners __Teacher __SSS/GSIS Pensioner __Others ________
Address of Work

Status
__Single __Married __Widowed/er __Separated
__Seperated
Spouse's Name, if applicable Personal Contact Number

Address of work:

No. of children Other source of Income Total Monthly Family Income

LOAN DETAILS
Applied Loan Amount Collateral Offered:

Loan Purpose
___Capital Build Up __Auto/ Car
___Education __Medical Expenses
__House Improvement __Debt Consolidation

__________________________________ _____________
Signature of Debtor over Date
printed name

INSTRUCTIONS:
1. Fill-out this form and accomplish appropriate parts.
2. For SSS/ GSIS Pensioner, For Teachers/ Gov't employees For AFP Pensioners,
-ATM and Updated Passbook -ATM and Updated Passbook -AFP Pensioners ID
-ACOP STUB (for SSS) -Latest Payslip -Retirement Order
-Service Record (for GSIS) -DepEd / School ID + 1 Gov't ID, if teacher -Brgy. Clearance
-Brgy.Clearance -Brgy. Clearance -1 x 1 Picture
-Any Valid I.D - 1 x 1 ID picture
-1 x 1 ID picture -Gov't employee ID, if gov't employee For AFP Pensioner Widows,
-AFP Pensioner ID
3.FOR OTHER DEBTORS, -Declaration of Beneficiary
-Bryg. Clearance -Posthumous Order
-1 X 1 ID -CENOMAR
-Collateral (Original title of land/lot) -Death Certificate
-Proof of Income
-Certificate of Employment, if employed
-Certificate of Business Registration, if self- employed
- Letter of Commitment to pay loan
4. Wait for the Cognitive Interview for loan negotiation.