A.S.A.P.

LOAN APPLICATION FORM

(PRINCIPAL BORROWER’S INFO)

FIRST NAME MIDDLE NAME SURNAME AGE SEX C/STATUS BIRTHDATE

COMPLETE HOME ADDRESS CELLPHONE NUMBERS

/
OCCUPATION/WORK KIND OF BUSINESS BUSINESS NAME BUSINESS ADDRESS SINCE WHEN

OTHER SOURCE OF INCOME SPOUSE (if any) AGE OCCUPATION WORK ADDRESS SKILLS MOBILE NUMBER

NO. OF KIDS AGE/S NAME OF FATHER or MOTHER AGE OCCUPATION HOME ADDRESS MOBILE NUMBER

OTHER LOANS: PERSONAL PROPERTY/IES BANK

*CARD ( ) *BOMBAY ( ) * HOME CREDIT ( ) *ONLINE LOANS ( ) *MOTORCYCLE ( ) *E-BIKE ( ) *COMPUTER ( ) *TV ( ) *ATM ( ) *PB ( )
WILLING KA BA NA MAGING KISLAP DEALER? IF YES, GALON MALAKAS BA ANG TUBIG SA INYO? GALON LOAN
YES ( ) NO ( ) IF NO, WHY? *MERON ( ) ILAN * WALA ( ) *YES ( ) *NO ( )
PINATUTUNAYAN KO NA ANG LAHAT NG IBINIGAY KONG IMPORMASYON NA NAKASULAT SA ITAAS NITO AY TOTOO AT WALANG
HALONG KAHIT KATITING NA KASINUNGALINGAN O PAMBOBOLA AT BILANG PATUNAY, AKO AY LALAGDA SA IBABAW NG AKING NAKALIMBAG
NA PANGALAN NGAYONG IKA- ____ NG ______________, 2021 DITO SA POOC, LUNGSOD NG SANTA ROSA, LAGUNA.

_____________________________________________
SIGNATURE OVER PRINTED NAME

(CO- BORROWER’S INFO)

FIRST NAME MIDDLE NAME SURNAME AGE SEX C/STATUS BIRTHDATE

COMPLETE HOME ADDRESS CELLPHONE NUMBERS

/
OCCUPATION/WORK KIND OF BUSINESS BUSINESS NAME BUSINESS ADDRESS SINCE WHEN

OTHER SOURCE OF INCOME SPOUSE (if any) AGE OCCUPATION WORK ADDRESS SKILLS MOBILE NUMBER

NO. OF KIDS AGE/S NAME OF FATHER or MOTHER AGE OCCUPATION HOME ADDRESS MOBILE NUMBER

OTHER LOANS: PERSONAL PROPERTY/IES BANK

*CARD ( ) *BOMBAY ( ) * HOME CREDIT ( ) *ONLINE LOANS ( ) *MOTORCYCLE ( ) *E-BIKE ( ) *COMPUTER ( ) *TV ( ) *ATM ( ) *PB ( )
WILLING KA BA NA MAGING KISLAP DEALER? IF YES, GALON MALAKAS BA ANG TUBIG SA INYO? GALON LOAN
YES ( ) NO ( ) IF NO, WHY? *MERON ( ) ILAN * WALA ( ) *YES ( ) *NO ( )
PINATUTUNAYAN KO NA ANG LAHAT NG IBINIGAY KONG IMPORMASYON NA NAKASULAT SA ITAAS NITO AY TOTOO AT WALANG
HALONG KAHIT KATITING NA KASINUNGALINGAN O PAMBOBOLA AT BUO ANG AKING LOOB SA PAGPAYAG NA MAGING CO-BORROWER NI
______________________________________ DAHIL KILALA KO SIYA NG PERSONAL BILANG KAIBIGAN AT MABUTING MANGUNGUTANGAN.
ALAM KO PO ANG AKING PANANAGUTAN SAKALING HINDI PO SIYA MAKAKATUPAD SA KANYANG OBLIGASYON SA PAGBAYAD NG KANYANG
NAUTANG. BILANG PATUNAY, AKO AY LALAGDA SA IBABAW NG AKING NAKALIMBAG NA PANGALAN NGAYONG IKA- ____ NG ______________,
2021 DITO SA POOC, LUNGSOD NG SANTA ROSA, LAGUNA.

_____________________________________________
SIGNATURE OVER PRINTED NAME
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CREDIT AND BACKGROUND INVESTIGATION (CI/BI) REPORT