CREDIT APPLICATION DATE:

SALES MANAGER UNIT: RATE:

SRP : AF . :
SALES CONSULTANT DP Terms:
CELL NO. TIN # :
SOURCE Email Add :

PRIMARY LAST NAME: FIRST NAME: MIDDLE NAME

Borrower: SAQUING JERRY VIC LANDICHO CP# 09568360626
Co Borrower 1: SAQUING JOANNE LANDICHO CP# 09776911827
CO- Borrower 2: CP#
COMPLETE ADDRESS: 0769 PUROK 6 LODLOD LIPA CITY BATANGAS
PREVIOUS ADDRESS: 0769 PUROK 6 LODLOD LIPA CITY BATANGAS
Owned:__✔__Rented____ Length of Stay _23__ years____ M. STATUS_____Single____________

Applicant B-Day: Spouse B-day:

SOURCE OF INCOME
Applicant Spouse ✔✔ Co-Borrower
Employed:__✔__ or Business:__Pensioner__ Employed:__✔__or Business:______
Company Name: NTT PHILS. DIGITAL BUSINESS SOLUTIONS INC. CompanyName: ALORICA INC.
UNIT B. 10F CYBER SIGMA LAWTON AVENUE, MYCKINLEY WEST BARANGAY FORT BONIFACIOAddress: 2310 CHINO ROCES AVE. MAKATI METRO MANILA

Tel. No. 09778158301 Tel. No.

Length of service: 4 MONTHS Length of Service: 1 YEAR AND 4 MONTHS
Position: QA ENGINEER Position TEAM MANAGER
Monthly Income: 29,000 Monthly Income 25,000.00
Other Monthly Income: 15,000 Other Income
Total Monthly Income: 44,000.00 Total Monthly Income: 25,000
DEPENDENTS
Name of Dependents Age School Grade /Level

BANK REFERENCES
BANK & Branch Type of Account Account Number Contact Number & Person
BDO ROBINSONS LIPA SAVINGS 005670395248 (043) 757-3062

PERSONAL/TRADE REFERENCES
NAME (FN, LN, MN) Address Relationship Contact Number
NAISA ALEXANDRA LAVARRO FERNANDEZ STO TOMAS GIRLFRIEND 09271145491
AMADO RODELAS LANDICHO JR LIPA CITY UNCLE 09064102106
KYLE IVAN MERCADO LANDICHO LIPA CITY COUSIN 09169393520
Status : BANK : Primary JERRY VIC SAQUING
Approved: Applicant: Signature over printed name
Declined: Spouse/Co-Maker: JOANNE SAQUING
For Recon: NOTE: Signature over printed name
Checkfile: Sales Executive :
Remarks: Signature over printed name