GOLDENS DYNASTY MOTORS, INC.

Cagayan de Oro City

Kauswagan National Highway, Cagayan de Oro City
Cell No.: (+63) 960 930 1066 / E-mail: gdminmr@gmail.com
PERSONAL INFORMATION
Name (Last, First, Middle) ALVIZO, ANDRONICO, JR., PECHO Nationality: FILIPINO
PECHO
Date of Birth August 25, 1969 Place of Birth Butuan City Gender: ( / ) Male ( ) Female

Civil Status: ( / ) Single ( ) Married ( ) Separated ( ) Widowed No. of Dependents / Children: N/A
TIN: 42 229 5382000 GSIS: SSS: 08-3098597-1
Home Telephone No. Mobile No.: 0961-22680-76 E-Mail Address: junpalvizo@gmail.com
COMPLETE Current Home Address: Villa Alvizo, Purok Danao, Brgy. Arorogan, Length of stay: 15 years
Marihatag Surigao del Sur 8306
COMPLETE Permanent Address: 466 Arujville Subdivision, Libertad, Butuan City Length of stay: 37 years

Current Residential Status: ( / ) Fully Owned ( ) Mortgaged ( ) Rented ( ) Living with Parents / Relatives

If Mortgaged, Name of Bank: N/A Monthly Amortization: N/A If Rented, Monthly Rental: N/A

No. of cars owned: N/A No. of cars mortgaged: N/A If Mortgaged, Name of Bank: N/A

OCCUPATION AND INCOME

Occupation: (/) Employed ( ) Self-Employed ( ) Professional Length of Employment/Operation: 3 years

Employer/Business Name: Position/Ownership: Municipal Administrator

LOCAL GOVERNMENT UNIT - MUNICIPALITY OF
MARIHATAG
Office/Business Address: Municipal Hall Bldg., Poblacion, Marihatag, Surigao del Sur Business Tel No.:

Nature of Business: Local Government Unit Monthly Income: Php 72.062.00

Other Source/s of Income: Emoluments and Allowances Additional Monthly Income: Php 35,000.00

SPOUSE / CO-MAKER
Name of Spouse/Co-maker (Last, First, Middle) Awa, Marietta, Alvizo-Pelenio Date of Birth Place of Birth
May 29, 1959 Marihatag, SDS
Occupation: (/ ) Employed ( ) Self-Employed ( ) Professional Length of Employment/Operation: 10 years

Employer/Business Name LOCAL GOVERNMENT UNIT - MUNICIPALITY OF Position/Ownership: Private Secretary (PS II)
MARIHATAG
COMPLETE Office/Business Address Municipal Hall Bldg., Poblacion, Marihatag Business Tel No.: E-Mail Address
marietta4890@yahoo.com
Nature of Business: Local Government Unit Monthly Income: Php 28,078.00

Other Source/s of Income: Allowances and Emoluments Additional Monthly Income: Php15,000.00

Name of Children Age School / Employer

N/A N/A N/A
N/A N/A N/A

N/A N/A N/A

CREDIT REFERENCES
Name of Creditor / Outstanding Monthly Maturity Collateral
Address/Tel. No. Facility Amount
Institution / Branch Balance Amortization Date Security
1.

2.

3.

BANK REFERENCES
Savings Account Current Account Time Deposits and Other Placements
Bank No. Bank No. Bank No.

TRADE AND PERSONAL REFERENCES

Customer / Supplier / Contact Person Telephone No. Personal References Telephone No.
1. 1.
2. 2.
3. 3.
 DOCUMENTARY REQUIREMENTS
Please fill-out the application form and submit to (GDMI) Goldens Dynasty Motors, Inc. office together with the following:

If employed:
1. Two (2) valid ID's with picture
2. Latest Income Tax Return (ITR)
3. Certificate of Employement, indicating position , monthly compensation and tenure of employement
4. Three (3) months latest bank statements
5. Proof of residence e.g., billing statements
6. Two (2) latest computerized payslips

If seld-employed:
1. Two (2) valid ID's with picture
2. Latest Income Tax Return (ITR)
3. Securities and Exchange Commission (SEC) registration & Article of Incorporation/ Partnership; if business is a corporation or partnership
4. Three (3) months latest bank statements
5. Latest audited Financial Statements
6. Proof of residence e.g., billing statements