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VEHICLE FINANCE
INDIVIDUAL + SINGLE PROP THE MORTGAGOR HEREBY AUTHORIZES THE
MORTGAGEE OR ITS ASSIGNEE TO PROCURE FOR THE
ACCOUNT OF THE MORTGAGOR COMPREHENSIVE
INSURANCE COVERAGE EVERY YEAR THEREAFTER UNTIL
I WANT TO FINANCE: Unit Description Dealer
THE MORTGAGE OBLIGATIONS ARE FULLY PAID AND ANY
Brand New Pre-loved MONEYSO DISBURSED SHALL BE PAYABLE AND SHALL
Cash Price Term (Mos) 12 24 36 48 60 BEAR INTEREST AND/OR FINANCE CHARGE IN THE SAME
I am an individual depositor with you MANNER AS STIPULATED IN THE PRECEDING SENTENCE.
My company has an account with you
Downpayment Purpose Private Use Business Use IT IS UNDERSTOOD THAT MORTGAGEE HAS NO
OBLIGATION TO CARRY OUT AFOREMENTIONED
My payroll is with you Loan Value Unionbank Account Number AUTHORITY TO PROCURE INSURANCE FOR THE ACCOUNT
I hope to bank with you soon OF THE MORTGAGOR.

MY PERSONAL INFORMATION TIN

First Name Middle Name Last Name Nationality

Date of Birth Place of Birth Civil Status Single Married Separated Widowed Gender Male Female

Permanent Address Unit, Building, Street Brgy. City Zip

Home Phone Mobile Office Email

MY EMPLOYMENT AND SOURCE OF FUNDS

Sources of Funds: Salary Business Commission Fees Remittance Others

Company Name Years of stay Position Nature of Business

Office/Business Address Brgy. City Phone

CO-MAKER <OR SPOUSE> TIN × SSS

First Name Middle Name Last Name Nationality

Date of Birth Home Phone Mobile Office Email

CO-MAKER <OR SPOUSE> SOURCE OF INCOME

Company Name Years of stay Position Nature of Business

Address Brgy. City Phone

FINANCIAL INFORMATION
My Gross Annual Income Co-Maker <or Spouse> Gross Annual Income Total Gross Annual Income

I want to get a credit card. Yes No

What type of credit card do you want? Lazada Mastercard Cashback Mastercard Miles+ Visa

I/We hereby certify that all data and statements in this application are correct, and are made for purpose of obtaining credit and signatures appearing thereon are genuine. I/We authorize you to obtain such information as you may require concerning the statements
made in this application and that the sources to which you may apply are authorized to provide any information relative to this application. All documents and annexes hereto shall remain your property whether the credit is granted or not.

DATE APPLICANT CO-MAKER <OR SPOUSE>

- TERMS AND CONDITIONS AT THE BACK IF HARDCOPY OR IN THE NEXT TAB IF SOFT COPY -

Unionbank of the Philippines is supervised by the Bangko Sentral ng Pilipinas.

For concerns, you can contact us at (+632) 8841-8600 or customer.service@unionbankph.com or the BSP Financial Consumer Protection Department at (+632) 8708-7087 or consumeraffairs@bsp.gov.ph