APPLICATION FORM

Buying used quality cars and selling at competitive prices.

Citysquare Homes Edison Ave. Merville Paranaque City, Metro Manila
09177001302 (Globe)

Unit Applied Years of Payment Date

Hyudai reina 3 years 04/04/2024

BORROWER'S PROFILE
Borrower's Name Birthday Age
Michael Galban Nombre 26/05/1998 35

Spouse Name Birthday Civil Status

Condy rose Villanueva Ronquillo 19/11/1991 Single

Complete Exact Address

255 naras compound batong dalig kawit cavite, Kawit, Cavite 4104, Philippines

Length of Stay House of Ownership Contact Number No. Of Dependents

5 Owned +639603048142

BORROWER'S WORK PROFILE

Position Employer / Business Nature of Work /
Sales engineer Asia 1 ready mix corp Business
Construction

Employer / Business Address

017 be toclong road brgy toclong kawit cavite, Kawit, Cavite 4104, Philippines

Length of Stay Monthly Gross Income Other Source of Income TIN No.
2 ₱70,000.00 Incentive 409266502

Email Address Bank / Branch Account Type / Number

mykhaelnombre2688@gmail.com Metro bank Saving

With Co-Borrower
No

AUTHORIZATION AND UNDERTAKING

I/We certify that the aforesaid information are true and correct and shall form part of the loan
documentation. Any wrong or outdated information which I/We provided may result to automatically reject
this application or cancel its approval.