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

Hyundai elantra 4 years 01/07/2024

BORROWER'S PROFILE
Borrower's Name Birthday Age
Julius Morales Parcon 02/07/1990 33

Spouse Name Birthday Civil Status

Single

Complete Exact Address

402 A. Mabini street sabang, Baliwag city, Bulacan 3006, Philippines

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

33 Owned 09057282481 0

BORROWER'S WORK PROFILE

Position Employer / Business Nature of Work /
Owner Carmelo variety store Business
Foods

Employer / Business Address

402 A. Mabini Street Sabang, Baliwag city, Bulacan 3006, Philippines

Length of Stay Monthly Gross Income Other Source of Income TIN No.
3 ₱86,000.00 Work 395-731-229-00000

Email Address Bank / Branch Account Type / Number

julius2parcon@gmail.com PNB Baliwag 200210187076

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 Any wrong or outdated information which I/We provided may result to automatically reject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.