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CREDIT APPLICATION FOR INDIVIDUAL & SOLE PROPRIETOR

cp#: 09178504618
PERSONAL DETAILS Borrower's Name First Date of Birth Nationality Civil Status Home Address Length of Stay Home Tel. No. RESIDENTIAL STATUS Owner Rental Living with relatives Yes / No. Mobile No. Yes Yes Yes / / / No. No. No. Email address: Tin No. Middle SALES CONSULTANT:

GREENHILLS

Aragones
Last

Monthly Rental______________

Owned Car? Main Bank/Branch WORK AND FINANCES Employeer / Business Employer / Business Address Tel. No. Position / Title Monthly Income SPOUSE PERSONAL DETAILS Name of Spouse/Co-maker Employeer Business Address Date of birth Tel. No. Position/Title Monthly Income PERSONAL REFERENCES Name

How Many?

Length of Stay Nature of Business

Tin No. Mobile No. Length of stay

Address

Tel no.

VEHICLE DETAILS Unit/Make Selling Price Downpayment Amount Finance Term

I/We hereby certify that all above information are true and correct to the best of my knowledge. I/We authorize you to verify anf investigate the above information from whatever sources you may consider appropriate.

Signature of Borrower over printed name

Signature of Borrower over printed name

Monthly Rental______________

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