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HOMEPLUS LOAN APPLICATION

Application Date

Application ID

Generating Unit

Account/Marketing Officer

ATTORNEY-IN-FACT'S INFORMATION
Name (Last Name / First Name / Middle Name)
Civil Status

Widow/er

Single
Separated

Nick Name

Married No. of Years

Annulled

No. of
Dependents

Citizenship

Zip Code
Living with Relatives

Renting for P _____________

Presently Mortgaged for P _____________

Provincial Address

Zip Code

Employment / Occupation

Place of Birth

Mother's Maiden Name

Present Home
Address
Owned

Date of Birth

EMPLOYED

Years of Residency
Tel No/s.
E-Mail Address

SELF-EMPLOYED / BUSINESS

Employer's / Business Name

Office / Business Address
Telephone No.
Position
Yrs. in Employment/Business
GSIS/SSS No.

Previous Employer (if less than 2 years in current employment)

Nature of Business

DTI Registration No.

ATTORNEY-IN-FACT'S DEPENDENTS
Age
School / Company

Name

Level / Year Employed

SPOUSE'S INFORMATION
Nick Name

Name (Last Name / First Name / Middle Name)

Employment / Occupation

Date of Birth

EMPLOYED

Place of Birth

SELF-EMPLOYED / BUSINESS

Employer's / Business Name

Office / Business Address
Telephone No.
Position
Yrs. in Employment/Business
GSIS/SSS No.

Previous Employer (if less than 2 years in current employment)

Nature of Business

DTI Registration No.

AGREEMENT

I/We affirm that each of the statements made in this application is true and correct and the signatures appearing herein are genuine. I/We agree to notify
China Banking Corporation (the Bank) of any changes affecting the information contained herein. I/We further confirm that I/we do not have any
outstanding civil or criminal case filed against me/us and that I/we do not have any arrearages/past due with any bank or financial institution. I/We
authorize the Bank to obtain and verify such information as may be required covering this application from the above references or any other sources. For
this purpose, I/we hereby waive my/our rights in the confidentiality of client information. A photocopy of this authorization shall be effective and valid as the
original. I/We agree that any information obtained by the Bank shall remain its property whether or not the loan is granted.

I/We confirm that I/we do not have any relative within the first degree of consanguinity or affinity working in the Bank. I/We agree that this loan application
shall be subject to Bangko Sentral ng Pilipinas regulations including those pertaining to directors, officers, stockholders and related interests of the Bank.
I/We further agree and understand that, should this application be denied, the Bank is not obliged to furnish the reason for denial.
I/We fully understand that any material misrepresentation or failure to disclose information on my/our part as required herein, may cause disapproval of
my/our loan application; and the Bank at any time, shall have the right to cancel the loan approval and/or declare the loan due and demandable.
FILING FEE In connection with this application, I (We) agree to pay the Bank a non-refundable Filing Fee of P1,500

Attorney-in-Fact (Signature over Printed Name

Tax Identification No.:

Community Tax Certificate No.:

Date Issued / Place of Issue: