APPLICATION No.

DEALER:
AGENT:

MARKETING OFFICER:
AUTO LOAN APPLICATION
DATE:
Individual
IMPORTANT: PLEASE FILLUP THIS FORM COMPLETELY TO FACILITATE PROCESSING OF YOUR LOAN APPLICATION
TYPE SPECIFICATION
ITEMS ( ) Auto ( ) AUV ( ) SUV ( ) New ( ) Used Make Type / Year Model
APPLIED ( ) Bus ( ) Others __________
FOR
Purchase: Refinancing: Take-out: Others:

Cash Price: Down payment: Amount Financed: Term:

Last Name First Name Middle Name Status: Birthday
( ) Single ( ) Married Borrower_______
A ( ) Widowed ( ) Separated Spouse_________
P Spouse’s Last Name First Name Middle Name No. of Nationality Education:
P Dependents Borrower____ ( ) Elem. ( ) HS
L Spouse______ ( ) College
I
C Home Address Years of Stay
A
N Previous Address Years of Stay
T ( ) Owned ( ) Free Living with Parents Telephone Numbers:
( ) Home _________________________________
( ) Rented ( ) Others _________________________________ ( ) Cell phone _________________________________
Present Employer / Own Business
E
Own Monthly Salary P_____________________
M Business Address N
P
L Telephone Number No. of years E
Spouse’s Monthly Salary P _____________________
O
Y Position T
M
Other Income From:
E Previous Employer No. of Years
N I ________________ P________________
T Address: ________________ P________________
N
________________ P________________
Position: Tel. No.
C
P______________________
Spouse’ s Employer O Total Monthly Income P_____________________
S
P Spouse’ s Employer Address: Fixed Monthly Obligation _____________________
M
O
U Position: No. of Years Tel. No. E
S Other Living Expenses _____________________
E Previous Employer
Net Monthly Income P_____________________
Address:

Position: No. of Years Tel. No.

Any two Children Studying School Course Year/ Grade

P
E 1.
R
S 2.
O Nearest Relative Not Living With You Address Relationship Telephone Number
N
A 1.
L
2.
& Personal References Address Telephone Number

C 1.
R
E 2.
D
I 3.
T
Credit/Trade Reference Address & Telephone Number Account No. / Type of Loan Monthly Outstanding balance
Payment
R
E
F

Credit Card Held Savings Account At Current Account At Last Financing By;

Issued at Date TIN SSS No.

Res. Cert.
ACR No. Issued at Date Verification OR No. Date

I hereby certify that all data and statement in this application are correct and complete, and are made for the purpose of obtaining credit and signature appearing thereon are genuine. I
authorize you to obtain such information as you may require concerning the statement made in this application and that the sources to which you may apply are authorized to provide any
information relative to this application. I agree that the application may remain your property whether the credit is granted or not.
Signature of Applicant/s Signature Of Spouse

PURPOSE: SIZE OF FIRM

FOR BANK ACTION TAKEN: TERMS & CONDITIONS:
USE ONLY ( ) Approved
( ) Disapproved ( ) Post dated Checks ( ) Spouse as Co-Maker ( ) Financial/Bank Statement
( ) No Action/Pending ( ) Signed Credit Application ( ) Business registration ( ) Contract of employment
AUTHORIZED SIGNATURE : DATE