MANILA BAY

MI MANILA, INC.
Blk. 2, Lot 39, Bradco Ave., Aseana City,
Brgy. Baclaran, Parañaque City Sales Consultant : HUTCH D. PAJARILLAGA
Fax # 880-9898 loc. 212
0917-5999986 / 0933-8558854 / (02) 616-6547

APPLICATION

First Name Middle Name Last Name

Applicant : _________________________________ _________________________ _______________________________ Mobile # : _______________________ Age: _____ Birthday: ___/____/___

Address: _________________________________________________________________________________________________ Status : Single [ ] Separated [ ]

E-mail add : Tel. No.__________________________________________________ Married [ ] Widowed [ ]

Length of Stay: ____________________________________

Ownership: Owned [ ] Mortgage [ ] Citizenship: ____________________ No. of Dependents: _______

Rented [ ]

CO-MAKER

First Name Middle Name Last Name

Co-maker : _________________________________ _________________________ _______________________________ Mobile # : _______________________ Age: _____ Birthday: ____/_____/____

Address: _________________________________________________________________________________________________ Status : Single [ ] Separated [ ]

E-mail add : Tel. No.__________________________________________________ Married [ ] Widowed [ ]

Length of Stay: ____________________________________

Ownership: Owned [ ] Mortgage [ ] Citizenship: ____________________ No. of Dependents: _______

EMPLOYMENT / OCCUPATION

APPLICANT : Employed [ ] Business [ ] SPOUSE / CO-MAKER : Employed [ ] Business [ ]

Employer/Bus Name:___________________________________________________________ Employer/Bus Name:_______________________________________________________________________

Address:_____________________________________________________________________ Address:_______________________________________________________________________________

Position:_____________________________________________________________________ Position:_______________________________________________________________________________

Length of stay:_______________________ Tel # : __________________________________ Tel. No.______________________________________ Length of stay:____________________

Previous Employer: ____________________________________________________________ Previous Employer: _______________________________________________________________________

Address:_____________________________________________________________________ Address:_______________________________________________________________________________

COLLATERAL/SECURITY MONTHLY INCOME

Unit / Model :_____________________________________________________________________________________________ Borrower P

Dealer: MI MANILA, INC. Salesman:______________________________________________ Spouse P

SRP: P_____________________________ Down Payment : _______________ % Term : _______________________ Other Income P

Loan Value:____________________________ Place of Use:__________________

Purpose: Private [ ] Business [ ] Public [ ]

BANK REFERENCES

Bank:___________________________________________ Checking:______________________________

Branch:__________________________________________

Bank:___________________________________________ Savings: _______________________________