LENDING COMPANY – BRANCH OFFICE

GENERAL INSTRUCTIONS

1. This Application Form shall be used to register branch office, extension office, satellite office or unit of any
lending company under Republic Act No. 9474 (Lending Company Regulation Act of 2007).
2. This application shall be signed under oath by the registrant’s President
3. Four (4) copies of the complete application shall be filed, including exhibits and all other papers and
documents filed as part thereof.

APPLICATION OF:

Name of Corporation

Complete Address

Contact Number

For a Certificate of Authority under the Provisions of Republic Act No. 9474, the Lending
Company Regulation Act of 2007

Date

SECURITIES AND EXCHANGE COMMISSION

EDSA, Greenhills, Mandaluyong City
Metro Manila

Gentlemen:

Pursuant to the Rules and Regulations to Implement the Provisions of Republic Act No. 9474
(Lending Company Regulation Act of 2007), we hereby apply for a Certificate of Authority to operate
a/an:

□ Branch □ Extension
□ Satellite □ Unit

____________________________________________________________________________________
Exact Address of the Proposed Branch Office

In support of this application, we are submitting herewith the following required

papers/information to form integral parts thereof:

1. Information Sheet of the proposed branch office, extension, satellite or unit;

2. National Bureau of Investigation (NBI) Clearance of the branch manager, cashier and
administrative officer of the proposed branch;

3. Monitoring Clearance from appropriate SEC department/division; and

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 LENDING COMPANY – BRANCH OFFICE

4. Photocopies of registration documents/reports (i.e., Articles of Incorporation, Amended

Articles of Incorporation, Certificate of Increase of Capital Stock, Certificate of Authority of
Head Office, latest General Information Sheet, latest Audited Financial Statements/notarized
Interim Financial Statements).

___________________________________
Name of the Lending Company

By:

___________________________________
Signature of the President over Printed
Name

REPUBLIC OF THE PHILIPPINES)

IN THE CITY OF ) S.S.

SUBSCRIBED AND SWORN TO before me this ____ day of ______________, _____ the
above affiant exhibiting to me his/her Tax Identification Number ___________ issued at
____________________ on ____________________.

NOTARY PUBLIC

Doc. No. __________

Page No. __________
Book No. __________
Series of __________

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