ASIALINK FINANCE CORPORATION DOWNLOADABLE APPLICATION FORM New Accounts TYPE OF LOAN Doctor Migrant Loan Business OFW
Loan Salary Car Loan PUV/TAXI Loan Beneficiar/Allotee Loan Real Estate Loan Appliance Renewal: ____ 2nd ____ 3rd ____ 4th Availment
2x2 Picture
Seaman Loan
Amount Applied P ___________________________________ TERMS: 3 months 6 months 12 months
Agent: __________________________________
NO FEES OR PAYMENTS TO BE COLLECTED BY AGENTS Last Name First Name
PERSONAL INFORMATION
Middle Name Mother's Maiden Name
Birthday
Age
Sex
Civil Status Single Married Name Separated Widowed Age
No. of dependents
School
Present Address (Unit no, Street, Village/Subdivision/Barangay, Municipality, Province)
Length of Stay
Home Ownership Owned Previous Address Owned (but mortgaged) Rented, Mo. P __________________ Used Free
Home Phone Number
Cellphone Number
Provincial Address
E-mail Address
Employment Type Self-Employed Private Government
WORK INFORMATION
Professional: _________
Employer/Business Name
DTI / SEC Reg No.
Employer/ Business Adress (Flr., Building, No., Street, Village/Barangay/Municipality, Province)
Years in business
Phone Number
Position
Monthly Income
Professional License No.
SSS No.
TIN
Employment Status Contractual Permanent/ Regular Age Sex
Last Name
SPOUSE PERSONAL INFORMATION / BENEFICIARY INFORMATION
First Name Middle Name Birthday Course College College Undergrad Employer/Business Name Private Position Government Monthly Income Professional: ___________ Professional License No. SSS No. TIN Employment Status Contractual Permanent/ Regular DTI / SEC Reg No. School Last Attended Year Graduated
Education High School High School Undergad Employment Self-Employed Phone Number
Length of Stay/ Years in Business Number of Children
Years Married
OTHER SOURCES OF INCOME
Name Employer/Business Adress Nature of Business
PERSONAL / CHARACTER REFERENCES
Relative References (Parents, Brothers, Sisters, etc.) Name Address Telephone
Telephone Number
Monthly Income
BANK ACCOUNT INFORMATION
Bank Account Type Account No. Date Opened
BANK AUTHORIZATION
Date: ____________________________ Dear: ___________________________
This is to authorize ASIALINK FINANCE CORPORATION or its authorized representatives to verify my/our savings/checking account with your bank. You are allowed to disclose the date of opening of my/our savings/checking account, the handling and the Average Daily Balance (ADB) for the last six (6) months.
UNDERTAKING
I/We hereby certify that all the information furnished in this Application Form are true, correct and complete, and that the signatures appearing herin are true and genuine. I/We hereby authorize ASIALINK FINANCE CORPORATION to obtain such information as mnaybe required concerning the validity and veracity of the information provided in this application using any applicable methods of precesses, including my/our loan and deposit account, and wiave my four rights under R.A. 1405. I/We further agree that this application and all suporting documents and any other information obtained by ASIALINK relative to this application shall remain as ASIALINK'S property whether or not the loan is granted. I/We agree that ASIALINK has no obligation to furnish me/us the reason for such rejection. I/We also understand that any false statement or concealment of information which maybe discovered after the loan has been granted shall be suffcient basis for ASIALINK to consider the loan due and demandable immediately.
Bank
Branch / Address
Account Type
Account No.
PRINCIPAL BORROWER
Thank you very much for your kind assistance. Very truly yours,
SPOUSE/BENEFICIARY
CO-BORROWER / CO-MAKER Signature over printed name
DATE
(Please place signature over the printed name)
PN #