BENEFICIAL OWNER:
Name:------------------------- Date and Place of Birth:------------- Clt,1.enship/
Address: _______________________ Contact Number/Information ___________ Nationality
ADDITIONAL INFORMATION FOR SELF-EMPLOYED
Typo or Bustnoss MaJor Customers Contact Number MaJor Suppliers Contact Number
Cofporatton
Partners.hip
Sole Propriet0<sh!p
ADDITIONAL FINANCIAL INFORMATION
Bank Accounts
�� Stanch Account Type ¥id Nvmber
Are you an Qxlstin,g dePoS1tor ot RCBC? NO
Ex,stmg loans
F1tw1r.cial IMt1tution Type of Loon Loan Amount Oate Granted AmorttUtion Maturity Date
Are you a previous/existing loar. chent of ACBC? Yes No
Credit Cards
Credit card company Cred1t catd Number Voar Granted Oots.tand1n9 Balan<X'
P ERSONAL REFERENCES
Sotrov,•et wafrants that the pel'Sons IISt«:1 as personal references ,•..ere inf().(med of this loan app:icatlon
Name Address Refationsh1p
Are YoU going to a�nt an Attorney-Sn-Fact {AIF) to sign O< execute k>an documents in your behalf? Yes No Name of AIF _________________
Mobdc Number of AIF ______________
Dote ol8lrth ________________
Rttauonsrup _________________
Address __________________
UNO£RfAKJNG CLAUS£
I/We hereby certify that all 1nfo,m&t1on 1n th1s app!1cat1on is co,,ect and complete. Shoufd any of the 1nfo,mauon provided and documents 1/vve svbtrutted prove to be lalse. the Sank
may tet-mu\ate 1ny loan or a«ommodatlon � have the ught to demand 1mmed�te payment of obhgat.to-n.
�ESSING OJ; lN�RMATt().'I
I/We hereby authorize the Sanl< to obtain and w:nfy SUC:h inf«matton as the �nk may,«1,111re concernmg the slbtements made 1n this appl!C<lllon and that the sources from,whic h the8al"lk
may apply for such 1nfo,m,at,on 6ret\eteb'/ authorized to provide the�nk the same. VWe hereby authorize the Sanke< its dulyauthor ,.zed per$0tV1iel to d1sd<>scmy/ovr ,nformation to al"ly
ofhco. branch. s.ubstdiary a1f,t,atc. agent. and rcp,cscntativo of the Bank and third parties scfcctcd by any of th<tm, whctcvcr situated. and uso 1n conncchon w,th the prov1Sk>n of any
service/prOduc t relot,ng to my/our .lecount/s1nclud1ng data p,-ofil1ng, ptoeessir,g, mon1to,1ng, teview,ng, tet>0rt1ng, sto11ng, statastical and ttsk aMlys.s purposes. I/We hereby agree that all
my/ou, pe<sonal data may be P,OC(!-Ssed al"ld disdosed to government authority (fo,eigl"I or d0mes.t1c) 1n compl�nc:e with the ,�. Ofd1nance. order. decree. d,rect, ve, requ 1rernent. suitute.
law. const1tut1on. regulation or other government restriet1on O< c)ny simuar form of dee� of. O< determination of any of the f0<ego1ng by. any national regiQnal. or local government or
pal 1tieal svbd1v1$ton. comnl$sJon. authonty. tnbvnal. ageoc:y. or enhty of lhe Rep(Jt>Uc of the Ph1l1pptnes or a torefgn country. as maybe applteabte.1/We hereby agree to warve. to the extent
allo\ved by law. the conftdent�hty of m-J/Ot.JtpetSonbt1nformauon regafdu-.g my/OtJ, banS<accounts.de,posits and other- eted1t ,nformahon ln ofdef to ascertainmy/oor eligib1hty to avail crcd1t.
RElENTION
I/We hereby agtoo and aulh0f1zc the Sank to fctan the infom'\at1on collected dJring the apphcat,on. as wol as fr:x tho duration and oven afto, tho r('j«:tiOr\ t("lrr'lnatlon. dosurc or canccllatsoo
ot tho cmctt avalmcol rclaOOnship 0< SCfVICCS W\cth the8anl</F1nancial lost•tution f0< a pc<1od of tcn(lO) yc,o,s from such torm1nabon unbl final conclls,on of any 1cqu1tcrncot or cisclosuro of
Obhgabon.. d1$pu(e Of actton.
CONSENT i:'OA Ci:tOSS·SELllNG. AAOMOTIONS ;.,z,.:O MF'EJ:t:RAL
f/\"le: Agree Oisag,ee to authorize the Bali< to a) colect and use mt/oor information and. where pe,m:tted by law. share 1t between YGC. its �bsioianes and afMiates to Identify and
i:nform me/us of proclJcts and services pr01ided by YGC. its sub5idia<ies and affltiates that may be of interes.t to me/us: and b)collect and vse f'Ni//oi., inf0<maoon to promote the prodvct.s and
servic.es of se'.eet third paf'tiM that may be ofinterest tor-ne.A,,.1,/We. understand that 1f f/v;e do refuse 0< withd'aw mt/out consent to a)and/0tb). ,t wit not affect my/ourefjg bity to,o,v,a1lcfedit
8offowers Signaturo/Oato Spauso'$/CO•Boaowtr"s Sign.nvre/�te
T� --------------- TIN ______________
SSS/GSIS ___________ SSS/GSIS ___________
I/We attest that a:11 the stipulations above we,e d,scus.sed and explained rn detail to the Borrower.
RccciV<>d and Ched<<>d by.
Referror Date
StgMtute Ow, Pflnttd Name
BENEFICIAL OWNER:
Name:------------------------- Date and Place of Birth:------------- Clt,1.enship/
Address: _______________________ Contact Number/Information ___________ Nationality
ADDITIONAL INFORMATION FOR SELF-EMPLOYED
Typo or Bustnoss MaJor Customers Contact Number MaJor Suppliers Contact Number
Cofporatton
Partners.hip
Sole Propriet0<sh!p
ADDITIONAL FINANCIAL INFORMATION
Bank Accounts
�� Stanch Account Type ¥id Nvmber
Are you an Qxlstin,g dePoS1tor ot RCBC? NO
Ex,stmg loans
F1tw1r.cial IMt1tution Type of Loon Loan Amount Oate Granted AmorttUtion Maturity Date
Are you a previous/existing loar. chent of ACBC? Yes No
Credit Cards
Credit card company Cred1t catd Number Voar Granted Oots.tand1n9 Balan<X'
P ERSONAL REFERENCES
Sotrov,•et wafrants that the pel'Sons IISt«:1 as personal references ,•..ere inf().(med of this loan app:icatlon
Name Address Refationsh1p
Are YoU going to a�nt an Attorney-Sn-Fact {AIF) to sign O< execute k>an documents in your behalf? Yes No Name of AIF _________________
Mobdc Number of AIF ______________
Dote ol8lrth ________________
Rttauonsrup _________________
Address __________________
UNO£RfAKJNG CLAUS£
I/We hereby certify that all 1nfo,m&t1on 1n th1s app!1cat1on is co,,ect and complete. Shoufd any of the 1nfo,mauon provided and documents 1/vve svbtrutted prove to be lalse. the Sank
may tet-mu\ate 1ny loan or a«ommodatlon � have the ught to demand 1mmed�te payment of obhgat.to-n.
�ESSING OJ; lN�RMATt().'I
I/We hereby authorize the Sanl< to obtain and w:nfy SUC:h inf«matton as the �nk may,«1,111re concernmg the slbtements made 1n this appl!C<lllon and that the sources from,whic h the8al"lk
may apply for such 1nfo,m,at,on 6ret\eteb'/ authorized to provide the�nk the same. VWe hereby authorize the Sanke< its dulyauthor ,.zed per$0tV1iel to d1sd<>scmy/ovr ,nformation to al"ly
ofhco. branch. s.ubstdiary a1f,t,atc. agent. and rcp,cscntativo of the Bank and third parties scfcctcd by any of th<tm, whctcvcr situated. and uso 1n conncchon w,th the prov1Sk>n of any
service/prOduc t relot,ng to my/our .lecount/s1nclud1ng data p,-ofil1ng, ptoeessir,g, mon1to,1ng, teview,ng, tet>0rt1ng, sto11ng, statastical and ttsk aMlys.s purposes. I/We hereby agree that all
my/ou, pe<sonal data may be P,OC(!-Ssed al"ld disdosed to government authority (fo,eigl"I or d0mes.t1c) 1n compl�nc:e with the ,�. Ofd1nance. order. decree. d,rect, ve, requ 1rernent. suitute.
law. const1tut1on. regulation or other government restriet1on O< c)ny simuar form of dee� of. O< determination of any of the f0<ego1ng by. any national regiQnal. or local government or
pal 1tieal svbd1v1$ton. comnl$sJon. authonty. tnbvnal. ageoc:y. or enhty of lhe Rep(Jt>Uc of the Ph1l1pptnes or a torefgn country. as maybe applteabte.1/We hereby agree to warve. to the extent
allo\ved by law. the conftdent�hty of m-J/Ot.JtpetSonbt1nformauon regafdu-.g my/OtJ, banS<accounts.de,posits and other- eted1t ,nformahon ln ofdef to ascertainmy/oor eligib1hty to avail crcd1t.
RElENTION
I/We hereby agtoo and aulh0f1zc the Sank to fctan the infom'\at1on collected dJring the apphcat,on. as wol as fr:x tho duration and oven afto, tho r('j«:tiOr\ t("lrr'lnatlon. dosurc or canccllatsoo
ot tho cmctt avalmcol rclaOOnship 0< SCfVICCS W\cth the8anl</F1nancial lost•tution f0< a pc<1od of tcn(lO) yc,o,s from such torm1nabon unbl final conclls,on of any 1cqu1tcrncot or cisclosuro of
Obhgabon.. d1$pu(e Of actton.
CONSENT i:'OA Ci:tOSS·SELllNG. AAOMOTIONS ;.,z,.:O MF'EJ:t:RAL
f/\"le: ✔ Agree Oisag,ee to authorize the Bali< to a) colect and use mt/oor information and. where pe,m:tted by law. share 1t between YGC. its �bsioianes and afMiates to Identify and
i:nform me/us of proclJcts and services pr01ided by YGC. its sub5idia<ies and affltiates that may be of interes.t to me/us: and b)collect and vse f'Ni//oi., inf0<maoon to promote the prodvct.s and
servic.es of se'.eet third paf'tiM that may be ofinterest tor-ne.A,,.1,/We. understand that 1f f/v;e do refuse 0< withd'aw mt/out consent to a)and/0tb). ,t wit not affect my/ourefjg bity to,o,v,a1lcfedit
8offowers Signaturo/Oato Spauso'$/CO•Boaowtr"s Sign.nvre/�te
T� --------------- TIN ______________
SSS/GSIS ___________ SSS/GSIS ___________
I/We attest that a:11 the stipulations above we,e d,scus.sed and explained rn detail to the Borrower.
RccciV<>d and Ched<<>d by.
Referror Date
StgMtute Ow, Pflnttd Name
