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Loan Application Form

This document appears to be an application for an auto loan. It contains fields for the borrower's and co-borrower's personal information such as name, address, contact details, employment information, and financial details including monthly income, banks, and additional information about major customers and suppliers. By signing, the applicant agrees to the data privacy policy and consents to their personal information being collected and processed according to the Data Privacy Act of 2012.

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Prince Andrei Acu
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© © All Rights Reserved
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60 views1 page

Loan Application Form

This document appears to be an application for an auto loan. It contains fields for the borrower's and co-borrower's personal information such as name, address, contact details, employment information, and financial details including monthly income, banks, and additional information about major customers and suppliers. By signing, the applicant agrees to the data privacy policy and consents to their personal information being collected and processed according to the Data Privacy Act of 2012.

Uploaded by

Prince Andrei Acu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Unit 3 Sir Williams Hotel #39, Timog Ave.

, Quezon City, Metro Manila 1103


Contact Numbers: (02) 856-328-80 / 0968-597-9541 / 0905-461-9785

GROUP RETAIL MANAGER: EDWARD IAN AQUINO UNIT:


SALES CONSULTANT: JENNY ROSE RAMOS PRICE:
CONTACT NUMBER: 0926-105-7005 DOWNPAYMENT:
TERMS:
BORROWER’S DATA
BORROWER’S NAME CO-BORROWER’S NAME

LAST NAME FIRST NAME MIDDLE NAME LAST NAME FIRST NAME MIDDLE NAME
MOTHERS MAIDEN NAME: MOTHERS MAIDEN NAME:
TIN #: TIN #:
BIRTHDATE: BIRTHDATE:
MOBILE #: MOBILE #:
EMAIL ADD: EMAIL ADD:
RELATION TO BORROWER:
RESIDENCE ADDRESS: RESIDENCE ADDRESS:

TEL#: TEL#:
PLACE OF BIRTH: PLACE OF BIRTH:
[ ] OWNED (MORTGAGED) [ ] OWNED (MORTGAGED)
[ ] OWNED (NOT MORTGAGE) [ ] OWNED (NOT MORTGAGE)
[ ] LIVING W/ FAMILY [ ] LIVING W/ FAMILY
[ ] COMPANY PROVIDED [ ] COMPANY PROVIDED
[ ] RENTED [ ] RENTED
LENGTH OF STAY LENGTH OF STAY
CIVIL STATUS CIVIL STATUS
[ ] SINGLE [ ] WIDOWED [ ] SINGLE [ ] WIDOWED
[ ] MARRIED [ ] SEPARATED [ ] MARRIED [ ] SEPARATED
CITIZENSHIP: CITIZENSHIP:
EMPLOYER/BUSINESS NAME: EMPLOYER/BUSINESS NAME:

POSITION/DEPARTMENT: POSITION/DEPARTMENT:
TENURE: TENURE:
COMPANY/BUSINESS ADDRESS: COMPANY/BUSINESS ADDRESS:

NATURE OF BUSINESS: NATURE OF BUSINESS:


OFFICE TEL. #: OFFICE TEL. #:
PREVIOUS EMPLOYER: PREVIOUS EMPLOYER:
POSITION/DEPARTMENT: POSITION/DEPARTMENT:
TENURE: TENURE:
FINANCIAL STANDING
MONTHLY INCOME: ADDITIONAL INFORMATION
BORROWER CO-BORROWER MAJOR CUSTOMER/TEL #:
SALARY:
ALLOWANCE: 1.
COMMISSIONS: 2.
REMITTANCE: 3.
COMBINED MONTHLY INCOME: MAJOR SUPPLIERS/TEL #:
BANKS: 1.
2.
3.
By signing this form, I agreed to Digicars Auto Trading data privacy policy and giving my consent to the collection and
processing of my personal information in accordance to the provisions of Republic Act No. 10173 or the Data Privacy Act
(DPA) of 2012 and it’s implementing rules and regulation (IRR),

______ _________________________
Signature over printed name

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