er 4 e August
LOAN APPLICATION: New Applica�on Renewal Applica�on C E R ALL
CLEAR
Branch: Malolos Bulacan 2X2
How did you know about us PHOTO
✔ Car/Truck Dealer (name) Walk-in
Loan Consultant (name) Asialink Facebook Radio
Referral (name) Joanalyne Cobardo Billboard/Signage (where) Website
Flyers Others (Pls. specify)
Submit completely filled-out and signed application form together with requried loan documents. Put N/A in the fields that are not applicable. Processing of application will start only upon submission of complete documents.
LOAN INFORMATION
DESIRED LOAN AMOUNT Php DESIRED TERM (Months) 12 18 24 36 48 60 others:
LOAN PRODUCT:
BRAND NEW FINANCING PRE-OWNED FINANCING REFINANCING OTHERS:
✔ BRAND NEW CAR FINANCING ✔ PRE-OWNED CAR FINANCING CAR REFINANCING PERSONAL LOAN FOR DOCTORS
BRAND NEW TRUCK FINANCING PRE-OWNED TRUCK FINANCING TRUCK REFINANCING REAL ESTATE MORTGAGE
BRAND NEW BUS/PUV FINANCING PRE-OWNED BUS/PUV FINANCING MULTICAB REFINANCING REAL ESTATE PURCHASE
BRAND NEW MULTICAB FINANCING PRE-OWNED MULTICAB FINANCING
LOAN PURPOSE:
WORKING CAPITAL PURCHASE OF EQUIPMENT MEDICATION ✔
OTHERS: (Pls. Specify) BUSINESS IMPROVEMENT
HOME IMPROVEMENT ASSET ACQUISITION EDUCATION
BORROWER’S PERSONAL INFORMATION
FIRST NAME MIDDLE NAME LAST NAME BIRTHDATE (mm/dd/yyyy)
JOSHUA MARTIN WABE LOSINADA 09/14/1990
SEX BIRTHPLACE NATIONALITY
✔ MALE FEMALE VALENZUELA CITY FILIPINO
MARITAL STATUS: MOTHER’S FULL MAIDEN NAME
✔ SINGLE MARRIED SEPARATED WIDOWED JUVY GABACA WABE
PRESENT ADDRESS: 589 UNIT B LUCERO STREET MABOLO MALOLOS BULACAN LENGTH OF STAY (YRS): 3
PERMANENT ADDRESS: ● CHECK IF SAME AS ABOVE LENGTH OF STAY (YRS):
TEL. NUMBER MOBILE NUMBER EMAIL ADDRESS TYPE OF ID: ID NUMBER
0447944294 09670955022 LOSINADAJOSHUAMARTIN@GMAIL.COM DRIVERS LICENSE N25-10-034452
COLLATERAL DETAILS: MAKE HYUNDAI
SERIES ACCENT HATCH 1
MODEL 2014
STATUS: ✔ FULLY-PAID MORTGAGE
RESIDENCE OWNERSHIP: OWNED MORTGAGE ✔ RENTING (MONTHLY RENT) USED-FREE OTHERS:
EDUCATIONAL ATTAINMENT: DEGREE/COURSE YEAR GRADUATED:
ELEMENTARY ✔ HIGH SCHOOL VOCATIONAL COLLEGE POST GRADUATE 2006-2007
SPOUSE INFO (Put N/A if not applicable.): NUMBER OF DEPENDENTS:
FIRST NAME MARIA ELENA MIDDLE NAME BOLON LAST NAME SARDENIA 1
BORROWER'S SOURCE OF INCOME
IF BUSINESS:
BUSINESS NAME: JOSHUA ONLINE SHOP NATURE OF BUSINESS: ONLINE SELLER DATE ESTABLISHED: AUG 2024
TOTAL MANPOWER: MONTHLY GROSS INCOME: 150,000 CONTACT NUMBER: 09670955022
SERVICES: SELLING ONLINE/BUY AND SELL BUSINESS ADDRESS: 589 UNIT B LUCERO STREES MABOLO MALOLOS BULACAN
IF EMPLOYED:
EMPLOYER/BUSINESS NAME: NATURE OF BUSINESS: CONTACT NUMBER:
POSITION/DESIGNATION: LENGTH OF STAY (YRS): MONTHLY GROSS INCOME:
IF REMITTANCE/ALLOTMENT:
NAME OF OFW: RELATIONSHIP:
POSITION/DESIGNATION: MONTHLY REMITTANCE:
OTHER SOURCE OF INCOME:
INVESTMENTS PENSION ✔ OTHERS (SPECIFY)
CO-BORROWER’S PERSONAL INFORMATION (if applicable)
✔ CHECK IF SAME AS SPOUSE FIRST NAME MIDDLE NAME LAST NAME
MARIA ELENA BOLON SARDENIA
SEX BIRTHDATE (mm/dd/yyyy) BIRTHPLACE NATIONALITY
MALE ✔ FEMALE 11/17/1997 CALOOCAN CITY FILIPINO
TEL. NUMBER MOBILE NUMBER EMAIL ADDRESS TYPE OF ID: ID NUMBER
0447944294 09543140800 ELENASARDENIA017@GMAIL.COM DRIVERS LICENSE N04-17-003615
CO-BORROWER’S SOURCE OF INCOME
BUSINESS: ✔ SOLE PROPRIETOR PARTNERSHIP CORPORATION EMPLOYMENT REMITTANCE/ALLOTMENT OTHER SOURCE OF INCOME INVESTMENTS PENSION OTHERS (SPECIFY)
EMPLOYER/BUSINESS NAME TYPE OF INDUSTRY
ONLINE SELLER/BAG'S SUPPLIER ONLINE BUSINESS
OFFICE ADDRESS CONTACT NUMBER
09543140800
TITLE/POSITION YEARS EMPLOYED/IN OPERATION MONTHLY GROSS INCOME
BUY AND SELL 2023 100,000
PRESENT ADDRESS LENGTH OF STAY
589 UNIT B LUCERO STREET MABOLO MALOLOS BULACAN 3
Version 14 | Updated August 2024
BORROWER’S PERSONAL REFERENCE
NAME RELATION ADDRESS CONTACT NUMBER
KYT JOHN ESPONGGA RELATIVE MALOLOS BULACAN 09773052603
CHRISTOPER DELFIN RELATIVE MALOLOS BULACAN 09511768417
T A E EFE ENCE
SUPPLIERS/CLIENTS CONTACT NUMBER
LOAN E PO E
BANK TYPE OF LOAN AMORTIZATION
BANK AUTHORIZATION
B 09/05/2025 B
B B B Account Type
09670955022
Signature over printed name
Date: (mm/dd/yyyy) E LOSINADAJOSHUAMARTIN@GMAIL.COM
09/05/2025
UNDERTAKING AND PRIVACY POLICY
B E R R
R M R R R
JOSHUA MARTIN LOSINADA
Signature over printed name
Date: (mm/dd/yyyy) 09/05/2025
NOTICE OF NO PAYMENT COLLECTION
