AUTO LOAN APPLICATION:

Sales Executive:
Mobile No.:

APPLICANT PERSONAL INFORMATION:

________________

________________

________________

________________

________________

Last Name

First Name

Middle Name

Birthday (mm/dd/yy)

Mobile Number

Spouse / Co-maker Personal Information

CIVIL STATUS:

Single Married Separated Widowed

If you are an OFW and not married, please provide

a close relative as /co-maker.
_______________________
Relationship to applicant

________________

________________

________________

________________

________________

Last Name

First Name

Middle Name

Birthday (mm/dd/yy)

Mobile Number

___________________
Length of Stay

___________________
Home Telephone No.

_______________________________________________________________
Home Address

APPLICANT EMPLOYMENT INFO:

SPOUSE/CO-MAKER EMPLOYMENT INFO:

Employment
Own Business

Employer / Business Name

_______________________________
T.I.N. Number
______________________________
Position

Employment
Own Business

Employer / Business Name

________________________________
T.I.N. Number
______________________________
Position

_______________
Office Tel. No.

Office Address: _________________________________

_______________________________________________

______________
Office Tel. No.

Office Address: ________________________________

______________________________________________

BANK REFERENCE:
Name
1. ____________________________
2. ____________________________
3. ____________________________

Branch
______________________________
______________________________
______________________________

Telephone Numbers
________________________________
________________________________
________________________________

VEHICLE AND FINANCING INFORMATION:

______________________________________________________
Unit Model

______________________
Applicant Income

_________________
Spouse Income

_____________
Unit Price

______________________
Other Income

_________________
Gross Income

______%
D/P

_________
TERMS

_________________
LOAN AMOUNT

PLEASE SIGN AND DATE THE APPLICATION:

I/We certify that all the information entered into this loan application are true, correct and complete. I/We authorize you to verify and
investigate said information from whatever sources you may consider appropriate. I/We authorize the sources that you approach to
provide information relative to this application. I agree that this application derived will remain your property whether the loan is granted
or not. I/We understand that any misinterpretation may adversely affect approval of this application and status of my loan if already
granted.

____________________________
Signature of Applicant

_________________
Date Signed

_____________________________
Signature of Spouse / Co-maker

________________
Date Signed