psbaaf rr lq
DESCRIPTION
psbaaf rr lqTRANSCRIPT
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Supplier Referred By (Salesman/Agent) Branch Application No.
Item Applied For Cash Price GuarantyDep./Downpayment Amount Financed Term AOR
Last Name First Name Middle Name Age Birthdate (MM/DD/YY)
Nationality Civil Status Education No of Dependents
Single Widow/Widower Post Graduate
Married Separated College
Under Graduate
Home Address Rented, How Much? ____________________
Own - Mortgage, With ____________________
Living with Relatives
Used Free
Length of Stay _____Yrs. _____Mos.
Provincial Address
Tel. No. 1 Tel. No. 2 Mobile No. E-mail
Last Name First Name Middle Name Age Birthdate (MM/DD/YY)
Home Address
Name of Employer/Business Business Address
Employment Status Tel. No. 1 Tel. No. 2 Position
Employed OFW
Self Employed Others ___________ No. of Years with Company:
Name of Employer/Business Business Address
Employment Status Tel. No. 1 Tel. No. 2 Position
Employed OFW
Self Employed Others ___________ No. of Years with Company :
Monthly Salary : Total Monthly Income
Spouse's Monthly Salary :
Other Monthly Income From :
Name of Children/Dependents Age School
Credit References Address & Tel. No/s. Acct No. Loan Type Mo. Amort O/S Balance
Bank / Branch Account Number
1)
2)
Bank / Branch Account Number
1)
2)
Bank / Branch Account Number
1)
2)
(For Individuals / Sole Proprietorship)
A P P L I C A N T
CO-MAKER
E M P L O Y M E N T
SPOUSE / CO-MAKER INFORMATION
TIME DEPOSIT/S AT :
CREDIT APPLICATIONCREDIT APPLICATIONCREDIT APPLICATIONCREDIT APPLICATION
P E R S O N A L & C R E D I T R E F E R E N C E S
Grade Level
SAVINGS ACCOUNT/S AT :
CURRENT ACCOUNT/S AT :
N E T I N C O M E
PRINCIPAL