AUTO LOAN APPLICATION FORM
AUTO LOAN APPLICATION FORM
INDIVIDUAL
Dealer: _______________________ Sales Rep.: ___________________ Date: ______________________ Application No. ________________
IMPORTANT: PLEASE FILL UP THIS FORM TO FACILITATE PROCESSING OF YOUR LOAN APPLICATION. ALL INFORMATION WILL BE TREATED STRICTLY CONFIDENTIAL.
U o New
o Passenger Car
o Commercial Vehicle
o Others _________________________
N o Used/Pre-owned
o Brand ____________________________ Type & Year Model ___________________________________
I Accessories ___________________________________________________________________________________________________________
T Cash Price PhP _____________ Downpayment PhP ______________________ Amount Financed PhP _____________ Term ______________
A Last Name
First Name
Middle Name
Status o Single
oWidowed Birthday
P
o Married oSeparated
P L
Spouse's Last Name
First Name
Middle Name
No of
Education o Elementary o High School
I
Dependents
o College o Post Gradaute
C A
Home Address
Provincial Address
Landline
N
T
o Own
o Rented
o Free Living w/ Parents o Others
Lived There
Citizenship
______ Yrs._____Mos.
Mobile E-mail
E Present Employer/Own Business
F Own Monthly Salary
PhP
M P Business Address L O Business Phone Y M Previous Employer
How Long On Job
Position
_____Yrs._______Mos.
How Long On Job
I
N A
Spouse's Monthly Salary
N C Other Income From:
I
A
PhP
PhP
E N Address
L Tel. No.
T
I
N
Spouse's Employer S
F
How Long on Job
O
R Total Monthly Income
PhP
P Spouse's Employer Address O
M
A Fixed Monthly Obligations
PhP
T
U Position S
Tel. No.
I O
Other Living Expenses
PhP
E
Spouse's Home Address If Different From Applicant
Phone No.
N Net Monthly Income
PhP
Any Two Children Studying
P
E 1.
R
S O
2.
N Nearest Relative Not Living With You
A L
1.
& 2.
Personal References
C R
1.
E
D 2.
I
T
3.
Address
R
Credit References
E
F
E
R
E
N
C
E S
Credit Card Held
Address & Tel. No. Savings Acct. At
School Address
Account No. Type of Loan Current Account At
Course
Year/Grade
Relationship
Telephone
Phone No.
Monthly Payment
Outstanding Balance
Last Financing By
Comm. Tax Cert: ____________ Issued at _____________ Date ________________ TIN _____________________ SSS No. ________________ ACR No. __________________ Issued at _____________ Date ________________ Verification O.R. No. _________ Date ___________________
I / We affirm that the statements made in this application and the information given by me/us are true and correct and that any material misrepresentations or falsity therein will be construed as an act to defraud EASTWEST BANKING CORPORATION for which civil and / or criminal liability can be pursued against me / us. I / We agree to notify EASTWEST BANKING CORPORATION of any material change affecting the statements / information mentioned herein. I / We authorize you to verify and investigate such statements / information as may be required covering this application from above references or from whatever other sources you may consider appropriate. I / We agree that all statements / information obtained by EASTWEST BANKING CORPORATION shall remain your property whether or not the loan is granted. I / We are aware that statements / information gathered about me / us will be used to determine my / our eligibility for this loan.
____________________________________________________ SIGNATURE OF APPLICANT
____________________________________________________ SIGNATURE OF SPOUSE
................
................
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