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

N

I

T

o New

o Passenger Car

o Commercial Vehicle

o Others _________________________

o Used/Pre-owned

o Brand ____________________________ Type & Year Model ___________________________________

Accessories ___________________________________________________________________________________________________________

Cash Price PhP _____________ Downpayment PhP ______________________ Amount Financed PhP _____________ Term ______________

A

P

P

L

I

C

A

N

T

Last Name

First Name

Middle Name

Status o Single

o Married

Spouse¡¯s Last Name

First Name

Middle Name

No of

Dependents

E

M

P

L

O

Y

M

E

N

T

S

P

O

U

S

E

P

E

R

S

O

N

A

L

&

C

R

E

D

I

T

R

E

F

E

R

E

N

C

E

S

o Own

o Rented

o Free Living w/ Parents

o Others

Lived There

______ Yrs._____Mos.

Present Employer/Own Business

Business Address

Business Phone

How Long On Job

_____Yrs._______Mos.

Position

Previous Employer

How Long On Job

Address

Tel. No.

Spouse¡¯s Employer

How Long on Job

Spouse¡¯s Employer Address

Position

Tel. No.

Spouse¡¯s Home Address If Different From

Applicant

Phone No.

Any Two Children Studying

Landline

Mobile

Citizenship

F

I

N

A

N

C

I

A

L

I

N

F

O

R

M

A

T

I

O

N

Birthday

Education o Elementary o High School

o College

o Post Gradaute

Provincial Address

Home Address

oWidowed

oSeparated

E-mail

Own Monthly Salary

PhP

Spouse¡¯s Monthly Salary

PhP

Other Income From:

PhP

Total Monthly Income

PhP

Fixed Monthly Obligations

PhP

Other Living Expenses

PhP

Net Monthly Income

PhP

School

Course

Year/Grade

1.

2.

Nearest Relative Not Living With You

1.

Relationship

Address

Telephone

2.

Personal References

1.

Phone No.

Address

2.

3.

Credit References

Credit Card Held

Address & Tel. No.

Savings Acct. At

Comm. Tax Cert: ____________ Issued at _____________

ACR No. __________________ Issued at _____________

Account No.

Type of Loan

Current Account At

Monthly Payment

Outstanding Balance

Last Financing By

Date ________________ TIN _____________________ SSS No. ________________

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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