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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