AUTO LOAN APPLICATION FORM (FOR INDIVIDUAL)

[Pages:2]AUTO LOAN APPLICATION FORM (FOR INDIVIDUAL)

Borrower Type Principal

Co-Borrower

Unit / Branch

For BDO Use Only: Program/Promotion:

REFERRAL INFORMATION

Dealer

(mm/dd/yyyy) Date:

Broker / Referrer

Account O cer

Others

*Name (First, Middle, Last)

BORROWER'S INFORMATION

*Date of Birth (mm/dd/yyyy)

*Gender *TIN

Male Female

*Civil Status

Single

Married

Annulled / Divorced

Separated Widow/er *SSS / GSIS No.

No. of Dependents

*Residence Tel. No. (Area Code, Number)

*O ce Tel. No. (Area Code, Number)

Fax No. (Area Code, Number)

*Place of Birth

*Citizenship *Mobile. No.

Filipino Foreigner, ACR No.

*Email Address

Prepaid Postpaid

*Mother's Maiden Name (First, Middle, Last) *Present Address (No. / Street / Barangay / Municipality or City / Province / Country)

*Father's Name (First, Middle, Last) Zip Code

Length of Stay (Year/s | Month/s)

Home Ownership

Owned

Rented

Mortgaged

*Permanent Address (No. / Street / Barangay / Municipality or City / Province / Country)

Used free

Living with Relatives

Previous Address (No. / Street / Barangay / Municipality or City / Province / Country)

*Name (First, Middle, Last)

SPOUSE'S INFORMATION

Date of Birth (mm/dd/yyyy)

Citizenship

Filipino

Foreigner, ACR No.

O ce Tel. No. (Area Code, Number)

Loan Purpose Kind of Vehicle

Purchase

Refinancing

Sedan

AUV

LCV

SUV

TIN

Mobile No. Use

Prepaid Postpaid

LOAN INFORMATION

Personal

Business

Trucks Others

Brand

Cash Price

Downpayment

Loan Amount

Zip Code Zip Code

Length of Stay (Year/s | Month/s) Length of Stay (Year/s | Month/s)

Place of Birth SSS / GSIS No. Email Address

Vehicle Classification Type

Brand New Model

Loan Term

Used

*Employment Type

Employed

Private Government NGO

EMPLOYMENT / BUSINESS INFORMATION Borrower

Self-Employed (Business) Self-Employed (Professional)

OFW / Immigrant Others

Employed

Private Government NGO

Spouse

Self-Employed (Business) Self-Employed (Professional)

*Business Type

Single Proprietorship

Partnership

Corporation

*Employer / Business Name and Address (No. / Street / Barangay / Municipality or City / Province / Country)

Single Proprietorship

Partnership

OFW / Immigrant Others

Corporation

*Telephone / Fax No. *Email Address *Nature of Business Years of Employment / Business Position / Title

Gross Monthly Income Other Monthly Income (Please specify)

Total Monthly Income Combined Gross Monthly Income Monthly Expenses

(*) Mandatory Field/s

Rentals

INCOME DETAILS Borrower

Loans and Credit Cards

Spouse

Other Expenses

Version: May 2015

Deposits

Bank

FINANCIAL INFORMATION / BANK RELATIONSHIP

Branch

Type of Account

Account Number

Date Opened (mm/yyyy)

Outstanding Balance

Loans

Bank

Type of Loan

Original Loan Amount

Date Granted (mm/yyyy)

Maturity Date (mm/yyyy)

Monthly Payment

Major Customers

Company Name

TRADE REFERENCES

Contact Person / Position

Contact Number

Major Suppliers

Company Name

Contact Person / Position

Contact Number

UNDERTAKING

1. The Borrower hereby certifies that the information contained herein is/are true and correct and shall form part of the loan documents and the signatures indicated herein are genuine. Any information given by the Borrower or other persons authorized by the Borrower, which is not true or accurate, will automatically cause BDO Unibank, Inc. (BDO) to reject the Borrower's loan application or cancel its approval.

2. The Borrower authorizes BDO to obtain relevant information as it may require concerning this application from other institutions/persons. All information obtained by or provided to BDO pursuant to this application shall be BDO's property whether or not the loan is granted.

3. The Borrower agrees that this loan application shall be subject to BSP circulars, rules, regulations and policies of BDO and undertake to comply with/submit all the loan requirements.

4. The Borrower hereby waives confidentiality of client information including without limitation, the provisions of Republic Act Nos. 9510 (Credit Information System Act), 1405 (Secrecy of Bank Deposit Act), 6426 (Foreign Currency Deposit Act), 10173 (Data Privacy Act of 2012), and Sec. 55.1b of Republic Act No. 8791 (General Banking Law) and any law relating to the secrecy of bank deposits. The Borrower authorizes BDO to: (a) pursuant to BSP Circular no. 472 Series of 2005 as implemented by BIR Revenue Regulation RR-4 2005, conduct random verification with the Bureau of Internal Revenue in order to establish authenticity of the ITR, accompanying financial statements and such other documents/information/data submitted by the Borrower, and/or (b) obtain or disclose such information regarding the Borrower or the loan/credit facilities applied for hereunder to any party as BDO may deem necessary (including without limitation, BDO Insurance Brokers Inc.) or as may be required or allowed by applicable laws, rules and regulations.

5. Any payment of bank fees (including without limitation, payments on principal, interest, bank charges, fees, documentary stamp tax, and insurance premium payments where applicable) should only be through a BDO branch. Payments made other than through a BDO branch shall not be honored or recognized. Payments on principal and interest shall be made through the mode/s of payment as may be indicated in the appropriate loan document executed by the Borrower in favor of BDO.

6. In case of disapproval, the Borrower understands that BDO is under no obligation to disclose the reason/s for such disapproval.

7. The Borrower hereby authorizes BDO to send notices and announcements to the Borrower as BDO may deem proper, including without limitation, information regarding the status of the Borrower's loan application and details concerning the Borrower's approved/availed loan, via email, as well as broadcast messaging service, multi media messaging service, and/or short messaging service as these terms are defined in the regulations of the National Telecommunications Commission (NTC). The Borrower agrees to hold BDO free and harmless against any loss, injury or damage that the Borrower may su er in relation to any notification/announcement sent by BDO to the Borrower in the format stated herein. It is agreed and understood that unless and until BDO is in receipt of written notice from the Borrower not to be sent such messages, the Borrower's authority as given herein shall be deemed continuing, valid and e ective.

8. The Borrower hereby agrees that BDO may allow its subsidiaries, a liates and third parties selected by BDO to o er its products and services to the Borrower through mail, email, fax, SMS or other means of communication. For this purpose, the Borrower further agrees that BDO may transfer and disclose selected Borrower's information to its subsidiaries, a liates and third parties selected by BDO.

Signature of Borrower over Printed Name

Date

Signature of Spouse/Co-Borrower/Co-Maker over Printed Name

Date

Credit Card

By signing in this section, the Borrower agrees that this shall serve as the Borrower's application for issuance of BDO Credit Card/s. The Borrower undertakes to submit documents as may be deemed necessary by BDO. The Borrower authorizes BDO to conduct whatever credit investigation and verification with government agencies or third parties to ascertain credit standing, financial capability of the Borrower, and establish authenticity of the information declared and/or documents submitted. The Borrower further waives applicable confidentiality rules and laws. The Borrower understands that the issuance of a BDO Credit Card shall be subject to credit evaluation and discretion of BDO.

Signature of Borrower over Printed Name

Date

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