AUTO LOAN APPLICATION FORM

[Pages:1]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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