Previous Home Address

Use black ink and complete all

fields.
Lot/Blk. House/Unit Floor No./Building Subd./Compound
If a field is not applicable, No. No. Name Name
please write ‘N.A.’
Fax to 910-1942 ATTN:
Street City/Province Zip Code
LAARNI Yrs./Months Yrs. Mos. Yrs./Months Yrs. Mos.
at Present at Previous
LOA N D E TA I L S Address Address
Desired Loan Amount Provincial Home Address
(Subject to Bank’s
approval)
Desired Loan Term
Lot/Blk. House/Unit Floor No./Building Subd./Compound
 12  18 months  24 months  36 months No. No. Name Name
months
Purpose of Loan
 Appliance  Education  Personal Consumption Street City/Province Zip Code
Provincial Contact Number
 Hospitalization  Balance
Area Phone Phone
Transfer
Code 1 2
P E R S O N A L I N F O R M AT I O N Mobile Fax Email
Existing Loan   No
Customer? Yes WORK AND FINANCES
Present Employment
Permanent? Part
 Yes  No  Yes  No
First Name Middle Name Last Name Owner?
Other Name Ttile Company   
 Mr.   Ms. ________________
(Alias) Type Private Governme Others
Mrs. __
nt
Se Date of Birth
 Male  Nature of
x (dd/mm/yyyy)
Female Business
Marital Position Rank
 Single  Married  Widowed  
Status Separated
Employer/Business Name
Spouse Spouse
  No
Name Working?
Yes Employer’s Address
No. of Children No. of
Dependents
Lot/Blk. House/Unit Floor No./Building Subd./Compound
No. No. Name Name
Mother’s First Name Mother’s Middle Mother’s Last Name
Name
Philippine Nationali Street City/Province Zip Code
 Yes  No
Resident? ty Office Contact Number
Educational  High  College  Others Area Phone Phone
Attainment School Graduate Code 1 2
 College  Post ___________ Mobile Fax Email
Level Graduate _
SSS No. TIN No. Previous Employment
Employer/Business Name
Residence Type
Previous Employer’s Address
 Owned (Not Mortgaged)
 Owned (Mortgaged) Amortization/ P____________
Month
_ Lot/Blk. House/Unit Floor No./Building Subd./Compound
Rent/Month No. No. Name Name
 Rented P____________

Fill out this application form completely and email back with requirements at mcloanpro@gmail.com
Mobile Fax Email BASIC REQUIREMENTS
Yrs./Months at Yrs. Mos. Yrs./Months at Yrs. Mos.  Completely filled out application form
Present Previous
Company Company  Photocopy of latest ITR/form 2316
Monthly Income and Expenses (based on one month payslip)  Photocopy of ID issued by the employer with photo and
Basic Allowanc Deductio signature
e n
 Photocopy of one (1) month latest pay slip (original copy
S P O U S E D E TA I L S may be required prior to loan release)
Employer/Business Name  Other documents (may be required from the applicant to
process the loan)
Designation/Title/ Department
Rank All applicants with incomplete information and lacking
requirements will not be processed. Any alteration requires the
Office Contact Number
full signature of the applicant.
Area Phone Phone
Code 1 2 Upon approval, applicants will be required to issue post-
Mobile Fax Email dated checks for payment. Post-dated checks should be under
the name of the borrower.
O T H E R D E TA I L S Handling Fee: P1,500.00 (automatically deducted
Bank References from loan proceeds)
Bank Name Branch Account Account Number NO FEE IS COLLECTED BY THE BANK OR ANY
Type REPRESENTATIVE
UPON APPLICATION.
___________________ ____________ ____________ ____________________
__ _ _ __ U N D E RTA K I N G S / AU T H O R I Z AT I O N

I hereby certify that all information herein and in all

___________________ ____________ ____________ ____________________ supporting documents submitted with this application, are true
__ _ _ __ and correct. I hereby authorize the bank and/or its
representative to verify any and all information furnished by me
including previous credit transactions with other institutions. In
___________________ ____________ ____________ ____________________
this connection, I hereby waive any and all statutory and
__ _ _ __
regulatory provisions governing confidentiality of such
Credit Card Owned
Credit Card Issuer’s Name Member Card Card Limit
information if applicable. I fully understand that any
No. Since Expiry misrepresentation or failure to disclose information on my part
(mm/yyyy) (mm/yyyy as required in this application, may cause the disapproval of my
) application.
Upon acceptance of my application, I legally bind to the
____________ ________________ ___________ __________ __________ terms and conditions of Chinatrust including but not limited to
_ _ _ _ _ joint and several liability for all charges, fees, and obligations
incurred, and shall execute the necessary documents.

____________ ________________ ___________ __________ __________

In case of disapproval of my loan application, I understand
_ _ _ _ _ that the bank is not obligated to disclose the reasons for such
disapproval.
Once I have received the loan proceeds, either via
____________ ________________ ___________ __________ __________
Manager's Check, Cash, Electronic Fund Transfer or the Cash
_ _ _ _ _
Card, at the Bank's options, I am deemed to have fully
Personal Reference
Name Landline Mobile Number examined the Documents and have waived any and all
objections thereto.

A_______________________ _____________________ _____________________

_ __ __

__________________________ ___________
B_______________________ _____________________ _____________________
_ __ __ __ _
Applicant’s Printed Name and Signature Date
C_______________________ _____________________ _____________________
F O R B A N K U S E O N LY

Fill out this application form completely and email back with requirements at mcloanpro@gmail.com