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New App Form 2023

This document is an application form for a loan from Annapolis Finance Inc. It requests personal information from applicants such as name, birthdate, address, income sources, expenses, bank details, and character references. Applicants are asked to indicate the purpose of the loan which includes options like business capital, home renovation, medical expenses, emergencies, or personal expenses. By signing the form, applicants authorize Annapolis Finance Inc. to verify the information and use it to process the loan application. They also agree that any false statements could lead to immediate repayment of the loan if approved.

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Drexler Feliciano
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67 views2 pages

New App Form 2023

This document is an application form for a loan from Annapolis Finance Inc. It requests personal information from applicants such as name, birthdate, address, income sources, expenses, bank details, and character references. Applicants are asked to indicate the purpose of the loan which includes options like business capital, home renovation, medical expenses, emergencies, or personal expenses. By signing the form, applicants authorize Annapolis Finance Inc. to verify the information and use it to process the loan application. They also agree that any false statements could lead to immediate repayment of the loan if approved.

Uploaded by

Drexler Feliciano
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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APPLICATION FORM 2 X 2 PHOTO

HOW DID YOU KNOW ABOUT US? FACEBOOK WALK-IN FLYERS AGENT AGENT NAME:

BRANCH: DATE:

LOAN PURPOSE: BUSINESS CAPITAL HOUSE RENOVATION MEDICAL USE EMERGENCY PERSONAL EXPENSE
KINDLY FILL UP ALL THE DETAILS AND SIGN THE APPLICATION FORM, INDICATE N/A IF NOT APPLICABLE (DON’T LEAVE IT BLANK)
BORROWER'S PERSONAL INFORMATION SOURCE OF INCOME
LAST NAME FIRST NAME MIDDLE NAME SALARY BUSINESS REMITTANCE

PENSION RIDER
COMPUTATION OF INCOME
BIRTHDATE CIVIL STATUS

AGE SINGLE MARRIED SEPERATED WIDOWED MONTHLY INCOME 1

SEX MALE FEMALE CONTACT NUMBER EMAIL ADDRESS MONTHLY INCOME 2

COMPUTATION OF EXPENSES
NATIONALITY
EDUCATIONAL ATTAINMENT DEGREE/COURSE
RENT EXPENSE

HIGHSCHOOL COLLEGE VOCATIONAL POST GRADUATE


FOOD ALLOWANCE
MAKE/SERIES: MODEL:
OWNED VEHICLE: UTILITIES (ELECTRIC,
SCHOOL LAST ATTENDED WATER & INTERNET)

MOTHER'S MAIDEN
NAME FATHER'S NAME OTHER EXPENSE
NAME OF DEPENDENTS ADDRESS AGE

PRESENT ADDRESS LENGTH OF STAY

PERMANENT ADDRESS LENGTH OF STAY

PROVINCIAL ADDRESS LENGTH OF STAY

BORROWER'S CHARACTER REFERENCES (1 SUPERIOR & 2 RELATIVE/NEIGHBOR)


NAME RELATION ADDRESS CONTACT NUMBER

SPOUSE/CO-BORROWER'S INFORMATION SOURCE OF INCOME


LAST NAME FIRST NAME MIDDLE NAME SELF-EMPLOYED PRIVATE GOVERNMENT

PROFESSIONAL OTHERS

BIRTHDATE CIVIL STATUS EMPLOYER/BUSINESS NAME

AGE SINGLE MARRIED SEPERATED WIDOWED

SEX MALE FEMALE CONTACT NUMBER EMAIL ADDRESS OFFICE ADDRESS TYPE OF INDUSTRY

NATIONALITY
PRESENT ADDRESS LENGTH OF STAY POSITION MONTHLY INCOME LENGTH OF STAY

BORROWER'S BANK INFORMATION


BANK BRANCH DATE OPENED ACCOUNT TYPE ACCOUNT NUMBER

This is to authorize Annapolis Finance Inc. or its authorized representative to verify my/our savings/checking account with you bank.
You are allowed to disclose the date of opening or my/our savings/checking account, the handling and the Average Daily Balance (ADB) for the last six
months.

SIGNATURE OVER PRINTED NAME DATE


UNDERTAKING
I/We hereby certify that all the information furnished in this application form are true, correct and complete, and that the signatures herein are true and genuine. I/We hereby
authorize Annapolis Finance Inc. to obtain such information as may be required concerning the validity and veracity of the information provided in this application using any
applicable methods of process, including my/our loan and deposit account, and waive my/our rights under R.A. 1405. I/We further agree that this application and all supporting
documents and any other information obtained by Annapolis Finance Inc. relative to this application shall remain as Annapolis Finance Inc.'s property whether or not the loan is
granted. I/We agree that Annapolis Finance Inc. has no obligation to furnish me/us the reason for such rejection. I/We also understand that any false statement or concealment of
information which may be discovered after the loan has been granted shall be sufficient basis for Annapolis Finance Inc. to consider the loan due and demandable immeidately. I/We
hereby undertake that the proceeds of the loan application if approved shall not be used for placement purposes and/or to pay any chargeable and allowable fees in relation to my
travel and/or work abroad. Otherwise, Annapolis Finance Inc. has the right to disapprove the loan, or if granted to rescind the contract of the loan and shall declare all unpaid
amortization immediately due and demandable together with all interest and damages.

PRINCIPAL BORROWER SPOUSE CO-BORROWER


(SIGNATURE OVER PRINTED NAME) (SIGNATURE OVER PRINTED NAME) (SIGNATURE OVER PRINTED NAME)
DATE: DATE: DATE:

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