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30 views2 pagesApplication Form-New
Nothing i can say is that nothing
Uploaded by
mindadepedCopyright
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| hereby apply for a loan
) for the specific purpose of
ited in the covering
it have been fully disclosed
and explained to me and which | certify to have
understood clearly.
Civil Status:
GSIS #:
Female
Present Address:
Zip Code:
Permanent Address:
Zip Code:
Source of Funds:
Gross Annual Income:
Name of School/Employer:
Address of School/Employer:
Position:
Employment Status:
[Office Telephone #:
Mobile #:
Resident Telephone #:
Emall Address:
Name of Spouse:
Age: Contact #:
Name of Employer:
Occupati
Gross Annual Income:
Date of Birth:
Business Address:
Reese
‘confirm that do net have any outstanding civil or criminal
‘case filed against me and that | not have any arrearages/past
‘due with any bank or financial institution.
| authorize the Bank to obtain and verify such Information as
‘may be required covering this application from the above
references or any other sources. For this purpose, | authorize
the Bank to disciosé any information about me to any credit
‘agency or regulating body for purposes of verification on
reports or other requirements.
| hereby waive confidentiality of my personal information,
‘covered under Republic Act No. 1405, as part of the Banks
‘equirements and | authorize the Bank to conduct such random
‘todetermine the veracity of any such information.
| hereby acknowledge and authorize: 1) the regular
submission and disclosure of my basic credit data (as defined
‘under Republic Act No. 9510 and its Implementing Rules and
Regulations) to the Credit Information Corporation (CQ) aswell
2s any updates or corrections thereof; and 2) the sharing of my
basic credit data with other lenders authorized by the CIC, and
‘edit reporting agencies duly acredited by the CIC. Disclosure
of information shall be covered by the Bank® policy on
Consumer Protection as prescribed under BSP Circular 857.
| confirm that | do not have any relatives within the fist
degree of consanguinity or affinity working inthe Bank.
| further agree and understand that, should this application be
ened, the Bank snot obligated to furnish the reason for denial.
| fully understand that any material mistepresentation o failure
todiscloseinformation on my partas required herein, may cause
isapproval of my loan application; and the Bank, at any time,
shall have the right to cancel the loan approval and/or declare
the loan due and demandable.
| understand that al fees, taxes, and expenses pertaining to my loan
shale on my account and deducted from my lan proceeds,
Forthis purpose, | authorize the Bank to disclose ary information
about me to any credit agency or regulating body for purposes
Cf veification on reports and other requirements.
My signature affixed on this form signifies that | hereby agree
Inc, China Bank Securities Corporation, China Bank Capital
Corporation, China Bank Properties and Computer Center,
Inc, and Manulife-China Bank Life Assurance Corporation,