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24th Floor JMT Corporate Condominium 27 ADB Avenue 24th Floor Ortigas Center, Pasig City JMT Corporate Condominium 27 ADB Avenue www.bancodeoro.com.ph Ortigas Center, Pasig City www.bancodeoro.com.ph
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LOAN
No. of Dependents: No. of Children in: Elementary College Highest Educational Attainment Degree School / University High School Not yet studying
REFERRAL INFORMATION
Unit/Branch: Developer: Account/Branch Officer: Broker:
SPOUSE DETAILS
Name: (Last) (First) Age: Fax No.: (Middle) TIN SSS No. GSIS No. Birthdate:
CRED
(MM/DD/YYYY)
LOAN DETAILS
Loan Amount: Term: Interest rate fixed for year/s. Purpose of Loan: K Purchase of Vacant Lot K Purchase of House and Lot K Purchase of Townhouse K Purchase of Condominium Unit K Refinancing/Take out from_____________ K Renovation / House Improvement K Construction of House K Reimbursement of Acquisition Cost K Equity K Others:
Citizenship: Office Tel. No.: Mobile Phone No.: Email Address: Highest Educational Attainment Degree School / University
SOURCE OF INCOME
BORROWER
Employment Type K K K K K K K K
Employed Private Employed Government Self-employed with Business Self-employed Professional Immigrant OFW Retired Others _____________
COLLATERAL DETAILS
Property Address (No. / Street / Barangay or Municipality / City / Province)
PERSONAL DETAILS
Name: (Last) Age: Sex: K Male (First) Marital Status: K Single K Married ____ years K Widow/er ____ years K Separated ____ years (Middle) TIN SSS No. GSIS No. Birthdate: (MM/DD/YYYY)
Position Years of Employment Previous Employer Years in Previous Position BUSINESS Business Name Address Years in Operation Type of Business Nature of Business K Single Prop. K Partnership K Corporation K Cooperative
OTHE
K Female Citizenship:
Present Residence Address (No. / Street / Barangay or Municipality / City / Province) Zip Code: Residence is: K Owned K Living with Parents/Relatives K Mortgaged K Rented K Co-owned K Others Local Residence Address (for Immigrant/OFW)
TOTAL
ATTOR
Previous Residence Address (No. / Street / Barangay or Municipality / City / Province) Zip Code: Length of Stay In Present Address: _____ Years _____ Months Length of Stay In Previous Address: _____ Years _____ Months
RDSCREDIT CARDS
Credit Card Issuer Card Number
Credit Limit Member Since Expiry Date Average Monthly Payment
1. I/ We hereby certify that the information contained herein is /are true and correct and shall form part of the loan documents. 2. I/ We authorize Banco de Oro to conduct, through its representative accredited appraisers, an appraisal of any or all of the collateral to be used for this loan. I/We also agree that the Appraisal Report will be forwarded directly to the Bank for its sole use only. 3. Any information, given by me or other persons I authorize, which is not true or accurate, will automatically cause Banco de Oro Universal Bank to reject my loan or cancel its approval. 4. I / We agree that this loan application shall be subject to Central Bank circular, rules, regulations and policies of the Bank and undertake to comply with/submit all the loan requirements. 5. I / We authorize the Bank to obtain relevant information as it may require concerning this application from other institutions/ persons and agree that it shall remain the Banks property whether or not the loan is granted. 6. I / We hereby expressly waive all statutory or regulatory provisions governing confidentiality of Bank transactions and further authorize the bank to conduct random verification with the BIR in order to establish authenticity of the ITR and accompanying financial documents submitted. 7. In case of disapproval, I/We understand that Banco de Oro is under no obligation to disclose the reason/s for such disapproval. 8. The undersigned further certify that the proceeds of the loan, if this application is approved, will be used solely for the purpose stated in the application.
BORROWER DATE