Maybank Application Form

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					PERSONAL LOAN APPLICATION
AGENT REF. ______________ BRANCH REF. _____________

LOAN APPLICATION DETAILS
Amount of Loan Term : [ ]12mos [ ]24mos [ ]18mos [ ]36mos Purpose of Loan [ ] Personal Consumption _________________ (specific) [ ] Business ___________________________ (specific) Age
Last Name First Name Middle Name

BORROWER INFORMATION
Applicant Place of Education [ ] HS [ ] Single [ ] College [ ] Married [ ] Post-Graduate [ ] Separated [ ] Widowed School: T.I.N. Age
Last Name First Name Middle Name

Place of Birth No. of Dependents SSS No: Place of Birth

Birthday / /

ffCivil Status
Spouse
Maiden Name

Birthday / /

Address
[ [ ] Owned ] Owned [ [ ] Living with relatives ] Living with relatives [ [ ] Renting ] Renting Length of stay _____________ Length of stay _____________ If renting, please indicate monthly rental ____________________ If renting, please indicate monthly rental ____________________

Provincial Address Home Tel. No. Cell. No. Email Do you own a car or real property? ________ Bank-Branch Account No. Balance [ ] Owned Brand [ ] Mortgaged Model [ ] Co-Leased Year

DEPOSITS, LOANS AND CREDIT INFORMATION
Bank Accounts

Do you have other loans? ________ Bank Type of Loan Balance

Monthly Payment

Do you own a credit card? ________ Credit Card Card Number

Limit

Expiry Date

EMPLOYMENT/BUSINESS BACKGROUND
Employer / Business Name (if self-employed) Position / Department: Nature of Business: Business Address: Spouse’s Employer / Business Name (if self-employed) Position / Department: Nature of Business: Business Address:

Tel. No. Tenure (yrs.)

Tel. No. Tenure (yrs.)

Previous Employer Position / Department: Nature of Business: Business Address

Spouse’s Previous Employer Position / Department: Nature of Business: Business Address

Tel. No. Tenure (yrs.)

Tel. No. Tenure (yrs.)

PERSONAL REFERENCES (preferably not related) Name

Company Name / Address

Position

Tel. No.

TRADE CHECKINGS Suppliers

Address

Contact Person

Tel. No.

UNDERTAKING : 1) I hereby certify that all information provided here in this application and in all supporting documents are true and correct, and made for the purpose of obtaining credit. I further authorize Maybank Philippines, Inc. (MPI) to verify any and all information as may be required from whatever source/s that the bank may consider appropriate. In this connection, I hereby expressly waive any and all statutory and regulatory provisions governing confidentiality of such information, if applicable. I fully understand that any misrepresentation or failure to disclose on my part as required herein, may cause the disapproval of my application. 2) I understand that MPI may at its sole discretion, deny my personal loan application with no obligation on its part to advise me of such denial or furnish the reason therefore. 3) In the event of future delinquency, I hereby authorize MPI to report and/or include my name in the negative listings of any credit bureau or institution. I understand that MPI may provide notices to me in regard to my loan account/s with MPI, in written or electronic form (i.e., Short Message Service (SMS) broadcast), and accordingly, I agree to receive such notices, including SMS broadcast from MPI.

Signature of Borrower

Date

Signature of Spouse

Date


				
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