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					        WALK-IN
                                                                                                                                    Previous Home Address
                                                       Use black ink and complete all fields.
                                                  If a field is not applicable, please write ‘N.A.’
                                                                                                                                    Lot/Blk. No.     House/Unit No.      Floor No./Building Name           Subd./Compound Name
                                                                  LOAN DETAILS
                               Desired Loan Amount                                                                                                     Street                             City/Province                Zip Code
                               (Subject to Bank’s approval)
                                                                                                                                    Yrs./Months at       Yrs.           Mos.         Yrs./Months at          Yrs.         Mos.
                               Desired Loan Term                                                                                    Present Address                                  Previous Address
                                  12 months              18 months                24 months                   36 months         Provincial Home Address
                               Purpose of Loan
                                  Appliance                   Health / Hospitalization             Travel
                                  Balance Transfer            Home Improvement                     Others                        Lot/Blk. No.    House/Unit No.       Floor No./Building Name           Subd./Compound Name
                                  Education                   Livelihood / Working Capital        ___________________________
                                                        PERSONAL INFORMATION
                                                                                                                                                        Street                             City/Province               Zip Code
                               Existing Loan Customer?               Yes        No
                                                                                                                                    Provincial Contact Number
                                                                                                                                    Area Code                           Phone 1                      Phone 2

                                       First Name                           Middle Name                         Last Name           Mobile                              Fax                          Email
                               Other Name (Alias)                                         Ttile        Mr.       Mrs.      Ms.

                               Sex                                     Date of Birth (dd/mm/yyyy)
                                                                                                                                                                 WORK AND FINANCES
                                         Male          Female                                                                     Present Employment
                                                                                                                                     Permanent?              Yes         No         Part Owner?            Yes       No
                               Marital Status        Single              Married                 Widowed         Separated      
                               Spouse Name                                                 Spouse Working?                           Company Type            Private      Government          Others
                                                                                                                   Yes      No                                                                               __________________
                                                                                                                                    Nature of Business
                               No. of Children                                       No. of Dependents
                                                                                                                                    Position                                        Rank

                                                                                                                                    Employer/Business Name
                                     Mother’s First Name              Mother’s Middle Name                  Mother’s Last Name
                               Philippine Resident?       Yes          No         Nationality                                     Employer’s Address

                               Educational Attainment          High School           College Graduate          Others
                                                               College Level         Post Graduate            ____________        Lot/Blk. No.    House/Unit No.       Floor No./Building Name           Subd./Compound Name
                               SSS No.                                               TIN No.

                               Residence Type                                                                                                          Street                              City/Province               Zip Code
                                   Owned (Not Mortgaged)                                                                           Office Contact Number
                                                                                Amortization/Month                                  Area Code                           Phone 1                      Phone 2
                                   Owned (Mortgaged)                                                          P_____________
                                   Rented                                      Rent/Month                     P____________        Mobile                              Fax                          Email
                                   Used Free/Staying with Relatives
                                   Others ____________________________________________                                             Previous Employment
                               Current Home Address                                                                                 Employer/Business Name


NEED CASH FAST?                Lot/Blk. No.      House/Unit No.        Floor No./Building Name             Subd./Compound Name
                                                                                                                                    Previous Employer’s Address


                                                                                                                                    Lot/Blk. No.    House/Unit No.       Floor No./Building Name           Subd./Compound Name
                                                  Street                                   City/Province               Zip Code

Get a low interest loan with
                               Residence Contact Number
                               Area Code                              Phone 1                         Phone 2                                          Street                              City/Province               Zip Code

Chinatrust’s Salary Stretch.   Mobile                                 Fax                             Email
                                                                                                                                    Office Contact Number
                                                                                                                                    Area Code                           Phone 1                      Phone 2
                                                                               Mobile                               Fax                           Email                                                  BASIC REQUIREMENTS
          Give your paying power
                                                                               Yrs./Months at           Yrs.        Mos.          Yrs./Months at            Yrs.      Mos.            Completely filled out application form
             that needed boost                                                 Present Company                                    Previous Company
                                                                                                                                                                                      Photocopy of latest ITR/form 2316
                to finally get                                                 Monthly Income and Expenses (based on one month payslip)
                                                                               Basic                          Allowance                            Deduction
                                                                                                                                                                                      Photocopy of ID issued by the employer with photo and signature
                                                                                                                                                                                      Photocopy of one (1) month latest pay slip (original copy may be required prior
        what you’ve always wanted!                                                                                                                                                     to loan release)
                                                                                                               SPOUSE DETAILS                                                         Other documents (may be required from the applicant to process the loan)
                                                                               Employer/Business Name
    Boost your paying power!                                                                                                                                                         All applicants with incomplete information and lacking requirements will not be
    Renovating your house? Throwing a debut party for your daughter?           Designation/Title/Rank                             Department                                     processed. Any alteration requires the full signature of the applicant.
    Thinking of taking that long-overdue family vacation? Eyeing that                                                                                                                Upon approval, applicants will be required to issue post-dated checks for payment.
    new digital camera?                                                        Office Contact Number                                                                             Post-dated checks should be under the name of the borrower.
    Chinatrust’s Salary Stretch is a multi-purpose loan that lets you make     Area Code                            Phone 1                       Phone 2                            Handling Fee: P1,500.00 (automatically deducted from loan proceeds)
    the most of your monthly salary with convenient payment terms.
                                                                               Mobile                               Fax                           Email                                  NO FEE IS COLLECTED BY THE BANK OR ANY REPRESENTATIVE
                                                                                                                                                                                                           UPON APPLICATION.
    Widen your payment options!
                                                                                                                OTHER DETAILS                                                                   UNDERTAKINGS/AUTHORIZATION
    Salary Stretch provides you with easy payment options of 12, 18, 24,
    and 36 months to choose from, with the lowest interest rates!              Bank References
                                                                                     Bank Name                    Branch           Account Type             Account Number            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
    Get that loan fast!                                                                                                                                                          representative to verify any and all information furnished by me including previous credit
                                                                               _____________________           _____________      _____________      ______________________
    Qualifying for Salary Stretch is simple and easy.                                                                                                                            transactions with other institutions. In this connection, I hereby waive any and all
                                                                                                                                                                                 statutory and regulatory provisions governing confidentiality of such information if
    If you are:
                                                                               _____________________           _____________      _____________      ______________________      applicable. I fully understand that any misrepresentation or failure to disclose
     Currently employed with a minimum gross monthly salary of
                                                                                                                                                                                 information on my part as required in this application, may cause the disapproval of my
        P15,000 and
                                                                                                                                                                                 application.
     With a minimum one year work experience                                  _____________________     _____________   _____________    ______________________
                                                                                                                                                                                    Upon acceptance of my application, I legally bind to the terms and conditions of
    You can get fast Salary Stretch approval!                                  Credit Card Owned
                                                                               Credit Card No.     Issuer’s Name       Member Since    Card Expiry    Card Limit                 Chinatrust including but not limited to joint and several liability for all charges, fees, and
                                                                                                                        (mm/yyyy)      (mm/yyyy)                                 obligations incurred, and shall execute the necessary documents.
             Complete the attached form now!                                                                                                                                        In case of disapproval of my loan application, I understand that the bank is not
                                                                                                                                                                                 obligated to disclose the reasons for such disapproval.
                                                                               _____________        _________________          ____________       ___________      ___________
                         Call: 811-8999                                                                                                                                              Once I have received the loan proceeds, either via Manager's Check, Cash,
            E-mail: salarystretch@chinatrust.com.ph                                                                                                                              Electronic Fund Transfer or the Cash Card, at the Bank's options, I am deemed to have
                                                                               _____________        _________________          ____________       ___________      ___________   fully examined the Documents and have waived any and all objections thereto.

                                                                              _____________      _________________            ____________       ___________      ___________
                            Acknowledgement                                    Personal Reference
                                                                                            Name                               Landline                     Mobile Number
                                                                                                                                                                                 ____________________________                                       ____________
Documents submitted (Please check appropriate boxes)                                                                                                                                        Applicant’s Printed Name and Signature                            Date
                                                                                A________________________           _______________________         _______________________
  Completely filled out application form
                                                                                                                                                                                                           FOR BANK USE ONLY
  Photocopy of latest ITR/form 2316
                                                                                B________________________           _______________________         _______________________      Date (dd/mm/yyyy)                               Application No.
  Photocopy of ID issued by the employer with photo and signature
  Photocopy of one (1) month latest pay slip (original copy may be required                                                                                                     Approval Center                                 Product
   prior to loan release)                                                       C________________________           _______________________         _______________________
  Other documents (may be required from the applicant to process the loan)         Personal Reference                                                                           Channel Code                                    Sales Officer
                                                                                       Relationship                                            Address                                                 WEBSITE
     _________________________________________________________________
                                                                                                                                                                                 Agency Name                                     Agent Code
                                                                               A_________________________           _________________________________________________
Received by:                                                                                                                                                                     Agency Code                                     Agent Name

 ___________________________________________            ________________
                                                                               B_________________________           _________________________________________________                                                  -IN
                                                                                                                                                                                                               W A L KAgent’s Signature
          Signature Above Printed Name                          Date
                                                                               C_________________________           _________________________________________________

				
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posted:9/20/2011
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