AUTO LOAN APPLICATION FORM
Individual
IMPORTANT
Please fill out completely to facilitate processing. DO NOT leave any blank fields (state N/A on ALL THE REQUIRED FIELDS not applicable to you)
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date of Application
VEHICLE SPECIFICATIONS
CONDITION
NEW
USED
YEAR MODEL
MAKE / BRAND
Toyota
Mitsubishi
Honda
Kia
Hyundai
Nissan
Suzuki
Ford
Chevrolet
Mazda
Foton
Isuzu
Tata
Cherry
BYD
TRANSMISSION
Manual
Automatic
VARIANT
ex. Mirage 1.2L GLS
TYPE
AUV
Compact Car
Hatchback
Pickup
MPV
Wagon
SUV
Utility Vehicle
Sedan
Other
DOWNPAYMENT
Philippine Peso
DOWNPAYMENT (ALL IN?)
YES
NO
TERM / MONTHS TO PAY
24 months
36 months
48 months
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PERSONAL INFO
Borrower
BORROWER'S FULL NAME
*
First Name
Middle Name
Last Name
MOBILE NUMBER
*
-
Area Code
Phone Number
EMAIL
*
example@example.com
GENDER
*
Male
Female
STATUS
*
SINGLE
MARRIED (Spouse's Info below required)
WIDOWED
SEPARATED
Other
BIRTHDAY (Borrower)
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
NATIONALITY
*
(Borrower)
EDUCATION
*
Elementary
High School
College Undergrad
College Graduate
Other
SPOUSE'S FULL NAME
First Name
Middle Name
Last Name
MOBILE NUMBER (Spouse)
-
Area Code
Phone Number
EMAIL (Spouse)
example@example.com
BIRTHDAY (Spouse)
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
NATIONALITY (Spouse)
NUMBER OF DEPENDENTS
HOME / PERMANENT ADDRESS
*
No. and Street Name
Barangay / Municipality
City
State / Province
Postal / Zip Code
YEARS OF STAY (HOME)
*
HOME OWNERSHIP
*
Owned
Rented
Free Living with Parents
Other
PREVIOUS ADDRESS
No. and Street Name
Barangay / Municipality
City
State / Province
Postal / Zip Code
YEARS OF STAY (Previous)
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EMPLOYMENT INFO
Borrower
EMPLOYMENT / SOURCE OF INCOME
*
Locally Employed
Self-Employed
OFW
Commission
w/ Rental Properties
Other
NAME OF PRESENT EMPLOYER / OWN BUSINESS
*
(Borrower)
EMPLOYER / BUSINESS ADDRESS
*
No. and Street Name
Barangay / Municipality
City
State / Province
Postal / Zip Code
EMPLOYER / BUSINESS PHONE
*
-
Area Code
Phone Number
POSITION
*
(Borrower)
NO. OF YEARS EMPLOYED / IN BUSINESS (Present)
*
NAME OF PREVIOUS EMPLOYER
Borrower
EMPLOYER ADDRESS (Previous)
No. and Street Name
Barangay / Municipality
City
State / Province
Postal / Zip Code
EMPLOYER PHONE (Previous)
-
Area Code
Phone Number
POSITION (Previous)
Borrower
NO. OF YEARS EMPLOYED (Previous)
SPOUSE's EMPLOYMENT INFO
SPOUSE's EMPLOYER / OWN BUSINESS (Present)
Spouse
SPOUSE's EMPLOYER / BUSINESS ADDRESS (Present)
No. and Street Name
Barangay / Municipality
City
State / Province
Postal / Zip Code
SPOUSE's EMPLOYER / BUSINESS PHONE (Present)
-
Area Code
Phone Number
SPOUSE's POSITION (Present)
Spouse
SPOUSE's NO. OF YEARS EMPLOYED / IN BUSINESS (Present)
SPOUSE's EMPLOYER (Previous)
Spouse
SPOUSE's EMPLOYER ADDRESS (Previous)
No. and Street Name
Barangay / Municipality
City
State / Province
Postal / Zip Code
SPOUSE's EMPLOYER PHONE (Previous)
-
Area Code
Phone Number
SPOUSE's POSITION (Previous)
Spouse
SPOUSE's NO. OF YEARS EMPLOYED (Previous)
NET INCOME
Borrower's Monthly Income
*
amount in Philippine Peso
Spouse's Monthly Income
amount in Philippine Peso
Other Source of Funds
ex. Online Selling
Monthly Income from above detail
amount in Philippine Peso
Other Source of Funds
ex. Commission
Number
Monthly Income from above detail
amount in Philippine Peso
TOTAL MONTHLY INCOME
*
LESS: Fixed Monthly Expense
*
amount in Philippine Peso
Less: Other Living Expenses
*
amount in Philippine Peso
NET MONTHLY INCOME
*
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PERSONAL & CREDIT REFERENCE
ANY TWO CHILDREN STUDYING
CHIILD #1
CHIILD #2
NEAREST RELATIVE NOT LIVING WITH YOU
RELATIVE #1
RELATIVE #2
PERSONAL REFERENCES
REFERENCE PERSON #1
REFERENCE PERSON #2
CREDIT / TRADE REFERENCE
CREDIT / TRADE #1
CREDIT / TRADE #2
REQUIREMENTS
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VALID ID #1
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VALID ID #2
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