Application for Loan

BIRHEN NG BAYANG SAN MATEO MULTI PURPOSE COOPERATIVE (BBSAMAMUCO)
036 M. H. del Pilar St., Guitnang Bayan 1, San Mateo, Rizal

Contact Nos. 8650-5260; 0917-8523176
APPLICATION FOR LOAN
Name*

First NameLast Name
Loan Amount Applied (in words)*
Loan Amount Applied (in Figures)*
Mode of Payment*
Loan Term: How many months do you want to pay? Please refer to the Loan Type stated below ( _____ months)*
Type of Loan (Please check 1 only)*

Short Term Loan: Loan Amount Php4,000-Php20,000 (max. 6 months)Time Deposit Loan (equal to Time Deposit placement)ATM Loan (for NSDAPS employees only)Multi-purpose Loan: Loan Amount Php21,000-Php60,000.00 (max. 12 months)Emergency Loan (Loan amount is 50% of Share Capital, payable in 2 mos.)Health Card Loan (Loan Amount Php4,000.00 or Php8,000.00, payable in 5 mos.)Providential Loan (equal to Share Capital; Term: 1 to 12 mos.)Motorcycle Loan (Loan amount: x3 of Share Capital; Term: Max. 3 yrs.)Restructured Loan (Term: The same with the original loan term)Pension Loan (Loan amount is based on Monthly Pension, 12 months to pay)Appliance Loan (Term: 1 to 12 mos)Other
Loan Purpose (Please check)*

EducationTravelAdditional CapitalHospitalizationAmortization (house/car)House RenovationUtilitiesInvestmentsOther
Payment Option (Please check)*

Direct to OfficeDeduct from SavingsFor CollectionBank Deposit/Transfer @ BDO Acct. No. 0083 6001 8087Other
Signature of Applicant:*

Clear
Birth Date

MonthDayYear
Age:*
Date Applied:*

MonthDayYear
Date
Address:*
Cellphone No.*
Tel. No.
Email Address:*

Confirmation Emailexample@example.com
Facebook Account:*
Principal Borrower's Signature*

Clear
Principal Borrower's Name*
Co-Maker's Signature

Clear
Co-Maker's Name*
Take a photo of yourself (Portrait)
Type of Govt. ID*
ID Number*

BIRHEN NG BAYANG SAN MATEO MULTI PURPOSE COOPERATIVE (BBSAMAMUCO)

APPLICATION FOR LOAN