NISSAN AUTO LOAN APPLICATION FORM
UNIT
ALL NEW ALMERA (SEDAN)
ALL NEW LIVINA (7 SEATER)
KICKS E-POWER (COMPACT SUV)
NAVARA (PICK UP)
TERRA (FULL SIZE SUV)
URVAN NV350
PATROL ROYALE
NAME (PRINCIPAL BORROWER)
*
First Name
Middle Name
Last Name
Suffix
BIRTHDAY
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
ADDRESS
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
YEARS AT ADDRESS
HOME OWNERSHIP
*
Owned
Rented
Living with Parents
MOBILE NUMBER
*
EMAIL ADDRESS
*
TAX IDENTIFICATION NUMBER
*
CIVIL STATUS
*
Single
Married
Widowed
Separated
SAVINGS BANK AND BRANCH
*
SOURCE OF INCOME
Employed
Self Employed
OFW
Seafarer
EMPLOYER'S NAME/BUSINESS NAME
*
COMPLETE ADDRESS
*
POSITION/DESIGNATION
*
YEARS IN THE COMPANY/BUSINESS
*
GROSS MONTHLY INCOME
*
EMPLOYMENT/BUSINESS NUMBER
*
CO-BORROWER
First Name
Middle Name
Last Name
Suffix
BIRTHDAY
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
MOBILE NUMBER
SAVINGS BANK AND BRANCH
SOURCE OF INCOME
Employed
Self Employed
OFW
Seafarer
EMPLOYER'S/BUSINESS NAME
COMPLETE ADDRESS
POSITION/DESIGNATION
LENGTH OF STAY
GROSS MONTHLY INCOME
EMPLOYER/BUSINESS NUMBER
Submit
Should be Empty: