Access Autoloan
Version 1
3
| Updated
June
2024
LOAN APPLICATION
New Applica�on
Renewal Applica�on
CLEAR ALL
Branch
2X2
How did you know about us?
Car/Truck Dealer (name)
Car/Truck Dealer (name)
Loan Consultant (name)
LOAN INFORMATION
DESIRED TERM (Months)
12
18
24
36
48
60
others
others
BRAND NEW FINANCING
BRAND NEW CAR FINANCING
PRE-OWNED CAR FINANCING
CAR REFINANCING
PERSONAL LOAN FOR DOCTORS
BRAND NEW TRUCK FINANCING
PRE-OWNED TRUCK FINANCING
TRUCK REFINANCING
REAL ESTATE MORTGAGE
BRAND NEW BUS/PUV FINANCING
PRE-OWNED BUS/PUV FINANCING
MULTICAB REFINANCING
REAL ESTATE PURCHASE
BRAND NEW MULTICAB FINANCING
PRE-OWNED MULTICAB FINANCING
LOAN PURPOSE
WORKING CAPITAL
PURCHASE OF EQUIPMENT
MEDICATION
OTHERS: (Pls. Specify)
HOME IMPROVEMENT
ASSET ACQUISITION
EDUCATION
BORROWER’S PERSONAL INFORMATION
Name
FIRST NAME
MIDDLE NAME
LAST NAME
BIRTHDATE (mm/dd/yyyy)
/
Month
/
Day
Year
Date
SEX
MALE
FEMALE
BIRTHPLACE
NATIONALITY
MARITAL STATUS
SINGLE
MARRIED
SEPARATED
WIDOWED
PERMANENT ADDRESS
LENGTH OF STAY (YRS)
TEL. NUMBER
MOBILE NUMBER
EMAIL ADDRESS
example@example.com
TYPE OF ID
ID NUMBER
Car / Truck Description
MAKE
SERIES
MODEL
MODEL
RENTING (MONTHLY RENT)
STATUS
FULLY-PAID
MORTGAGE
STATUS
USED-FREE
OTHERS
OWNED
RESIDENCE OWNERSHIP:
MORTGAGE
SPOUSE INFO
(Put N/A if not applicable
:
NUMBER OF DEPENDENTS
Name
FIRST NAME
MIDDLE NAME
LAST NAME
BORROWER'S SOURCE OF INCOME
IF BUSINESS:
BUSINESS NAME
NATURE OF BUSINESS
DATE ESTABLISHED
/
Month
/
Day
Year
Date
MONTHLY GROSS INCOME
CONTACT NUMBER
SERVICES
BUSINESS ADDRESS
IF EMPLOYED:
EMPLOYER/BUSINESS NAME
NATURE OF BUSINESS
CONTACT NUMBER
POSITION/DESIGNATION
LENGTH OF STAY (YRS)
MONTHLY GROSS INCOME
IF REMITTANCE/ALLOTMENT:
NAME OF OFW
RELATIONSHIP
POSITION/DESIGNATION
MONTHLY REMITTANCE
OTHER SOURCE OF INCOME
INVESTMENTS
PENSION
OTHERS (SPECIFY)
OTHER SOURCE OF INCOME
CHECK IF SAME AS SPOUSE
CO-BORROWER’S PERSONAL INFORMATION (if applicable)
Name
FIRST NAME
MIDDLE NAME
LAST NAME
SEX
FEMALE
MALE
BIRTHDATE (mm/dd/yyyy)
/
Month
/
Day
Year
Date
BIRTHPLACE
NATIONALITY
TEL. NUMBER
MOBILE NUMBER
EMAIL ADDRESS
example@example.com
TYPE OF ID
ID NUMBER
CO-BORROWER’S SOURCE OF INCOME
OTHER SOURCE OF INCOME
SOLE PROPRIETOR
PARTNERSHIP
CORPORATION
EMPLOYMENT
REMITTANCE/ALLOTMENT
INVESTMENTS
PENSION
OTHERS (SPECIFY)
EMPLOYER/BUSINESS NAME
TYPE OF INDUSTRY
OFFICE ADDRESS
CONTACT NUMBER
TITLE/POSITION
YEARS EMPLOYED/IN OPERATION
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