Polka PL Application

embed
embed
from blue
from blue
path
path
source
source

{stickytitle}

{stickysubtitle}
Please read and check the following:
Consent*

I have read and agreed to the following documents:
- Consent to Background & Reference Check
- Polka's Terms & Conditions
- Polka's Privacy Policy
Consent*

I have read and agree to the following Terms and Conditions. I consent to the processing of my personal information in accordance with the Privacy Policy. I acknowledge that my submission of this application form constitutes my electronic signature and acceptance of these terms.

{stickytitle}

{stickysubtitle}

Start

Calculator

Biodata

Income

References

Documents

Review
- Spouse Information
  
  Type "n/a" if your spouse does not have a middle name.
- spousefname*
  First Name
- spousemname*
  Middle Name
- spouselname*
  Last Name
- spouse employment*
- spousemobile*
  Spouse's Mobile Contact No.
- spouse home phone*
  Spouse's Home/Office Landline No.
- spouse no landline
  
  My spouse does not have a home/office landline number.
- spousecompany*
  Spouse's Employer/Company
- spouseoccupation*
  Spouse's Job Title/Position
- spouse department*
  Spouse's Department
- spouse annual income*
  Spouse's Annual Gross Income (PHP)
- spousecompanycontact*
  Spouse's Company Contact No.
- no spouse contact number
  
  I promise to provide my Spouse's company contact number later.
- Spouse's Company Address
- Spouse Company Street*
  Street Address
- Spouse Company Barangay*
  Barangay
- Spouse Company City*
  City/Municipality
- Spouse Company Province*
- Spouse Company Zip Code*
  Zip Code
- Spouse Company Address*
  Spouse Company Address
- Personal References
  
  Please provide at least ONE (1) personal reference.
  They should NOT be a relative or family member.
- pr1 first name*
  Personal Reference #1 First Name
- pr1 last name*
  Personal Reference #1 Last Name
- pr1 mobile number*
  Mobile Contact No.
- pr1 relationship*
  Your Relationship
- pr1 company name*
  Employer/Company Name
- pr1 job position*
  Job Position
- pr1 department*
  Department
- pr1 company address*
  Employer/Company Address
- personal reference 2
  
  I want to add a Second Personal Reference.
- pr2 first name*
  Personal Reference #2 First Name
- pr2 last name*
  Personal Reference #2 Last Name
- pr2 mobile number*
  Mobile Contact No.
- pr2 relationship*
  Your Relationship
- pr2 company name*
  Employer/Company Name
- pr2 job position*
  Job Position
- pr2 department*
  Department
- pr2 company address*
  Employer/Company Address
- Do you have other existing loans?
  
  Other loan references will help us better understand your credit history to support your application.
- have other loans
  
  Yes, I have other existing loans.No, I don't have any other loans.
- Please tell us about your existing loan.
- loan bank*
  Bank / Lender
- loan type*
  Loan Type
- loan amortization*
  Monthly Amortization (PHP)
- second loan
  
  I have a second existing loan for your reference.
- loan bank 2*
  Bank / Lender
- loan type 2*
  Loan Type
- loan amortization 2*
  Monthly Amortization (PHP)

{stickytitle}

{stickysubtitle}

Start

Calculator

Biodata

Income

References

Documents

Review
Valid Government ID (FRONT & BACK)
govidtype*
govID*

Cancelof
no id

I promise to submit my government ID later.
- Upload a Selfie Holding Your Submitted ID
- File Upload*
  
  Cancelof
- selfie later
  
  I promise to submit my selfie holding my ID later.
- Company ID (FRONT & BACK)
- company id*
  
  Cancelof
- no company id
  
  I promise to submit my Company ID later.
- Latest (3) Months Payslips
  
  2024 ITR will also suffice.
- Latest (2) Months Payslips
- poi type 1*
- Proof of Business Income
- poi type 2*
- Latest 3 Months Proof of Remittance
- poi*
  
  Cancelof
- poilater
  
  I promise to submit my proof of income later.
- Recent COE (Certificate of Employment)
- coe*
  
  Cancelof
- no coe
  
  I promise to submit my Proof of Work later.
- Proof of Business Registration
  
  Specifically:
  SEC Certificate of Registration, -or-
  
  DTI Certificate of Registration
- biz start date*
  
  MonthDayYear
  Start Date of Business
- businesstype*
- Latest Contract or Work Visa
  
  Or Return Ticket (if on vacation)
- reqdocs1*
  
  Cancelof
- reqdoc1later
  
  I promise to submit this required document later.
- Electricity or Water Bill
- Proof of Billing*
  
  Cancelof
- pob later
  
  I promise to submit my proof of billing address later.
- OPTIONAL:
  
  Latest 2 Months Payroll Bank Statement
- Bank SOA
  
  Cancelof

{stickytitle}

{stickysubtitle}

Start

Calculator

Biodata

Income

References

Documents

Review

Please answer the following:

Are you a Director, Officer, or Shareholder of EastWest Bank, EastWest Rural Bank or any subsidiary and/or affiliate?.
dosri1*

YesNo
If YES,

Please indicate your Company and Affiliation/Position.
dosri1 answer*
Are you a relative of a Director, Officer, or Shareholder of EastWest Bank, EastWest Rural Bank or any subsidiary and/or affiliate of the Filinvest Group of Companies?
dosri2*

YesNo
If YES,

Please indicate the Name/s and their Relationship, Company and Affiliation/Position.
dosri2 answer*
Are you a Politically Exposed Person (PEP)?
pep1*

YesNo
If YES,

Kindly indicate the government agency you are affiliated with and your position.
pep1 answer*
Are you a relative of a Politically Exposed Person (PEP)?
pep2*

YesNo
If YES,

Kindly indicate your relationship and their government agency and position.
pep2 answer*

Your E-Signature
Signature*

Clear
Survey: How did you first learn about POLKA?
Discovered*
Discovered Other
Should be Empty:

YOUR INFORMATION
Your Name	{fname} {lname}
Mobile Number	+63 {mobile}
Email Address	{email}
Delivery Address	{castreet}, {cabarangay}, {cacity}, {caprovince} {cazip}
ORDER DETAILS
Your Order	{productfinal} +Shipping
Applied Payment Terms	{plan} Months
Est. Monthly Installment	₱{monthly0display}~₱{monthlydisplay}/mo.
DOWN PAYMENT
{downpercent}% Down Payment	₱{down0display}
Discounts & Promos	(₱{discountdisplay})
TOTAL DOWN PAYMENT	₱{downdisplay}