B4 Bikeworld Cabantian Davao APPLICATION FORM

We are located @ Door 8&9 Lucky Plaza Bldg Cabantian Davao City.

You may also contact us at: 0998 982 2449 / 0917 631 2140
CREDIT APPLICATION FORM
BRANCH:*
Facebook NAME:*
BRAND*
HONDA*
YAMAHA*
KAWASAKI*
SUZUKI*
BAJAJ*
KYMCO*
LCP
Specific unit color*
DOWN PAYMENT*
AMOUNT FINANCE
MONTHLY AMORTIZATION
TERMS OF LOAN*
TERMS OF LOAN*
TOTAL PRICE
(All informations will be treated CONFIDENTIAL)
PERSONAL DATA
First Name*
Middle Name
Last Name*
Mother's Maiden Name
Date of Birth*

MonthDayYear
Date
Age*
Birth Place*
Civil Status*
Citizenship*
Contact Number*
Gmail*
TIN NUMBER (OPTIONAL)
Complete Address*

House No./Block/Lot/Phase

Street Name/Barangay

City/MunicipalityState / Province

Postal / Zip Code
Length of Stay*
Number of Years / Months
OwnedRentedProvidedAmortized
Name of Land Lord ( if rental)
Monthly Rental
Contact Number of Land Lord
Provincial Address (If any)
Length of Stay in Province
Number of Years / Months
APPLICANT EMPLOYMENT DETAILS
EMPLOYMENTSELF-EMPLOYED / OWN BUSINESS
EMPLOYMENT DETAILS
APPLICANT POSITION*
ASSIGNED WORK*
DATE HIRED:*

MonthDayYear
Date
LENGTH OF STAY IN WORK*
Number of Years / Months
NAME OF EMPLOYER*
NATURE OF WORK*
ADDRESS OF WORK / AGENCY*
MONTHLY SALARY*
TEL NO. / CEL NO OF COMPANY
SELF-EMPLOYED / OWN BUSINESS
NAME OF BUSINESS
Monthly Income
REMARKS
DEPENDENTS INFORMATION

(Leave blank if Not Applicable)
NAME OF DEPENDENT 1
RELATIONSHIP TO DEPENDENT
AGE OF DEPENDENT
NAME OF DEPENDENT 2
RELATIONSHIP TO DEPENDENT
AGE OF DEPENDENT
YESNO
SPOUSE / LIVE-IN PARTNER DATA

(leave blank if Not Applicable)
First Name
Middle Name
Last Name
Age
Date of Birth

MonthDayYear
Date
Birth Place
Contact Number
Citizenship
Occupation
Present Address
Length of Stay in Work
Position
NAME OF EMPLOYER (leave blank if Not Applicable)
ADRESS OF WORK / AGENCY
MONTHLY SALARY (leave blank if Not Applicable)
Tel./Cel No.
Format: (0000) 000-00000.
YESNO
OTHER SOURCE(S) OF INCOME / REMITTANCE
REMITTANCE

Leave Blank if Not Applicable
From Whom
Monthly Remittance
Amount
Relationship
OTHER

Leave Blank if Not Applicable
NATURE (Other)
Monthly Income (Other)
REMARKS (Other)
Character Reference
1*
Relationship*
Phone Number*
Please enter a valid phone number.Format: (0000) 000-0000.
Address*
2*
Relationship*
Phone Number*
Please enter a valid phone number.Format: (0000) 000-0000.
Address*
Signature (Buyer)

Clear
FULL NAME*
DATE OF FILL OUT*

MonthDayYear
LIST OF REQUIREMENTS

2 VALID IDS W/ 3 SIGNATURE FRONT

PROOF OF BILLING LATEST ( ELECTRIC, WATER OR INTERNET BILL)

PROOF OF INCOME ( 1 MONTH LATEST PAYSLIP, REMITTANCE SLIP, BRGY BUSINESS PERMIT)

SKETCH LOCATION OF YOUR HOUSE
Upload Requirements HereSend Requirements in Messenger/Later/To Follow
2 VALID ID WITH 3 SIGNATURE FRONT

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PROOF OF BILLING ( ELECTRIC, INTERNET, WATER BILL )

Cancelof
PROOF OF INCOME ( PAYSLIP FOR 1 MONTH, BUSINESS PERMIT, REMMITANCE SLIP FOR 3 MONTHS, WEEKLY PAYOUT FOR 1 MONTH )

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SKETCH ( FROM YOUR HOUSE TO THE NEAREST LANDMARK IN YOUR AREA )

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How's your experience in filling-out the ONLINE APPLICATION FORM?*
Comment about application form
I certify that all information I have disclosed in this Credit Application are true and correct to my own personal knowledge. I also authorize Motorcentral Finance Corporation to collect and process my personal data and to perform any related credit investigation procedures incidental thereto my motorcycle loan application, in compliance with R.A. No.10173 (Data Privacy Act).
Application Result
Sales Partner / Agent Code / Sales Tagging
Please verify that you are human*
Should be Empty:

CREDIT APPLICATION FORM

PERSONAL DATA

APPLICANT EMPLOYMENT DETAILS

EMPLOYMENT DETAILS

SELF-EMPLOYED / OWN BUSINESS

DEPENDENTS INFORMATION

SPOUSE / LIVE-IN PARTNER DATA

OTHER SOURCE(S) OF INCOME / REMITTANCE

REMITTANCE

OTHER

Character Reference