X7 Motorcentral Sta. Cruz APPLICATION FORM (BMS)

We are located @ 527 COMMERCIAL BUILDING BRGY.MANLIBUNAN STA CRUZ MARINDUQUE

You may also contact us at: 09617209799
CREDIT APPLICATION
FACEBOOK NAME:
Nickname / Alyas
BRAND
HONDA
YAMAHA
KAWASAKI
SUZUKI
MONARCH
BAJAJ
(B) DOWN PAYMENT
TERMS OF LOAN
Available date and time for CI
(All informations will be treated CONFIDENTIAL)
PERSONAL DATA
First Name
Middle Name
Last Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Age
Birth Place
Civil Status
Citizenship
Contact Number
Additional Contact Number
E-mail/Gmail/Facebook Name
TIN NUMBER
Present Address
Length of Stay
Provincial Address
Length of Stay
Name of Land Lord ( if rental)
Monthly Rental
Contact Number of Land Lord
Do You have a Spouse or Live-in Partner?
SPOUSE DATA

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

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Birth Place
Contact Number
Citizenship
Occupation
Length of Stay in Work
NAME OF EMPLOYER (leave blank if Not Applicable)
LENGTH OF STAY IN WORK (leave blank if Not Applicable)
ADDRESS OF WORK / AGENCY
MONTHLY SALARY (leave blank if Not Applicable)
Tel./Cel No.
Format: (0000) 000-00000.
NAME OF DEPENDENTS (leave blank if Not Applicable)
RELATIONSHIP TO DEPENDENTS
AGE OF DEPENTS
APPLICANT EMPLOYMENT DETAILS
APPLICANT POSITION
ASSIGNED WORK
DATE HIRED:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
LENGTH OF STAY IN WORK
NAME OF EMPLOYER
ADRESS OF WORK / AGENCY
MONTHLY SALARY
TEL NO. / CEL NO OF COMPANY
Do You have other source of income?
OTHER SOURCE/S OF INCOME / REMITTANCE
Name of Business
Monthly Income
Remittance
From Whom
Relationship
Character Reference
1
Relationship
Phone Number
Please enter a valid phone number.Format: (0000) 000-0000.
Complete Address
House No./Block/Lot/Phase/Street Name/Barangay/City/Municipality
2
Relationship
Phone Number
Please enter a valid phone number.Format: (0000) 000-0000.
Complete Address
House No./Block/Lot/Phase/Street Name/Barangay/City/Municipality
3
Relationship
Phone Number
Please enter a valid phone number.Format: (0000) 000-0000.
Complete Address
House No./Block/Lot/Phase/Street Name/Barangay/City/Municipality
Signature (Buyer)
FULL NAME
LIST OF REQUIREMENTS

SELFIE HOLDING VALID ID's

2 VALID IDS W/ 3 SIGNATURE FRONT & BACK

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

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

SKETCH LOCATION OF YOUR HOUSE
SELFIE HOLDING VALID ID's

Cancelof
2 VALID ID WITH 3 SIGNATURE FRONT

Cancelof
2 VALID ID WITH 3 SIGNATURE BACK

Cancelof
PROOF OF BILLING ( MERALCO, INTERNET, WATER BILL )

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

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

Cancelof
How's your experience in filling-out the ONLINE APPLICATION FORM?
Comment about application form
Please verify that you are human
Application Result
Should be Empty:

CREDIT APPLICATION

PERSONAL DATA

SPOUSE DATA

APPLICANT EMPLOYMENT DETAILS

OTHER SOURCE/S OF INCOME / REMITTANCE

Character Reference