Mitsubishi Auto-Loan Form by Erwin Lois Bacong
For more information, Call/Text/Viber: 0956 789 2284
Unit Applied for
*
Please Select
L300 C/C M/T (825,000)
L300 FB BODY M/T NO AC (973,000)
L300 FB BODY SINGLE AC (1,013,000)
L300 FB BODY DUAL AC (1,033,000)
MIRAGE HB GLX M/T (711,000)
MIRAGE HB GLX A/T (772,000)
MIRAGE G4 GLX M/T (769,000)
MIRAGE G4 GLX A/T (819,000)
MIRAGE G4 GLS A/T (899,000)
XPANDER GLX M/T (1,068,000)
XPANDER GLX A/T (1,128,000)
XPANDER GLS A/T (1,198,000)
XPANDER CROSS A/T MONOTONE (1,328,000)
XPANDER CROSS A/T TWOTONE (1,338,000)
MONTERO SPORT GLX M/T (1,568,000)
MONTERO SPORT GLS A/T (1,828,000)
MONTERO SPORT BLACK SERIES (2,103,000)
MONTERO SPORT GT 4WD (2,428,000)
TRITON GL M/T (1,134,000)
TRITON GL M/T 4WD (1,157,000)
TRITON GLX M/T (1,311,000)
TRITON GLX A/T (1,383,000)
TRITON GLX M/T 4WD (1,561,000)
TRITON GLS A/T (1,582,000)
TRITON ATHLETE A/T 4WD (1,915,000)
Borrower's Information
All information will be treated strictly confidential.
Borrower
*
Last Name
First Name
Middle Name
Marital Status
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Single
Common Law
Married
Separated
Widowed
Birthdate
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/
Month
/
Day
Year
Date Picker Icon
Age
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Citizenship
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Mobile Number
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Home address
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Must be same on proof of billing. ex: (Meralco Bill)
Home Ownership
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Owned
Living with Parents
Rented / Mortgage
Other
Length of Stay
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ex: 5 yrs and 6 mos.
Tin Number
ex: 123-456-789-000
Email
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ex: juandelacruz@gmaill.com
Spouse / Co-Borrower
Last Name
First Name
Middle Name
Birthdate
/
Month
/
Day
Year
Date Picker Icon
Age
Mobile Number
Borrower & Co- Borrower's Work Profile
Employer / Business Name
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Borrower's Details
Telephone Number
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Position
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Years in the Company
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Office Address
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Monthly Gross Income
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Employer / Business Name
Co-Borrower's Details
Telephone Number
Position
Years in the Company
Office Address
Monthly Gross Income
Bank References
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Please Select
Savings Account
Checking Account
Payroll Account
Borrower's Details
Banks
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BPI
PNB
BDO
RCBC
UCPB
PS Bank
Maybank
Chinabank
Metrobank
Landbank
Eastwest Bank
Robinsons Bank
Security Bank
Sterling Bank
Union Bank
Bank Branch
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Use of Personal Information
By filling up this form, I fully understand and hereby voluntarily agree that the Dealer may use, collect, process and store the information I have willingly provided in accordance with their terms and condition.
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