67 - Motorcentral Sta. Cruz Laguna APPLICATION

We are located @ Ground Floor AMA Building P. Guevarra St. Poblacion ll, Sta. Cruz Laguna

You may also contact us at: 0948 792 3532/0917 631 2596
MOTORCENTRAL CREDIT APPLICATION
BRANCH:
Facebook NAME:
BRAND
HONDA
YAMAHA
KAWASAKI
SUZUKI
BAJAJ
KYMCO
LCP
Specific unit color
DOWN PAYMENT
AMOUNT FINANCE
MONTHLY AMORTIZATION
TERMS OF LOAN
TOTAL PRICE
(All informations will be treated CONFIDENTIAL)
PERSONAL DATA
First Name
Middle Name
Mother's Maiden Name
Last Name
Date of Birth

MonthDayYear
Date
Age
Birth Place
Civil Status
Citizenship
Contact Number
E-mail/Gmail/Facebook Name
TIN NUMBER (OPTIONAL)
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
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: (000) 000-00000.
NAME OF DEPENDENT (leave blank if Not Applicable)
RELATIONSHIP TO DEPENDENT
AGE OF DEPENDENT
NAME OF DEPENDENT (leave blank if Not Applicable)
RELATIONSHIP TO DEPENDENT
AGE OF DEPENDENT
APPLICANT EMPLOYMENT DETAILS
APPLICANT POSITION
ASSIGNED WORK
DATE HIRED:

MonthDayYear
Date
LENGTH OF STAY IN WORK
NAME OF EMPLOYER
ADDRESS 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
From Whom
Remittance
Relationship
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)
FULL NAME
Filled up date

MonthDayYear
Date
LIST OF REQUIREMENTS

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
2 VALID ID WITH 3 SIGNATURE FRONT

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2 VALID ID WITH 3 SIGNATURE BACK

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PROOF OF BILLING ( MERALCO, INTERNET, WATER BILL )

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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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Comment about application form
Application Result
Sales Partner / Agent Code / Sales Tagging
Please verify that you are human
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MOTORCENTRAL CREDIT APPLICATION

PERSONAL DATA

SPOUSE DATA

APPLICANT EMPLOYMENT DETAILS

OTHER SOURCE/S OF INCOME / REMITTANCE

Character Reference