ONE ALLIANCE MOTOR SOURCE INC.

UNIT

CREDIT APPLICATION

FOR INDIVIDUAL

ITEM APPLIED FOR.

TYPE & YEAR MODEL
CASH PRICE Php
AMOUNT FINANCED Php
ACCESSORIES

BORROWER

APPLICATION NO.
DOWNPAYMENT Php

TERM

(LAST)

(FIRST)

(MIDDLE)

NAME
MARITAL STATUS:

DATE OF BIRTH
( ) SINGLE

( ) MARRIED

( ) SEPARATED

HOME ADDRESS

TEL. NO.

YEAR IN ABOVE ADDRESS:

(
) OWN MO. AMORT.
(
) RENT
PREVIOUS ADDRESS:
EMPLOYER (OR NAME OF BUSINESS IF SELF-EMPLOYED)
OFFICE ADDRESS:
POSITION
LENGTH OF STAY
ACR. NO.
NO. OF DEPENDENTS
HOW MANY IN:
SPOUSE

( ) WIDOWED

(LAST)

(FRIST)

) LIVIN

NATIONALITY

(MIDDLE)

NAME

DATE OF BIRTH

EMPLOYER (OR NAME OF BUSINESS IF SELF EMPLOYED)

POSITION

OFFICE ADDRESS

TEL. NO.

MONTHLY INCOME & EXPENSES

INCOME
APPLICANT
Gross Salaries
P
Allowances & Bonuses
Commissions
Dividends & Interests
Others
Monthly Income

MO. RENT

SPOUSE
P

Combined Monthly Income (A)

LENGTH OF SERVICE

EXPENSES(COMBINED)
Housing and Utilities
Transportation
Education
Living
Loan Amortization
Others
Monthly Expenses (B)

Net Monthly Family Income (A-B)

OTHER SOURCES OF INCOME

1
2

BANK

I hereby certify that all information in this application are correct & complete. The signatures appearing hereon are
I authorize you to obtain information as you may inquire concerning the statements made in this application and th
sources to which you may apply are authorized to provide any information relative to this application.

Signature of Applicant

Date

Signature of Spouse

Date

ONE ALLIANCE MOTOR SOURCE INC.

UNIT

CREDIT APPLICATION

PARTNERSHIP/CORPORATION

ITEM APPLIED FOR.

TYPE & YEAR MODEL
CASH PRICE Php
AMOUNT FINANCED Php

APPLICATION NO.
DOWNPAYMENT Php

TERM

BUSINESS NAME:

TEL. NO.

OFFICE ADDRESS:

TEL. NO.

FACTORY ADDRESS:

TEL. NO.

YEARS IN OPERATION:
NATURE OF BUSINESS:

MAJOR STOCKHOLDERS / PARTNERS / OFFICERS

NAME

AMOUNT OF STOCKS
PARTICIPATION

POSITION

SURETY NAME:

COMPANY INCOME

SURETY ADDRESS:

SURETY INCOME

ADDRESS

REFERENCES
NAME

CONTACT PERSON/S

ADDRESS / BRANCH

BANKS
BANK/ BRANCH

SAVINGS

CURRENT ACCOUNTS

I hereby certify that all information in this application are correct & complete. The signatures appearing hereon are
I authorize you to obtain information as you may inquire concerning the statements made in this application and th
sources to which you may apply are authorized to provide any information relative to this application.

Date

Authorized Signatory

CATION NO.

AGE

(
) LIVING W/RELATIVE
YEARS THERE

TEL. NO.
NALITY

AGE

TH OF SERVICE

P
(A-B)

aring hereon are genuine.

pplication and that the

Date

TION

CATION NO.

RS
ADDRESS

TEL.NO.

TIME DEPOSITS

aring hereon are genuine.

pplication and that the

tory