Honda Cars CamSur (Pili)

DOBBEL HANEI CORPORATION

Maharlika Highway San Jose, Pili, Camarines Sur
Telephone: (63) (54) 477-1234
financecoordinator@hondacamsur.com
Authorized Dealer of Honda Cars Philippines, Inc.

Authorized Franchise Dealer of Honda Cars Philippines, Inc.

CAR LOAN APPLICATION FOR INDIVIDUAL
APPLICANT
Mr. Ms. Mrs.
Last Name First Name Middle Name Date:
( ) ( ) ( )
Applicant : Age : Birthday :
Spouse : Age : Birthday :
Address : Tel No/ CP No:
Length of Stay : Ownership : Owned ( ) Rented ( ) Provided ( ) Email address:
Monthly Rental : Name of Landlord : Tel No(s). :
Civil Status : Citizenship : No. Of Dependents & Age:
Weight (kg.): Height (cm): Birthplace:
Fathers Name: Mothers Name:
Previous Address (if above address is less than two years) :
SOURCE OF INCOME
APPLICANT Employee ( ) Business ( ) SPOUSE Employee ( ) Business ( )
Emp/Bus. Name : Emp/Bus. Name :
Address : Address :
Position : Position :
Years of Employment/Operation : Years of Employment/Operation :
Tel No(s). : Tel No(s). : Tel No(s). : Tel No(s). :
Previous Employer : Previous Employer :
Address : Address :
MONTHLY INCOME/EXPENSES LOAN APPLIED FOR
Applicant Unit/Model :
Spouse LCP : DP : Term :
Other Income AOR : Monthly Amortization :
Balance Financed :
Purpose : Private ( ) Business ( ) Public ( )
TOTAL: Place of Use :
Less: Living Expenses DI :
All-In ( ) Regular ( ) Bundle ( )
Sale Executive :
REFERENCES
Name Address Tel. No.
Personal :

BANK ACCOUNT(S)
Bank/Branch Type of Account Account Number Balance

I/We hereby certify that all data and statements in this application are correct and complete, and are made for the purpose of obtaining credit, and that the signatures appearing therein are
genuine. I/We authorize you to obtain such information, as may be required, concerning the statements made in this application; and that sources to which may apply are authorized to provide any
information relative to this application. I/We agree that this application may remain your property, whether the credit is granted or not.

Applicant Spouse Sales Executive