BusinessloansPH Application Form

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Desired Loan Amount*
Purpose of Loan Application*
Additional Capital / Business Expansion / Inventory / New Business / etc
Purpose of Loan Application*
Preferred Payment Term*

3-6 months6-9 months9-12 months
Name of Sales Affiliate
if applicable
Applicant Basic Information
Applicant's Name*

First NameMiddle NameLast NameSuffix
Primary E-mail*
example@example.com
Birthdate*

MonthDayYear
Date
Present Address*

Unit/Building/House Number/Street

Village/Subdivision/Barangay/District

CityState / Province

Postal / Zip Code
Occupied Since*
Year
Active Landline
Area code + Telephone number
Active Mobile*
Secondary Mobile
Other Contact person

First NameLast Name
Active Mobile
Relationship

Applicant Personal Information
Gender*
Civil Status*
Birthplace*
City / Municipality
Height*
INCHES
Weight (Kilos)*
Weight*
How to contact you?*

Call / TextEmailViberWhatsAppMessenger
Spouse Name

First NameMiddle NameLast NameBirthdate
Spouse Mobile
Active mobile number
Spouse Occupation
Detailed Occupation
CREDITORS GROUP LIFE INSURANCE*
- For married clients, the beneficiary is automatically the legal spouse
- CGLI is only applicable to approved and qualified clients due for loan release with other Partner Lenders
- Applies only to loans up to 10M for each year; for clients with maximum age of 75
Beneficiary if Single/Widow

First NameMiddle NameLast NameBirthdate
Relation to Beneficiary

Additional Information
Ave. monthly gross sales*
Sum of all sales
Ave. monthly cost of sales*
(Beginning inventory + Purchases) - Ending inventory
Ave. monthly gross income*
(Total Sales - Cost of Sales)
Other Sources of Income
Other Business
EXISTING LOANS*

Not applicableI have an ongoing loan applicationI have an active loan with another financingI only have a bank loan/sI have an active loan with collateralI don't want to disclose any information

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