Borrower Spouse/Co-Borrower Borrower Spouse/Co-Borrower
Borrower Spouse/Co-Borrower Borrower Spouse/Co-Borrower
Borrower Spouse/Co-Borrower Borrower Spouse/Co-Borrower
Purchase / Refinancing Brand New Vehicle / Used Vehicle Kind of Vehicle: Car AUV LCV SUV Truck Others
PERSONAL DETAILS
Borrower’s Name: Birthdate: Birthplace:
Last First Middle Name mm/dd/yy
Gender: Male Marital Status: Single Married Annulled/Divorced Citizenship:
TIN NO./SSS/GSIS NO.:/Alien Certificate of Registration (ACR) Number (for foreigners only):
Home Address:
Number/Lot/Block Street/Avenue Road District/Barangay City/Municipality Province
SPOUSE/CO-BORROWER DETAILS
Spouse’s Name: Birthdate: Birthplace:
(Co-borrower’s Name) Last First Middle Name mm/dd/yy Citizenship:
SOURCE OF INCOME
BORROWER SPOUSE/CO-BORROWER
BORROWER SPOUSE/CO-BORROWER
Employment Type/ Private Immigrant/OFW Government NGO Others Private Immigrant/OFW Government NGO Others
Type of Business
Single Proprietorship Partnership Corporation Single Proprietorship Partnership Corporation
BANK ACCOUNTS
Bank /Branch Account Type Account No. Date Opened
I hereby undertake not to use the proceeds of the loan for placement purposes and/or to pay
any chargeable and allowable fees in relation to my travel and/or work abroad. Otherwise Asia
link Finance Corporation has the right to rescind the loan and shall declare all unpaid amortization
immediately due and demandable together with all interesrs and damages.
Thank you very much for your kind assistance.