J tA,D

Unit Applied For

I Acquisition of Residential Property

Home lmprovement i lNew I lused

Yr. Model
Education
Debt Consolidation
I ravg
Medical
[ ] Mutti-PurPose Financing
Property TyPe
Purchase of Other Asset$
Purchase of VehidelAuto Repair
[ ]DetachediTownhouse
Personal ConsumPtion

(Family Ndfre, 6iven Na@e, Middle Name)

(Family Nane, Giwn Nffie, Middle Name)

I Owned (Not Mortgaged

I Living M Family
[ ] Livingw/Family
Length of Stay

I single [ ]widowed [ ]sinEle [ ]Wiaowea

I Manied I iSeParateu I lMaried [ ]SeParated

Fathe/s Full Name $anityNw,Gi@Nlne,MiddteNffie) Mother's Maiden Name f@ily Nnrc, Givd Naffi, Middte Nime)

Salaried I Salaried I Senior Mgr / Executive

Self€mpl0yed I Self-employed ] Middle Manager
oFw j oFW I stafi
Retired i Pensioner I Retired I Pensirner I Professional
Commission Based ] Commission based Speciry

Educational Attainment
[ ] Dociorate/Professional [ ]BachelorsiDiploma ] Dociorate/Professiona [ ] Bachelors/Diploma
[ ] Masters/MBA I jPrlmary/Secondary ] Masters/ MBA [ ] Primary/Secondary

No. of Cars Owned Mortgage [ ] Yes ofCars Owned Mortgaged?l ] Yes

I INo [ ]No

[ ] Corporation
I I Partnership
[ ] Single Prioprietorship
ailte yauan'iiengdepasdr aiReffi-- ffi

=Ere von a preaous or exisnngloan cttenlot?d1e'@

fue you going to appoint an Attorney-in

or execute loan documents in your behalf?

UNDERTAKING CLAUSE
ild shdld any of tt}e if,fomalioa provi@ and d9cuments l/we ilbmitted prcve
t/we hereby that a! info{oatioe if, this appli@tion is @fecl @mplete.

tobelal6e,*EBankmayteminatemyloantraccom(EdalionandhaYetherigt{todemandimmedialepaymentofobligaiiotr
PROCESSING OF INFORMATiON
thal the
sch obligati* as the Bank may reguire @nGming tE slatssis made in lhts apptiBtim and
tlJve authorize th€ Bark to obtain End velity
a|dhorrelo pwide tho Eiank the sme hereby aulhor'Ee fre Bank or its
s&res fom which the Bsk may apply fs swh inirrmalion are hereby
'lwe
duly auilEdzed pffitrel to disclse my/our inforffilion to any offie, bmrch,
sbsidirry affdiate, agen\ and EPtesentative ot the Bmk and thi'd pariy
wlBever sitBted, and u* in connedion with ihe povision of any seMce/product relating to my/Glr e@unvs including
selected by any of them,
pr@it!g. rcntufng, reviewing, ropofling, stqing, siatisti€t and risk anallsis pufpoffi. ,,l'Ve hereby agree th6t allmy/sI pelsonal
data p.olijing,
order, d6s4, diedive'
data may be and di$losd to gavemrest authodty $or6ign d dom6tic) in mplian@ with the rule, ordiea@.
p@sed
law, constifution, Bgulation e other gwmmelt $Siction 0t any similar iom of decision of, tr detffiination
of aey of t'@
.equiremetrts, statue
orl@fgoremrentspditiealsubdivisiof,, commi$is, a8thsity, tribunal,o' mtitysftleRepublicofthe
f@egoingby, anyBtionalegloml,
philippiG or a f@ign punty, as may be appli@ble. lAn/e hereby agree !o waiw to lhe exlent aliored by law, iho @nfidedialitv of mylow peNonal

irfomalis Egarding royle bank ffintg depositg and stlEr credit infomation in ordet to ffirtaio my/our eligibilily to avail credit-

RETENNON
l,IWe hereby age and authqize the Bek !o reiain the infomqlion collecied during ihe apdiEtio., as well as fs the duGtion and ryen afler the
rejection, temication. dqsure or Can6[atim o{ the q€dit avaitmeot, rc,alifiship q swi6
with the BankJFinancial institution for a perlod oJ ten

(1 0) yeffi froft *{rr tE mimtie untii fire1 @nd6i@ of any requiremerd tr di$loslre of obligqliof,, dispt e ot aolion.
CONSENT FOR CROSS€ELLINC, PROMOTIONS AND REFERRAL
IrliVe: fAgre $iugree to authm'ze the Bank !o a) collect and use mylour inlomtis and, where permitted by law, 6hare it beiween YGC'
its slbsidiaries and alfiliales to identiry and infom me/$ of prcducts and *rvic6 prcvided by YGC, ifs €ubsidiaries atrd afrliates that may be of
inteest to metus: ard b) @tte.t and use my/our intoffiats to prcmole the products and seatces ot slect third pariie$ that may be ot ioteret to
retus. i,/We undeBtand that if lrtre dq retus or wilhdw rry/our @nst to a) and/or b). it will not affect my/er oligibility to ava;l credit

lr

Borroweis Signature / Date Spouse's / C(rborowels Signature / Date

TIN TIN I
ecc SSS

Appli@{pn Fow Vffiion 2021

 tsslsK frlJTltGRESif*$H *€Q1rE8?

Dear Sir/Ma'am,
This is tt: authqrize -:-_ '* : personnel tn
e*nduct h3nk eheclring of rny/our as*s$nts bei*g mal*tain
at y*ur braneh,fl*d Prsvjde tlte'&*bwi'ng data:

ASCSII}{T }*AttE;

ATT$UHT TYFE;

Ag*SUffT fiUifiBEB:
ASS&UT*T ffFEHITdC SAT*;

BAHIT. TELEFH6f{E *IJffi E&r

Thi* is far my Frson*f *ppltm*i*n qritFr the hank-

Hcping for yaur fav*ra$Ie r#S*tse"

$inreraly yo{rr6,
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