Client Information Sheet - Giant Moto Pro Corporation

Branch Name *

Branch Address

Branch Contact

1. Motorcycle Unit & Loan Terms

Motorcycle Model *

Color Preference *

Proposed Downpayment (₱) *

Loan Terms (Months) *

2. Primary Applicant Personal Information

Last Name *

First Name *

Middle Name

Contact Number *

Email Address *

Birthdate *

Age *

Birthplace *

Civil Status *

No. of Dependents *

Religion

Citizenship *

Facebook Account (Name or Profile Link)

(Aliens/Foreigners Only) ACR No.

(Aliens/Foreigners Only) ACR Issued At

Valid ID Type *

Upload Valid ID (Image or PDF) *

Residence Sketch / Location Map (Image, PDF OR Google Maps Link) *

3. Residence Details

Present Address *

Permanent Address *

Length of Stay at Present Address (Years & Months) *

Housing Status *

(If OWNED) Name on Proof of Billing *

(If RENTING) Landlord Name & Monthly Rental Fee

Previous Address for the Past 3 Years (if stay at present is less than 3 years) *

4. Family Background

Father's Name *

Father's Occupation

Mother's Maiden Name *

Mother's Occupation

Parents' Complete Address *

Spouse's Name (If Married)

Spouse's Contact No.

Spouse's Occupation

Spouse Emp. Status

Spouse Rate / Salary (₱)

Spouse Employer / Company

Spouse Company Contact No.

Spouse Company Address

5. Applicant Occupation & Financials

Company / Employer Name *

Position / Job Title *

Monthly Salary (₱) *

Years Employed *

Company Contact No. *

Company Complete Address *

Agency Name (If applicable)

Agency Contact No.

Years with Agency

Agency Address

Other Source of Income (Business, Remittance, etc.)

Monthly Income from Other Source (₱)

Address / Location of Other Source

6. Co-Maker Information

Co-Maker Full Name *

Relationship *

Age *

Co-Maker Contact No. *

Occupation / Position

Home Address

Monthly Salary (₱)

Years Employed

Employer / Company

Company Address

Company Contact No.

7. Authorization & E-Signature

The undersigned authorizes GIANT MOTO PRO CORPORATION to obtain such information as may be required by this application and agrees that such information shall remain GIANT MOTO PRO CORPORATION'S property whether or not the loan is approved. I hereby certify that all information provided is true and correct.

Draw Signature Below *

Giant Moto Pro Corporation

Client Information Sheet & Loan Application

Application Submitted Successfully!