Previous Home Address

Use black ink and complete all fields. If a field is not applicable, please write N.A.
LOAN DETAILS
Desired Loan Amount
(Subject to Banks approval)

Lot/Blk. No.

House/Unit No.

Floor No./Building Name

Subd./Compound Name

Desired Loan Term

12 months Purpose of Loan Appliance Hospitalization

18 months

24 months

36 months Personal Consumption

Street Yrs./Months at Yrs. Present Address Provincial Home Address

Mos.

City/Province Yrs./Months at Previous Address

Yrs.

Zip Code Mos.

Education Balance Transfer Yes No

Lot/Blk. No.

House/Unit No.

Floor No./Building Name

Subd./Compound Name

PERSONAL INFORMATION
Existing Loan Customer?

Street Provincial Contact Number Area Code Last Name Mobile

City/Province Phone 1 Fax Phone 2 Email

Zip Code

First Name Other Name (Alias) Sex

Middle Name

Ttile Female Single

Date of Birth (dd/mm/yyyy)

Mr.

Mrs.

Ms.
Present Employment Permanent?

WORK AND FINANCES

Yes Private No
Part Owner?

Male

Yes

No

Marital Status Spouse Name No. of Children

Married

Widowed
Spouse Working? No. of Dependents

Separated Yes No

Company Type

Government

Others

__________________

Nature of Business Position Employer/Business Name Rank

Mothers First Name Philippine Resident? Educational Attainment

Yes

Mothers Middle Name Nationality No

Mothers Last Name

Employers Address

High School College Level

College Graduate Post Graduate

TIN No.

Others

Lot/Blk. No.

House/Unit No.

Floor No./Building Name

Subd./Compound Name

____________
Street Office Contact Number Area Code Mobile Previous Employment Employer/Business Name Previous Employers Address City/Province Phone 1 Fax Phone 2 Email Zip Code

SSS No. Residence Type

MR. KIM CP NUMBER (0927) 7511639 E-Mail Ad: kim_88_88@yahoo.com

Owned (Not Mortgaged) Owned (Mortgaged) Rented Used Free/Staying with Relatives Others ____________________________________________
Current Home Address Amortization/Month Rent/Month P_____________ P____________

NEED CASH FAST?

Lot/Blk. No. Lot/Blk. No. House/Unit No. Floor No./Building Name Subd./Compound Name

House/Unit No.

Floor No./Building Name

Subd./Compound Name

Get a low interest loan with Chinatrusts Salary Stretch.

Street Residence Contact Number

City/Province

Zip Code

Street Office Contact Number Area Code

City/Province Phone 1 Phone 2

Zip Code

Give your paying power that needed boost to finally get what youve always wanted!
Boost your paying power!
Renovating your house? Throwing a debut party for your daughter? Thinking of taking that long-overdue family vacation? Eyeing that new digital camera? Chinatrusts Salary Stretch is a multi-purpose loan that lets you make the most of your monthly salary with convenient payment terms.

Mobile Yrs./Months at Present Company Yrs.

Fax Mos.

Email Yrs./Months at Previous Company Yrs. Mos.

BASIC REQUIREMENTS
Completely filled out application form Photocopy of latest ITR/form 2316 Photocopy of ID issued by the employer with photo and signature Photocopy of one (1) month latest pay slip (original copy may be required prior to loan release) Other documents (may be required from the applicant to process the loan) All applicants with incomplete information and lacking requirements will not be processed. Any alteration requires the full signature of the applicant.

Monthly Income and Expenses (based on one month payslip) Basic Allowance

Deduction

SPOUSE DETAILS
Employer/Business Name Designation/Title/Rank Office Contact Number Area Code Mobile Department

Phone 1 Fax

Phone 2 Email

Upon approval, applicants will be required to issue post-dated checks for payment. Post-dated checks should be under the name of the borrower. Handling Fee: P1,500.00 (automatically deducted from loan proceeds) NO FEE IS COLLECTED BY THE BANK OR ANY REPRESENTATIVE UPON APPLICATION.

Widen your payment options!

Salary Stretch provides you with easy payment options of 12, 18, 24, and 36 months to choose from, with the lowest interest rates!
Bank References Bank Name _____________________ _____________________

OTHER DETAILS
Branch _____________ _____________ Account Type _____________ _____________ Account Number ______________________ ______________________

UNDERTAKINGS/AUTHORIZATION
I hereby certify that all information herein and in all supporting documents submitted with this application, are true and correct. I hereby authorize the bank and/or its representative to verify any and all information furnished by me including previous credit transactions with other institutions. In this connection, I hereby waive any and all statutory and regulatory provisions governing confidentiality of such information if applicable. I fully understand that any misrepresentation or failure to disclose information on my part as required in this application, may cause the disapproval of my application. Upon acceptance of my application, I legally bind to the terms and conditions of Chinatrust including but not limited to joint and several liability for all charges, fees, and obligations incurred, and shall execute the necessary documents. In case of disapproval of my loan application, I understand that the bank is not obligated to disclose the reasons for such disapproval. Once I have received the loan proceeds, either via Manager's Check, Cash, Electronic Fund Transfer or the Cash Card, at the Bank's options, I am deemed to have fully examined the Documents and have waived any and all objections thereto.

Get that loan fast!

Qualifying for Salary Stretch is simple and easy. If you are: Currently employed with a minimum gross monthly salary of P15,000 and With a minimum one year work experience You can get fast Salary Stretch approval!

_____________________ _____________ _____________ ______________________ Credit Card Owned Credit Card No. Issuers Name Member Since Card Expiry Card Limit (mm/yyyy) (mm/yyyy) _____________ _____________ _________________ _________________ ____________ ____________ ____________ Landline ___________ ___________ ___________ ___________ ___________ ___________

Complete the attached form now!

Call: E-mail:

Acknowledgement
Documents submitted (Please check appropriate boxes)
Completely filled out application form Photocopy of latest ITR/form 2316 Photocopy of ID issued by the employer with photo and signature Photocopy of one (1) month latest pay slip (original copy may be required

_____________ _________________ Personal Reference Name

Mobile Number _______________________ _______________________ Date (dd/mm/yyyy) _______________________

A________________________
B________________________ C________________________ Personal Reference Relationship

_______________________ _______________________ _______________________

____________________________
Applicants Printed Name and Signature
Application No. Product Sales Officer Agent Code Agent Name Agents Signature

____________
Date

FOR BANK USE ONLY

prior to loan release)

Other documents (may be required from the applicant to process the loan) _________________________________________________________________

Approval Center Channel Code

Address _________________________________________________ _________________________________________________ _________________________________________________

A_________________________

Received by:
B_________________________

Agency Name Agency Code

___________________________________________ Signature Above Printed Name

________________
Date
C_________________________

KIM