ALL ERASURES OR ALTERATIONS MUST BE COUNTERSIGNED

Details valid as of April 2013. Eligibility and requirements are subject to change after said date without prior notice. Page 1 of 3
PUBLIC
H S B C P E R S O N A L L O A N A P P L I C A T I O N
ELIGIBILITY
1. Geographic scope subject to EPP credit policies.
2. Philippine resident for at least 3 years.
3. Be at least 21 (but below 60 upon loan maturity).
4. Minimum employment tenure: 2 yrs combined present/previous Employer
5. Have any 2 of: residential landline / office landline / mobile number
6. Minimum gross monthly income of Php 10,000
REQUIREMENTS
1. Photocopy of Latest Income Tax Return (ITR) / BIR Form 2316 /*
2. Photocopy of any of the ff Valid Government Issued IDs/**: (photocopy should be front & back ):
Passport Drivers license Postal ID Voter's ID
Social Security System (SSS) ID plus Birth Certificate PRC ID plus Birth Certificate

/* If without ITR 2316, Latest 3 months payslip only
/** ID should not be expired and Date of Birth, Nationality, Signature, ID Picture and ID Number (as
applicable) should be clear
FEES/ CHARGES
Processing Fee: WAIVED Amendment Fee: WAIVED Breakfunding Cost: WAIVED
Late Payment Fee: 36%per annum applied on all overdue amounts, including but not limited to overdue principal and interest.
Documentary stamp tax: Php1.00 for every Php200 of loan amount and a fraction thereof (deducted from loan proceeds)

For inquiries, please contact:
JOWETT YAO
0917-5561933
581-7981
jowettayao@hsbc.com.ph
EPP Customer Care Hotline:
581-8484

L O A N D E T A I L S
Last
Name
First
Name
Middle
Name
Former Name (includes maiden name if applicable) Other Name (aliases or name in other language e.g. Chinese Name, if any)
Loan Amount Desired
[ ] I am willing to accept an amount and/or tenor other than the
amount and/or tenor I applied for as approved by the Bank
and within the parameters indicated in this agreement.
Loan Term Desired: [ ] 6 mos [ ] 12 mos [ ] 18 mos [ ] 24 mos [ ] 36 mos
Range of Amount to be Financed: Minimum : Php 10,000.00
Maximum: Php500,000.00
Term: Minimum : 6 months
Maximum: 36 months
Interest Rate: 18% per annum
Booking Branch Code: ORT
Repayment: Monthly amortization calculated based on FIXED EQUAL
AMORTIZATION method of repayment plus interest as calculated monthly in
arrears by the Bank, based on outstanding diminishing balance of the loan.
Manner of Payment Salary Deduction


Disposition of Proceeds: Cashiers Order

Receipt of the check is also deemed as acceptance of the terms and conditions of this agreement and its corresponding promissory note. I authorize the Human Resources Department of my company to
receive the Cashier's Order on my behalf. Should I refuse to accept the loan under the approved terms, (a) I undertake to return the check thru the Human Resource Department within two (2) banking days
from receipt thereof; and (b) i further authorize the Bank to make immediate reversal of any other form of disposition of the loan proceeds apart from the Cashier's Order.

P E R S O N A L D E T A I L S
Please do not leave anything blank. Put N/A if not applicable
Sex
[ ] Male
[ ] Female
Date of
Birth:

( dd / mm / yy )
Education
[ ] Elementary
[ ] High school
[ ] College
[ ]Post graduate
[ ] Some college

No of
Dependents
Marital
Status
[ ] Single
[ ] Married
[ ] Widowed
[ ] Separated
ID Type (e.g. Drivers license,
Passport)
IDNumber
TIN SSS Number

Philippine [ ] Yes
Resident [ ] No

Nationality
Current
Home
Address
(no.) (street) (subdivision) (municipality)

Postal / Zip Code

Permanent Address
if different from
above
(no.) (street) (subdivision) (municipality) Birth Place

Home phone No.


Mobile phone (mobile code +no.)
Fax Number ( area code +no ) Current residence type:
[ ] Owned outright [ ] Owned by parents/
[ ] Mortgaged living with parents
[ ] Company-owned [ ] Rented

Length of stay in
current address yrs mos

Length of stay in
previous address yrs mos
Preferred contact hours

Previous (no.) (street) (subdivision) (municipality) (zip code)
Home
Address
E-mail Address
Current
Company/business
name and address
Phone #

(Floor) (Bldg no./ name) (Street) (Municipality)

Direct Line/ Other Company Phone
214-7900
Emerson Electric (Asia) Ltd.
7th Floor Robinsons Cybergate Plaza Cybergate Compound Edsa Brgy. Ilaya
Mandaluyong City, Pasig City
Plant Name or Division Code
Previous
Company/business
name and address

(Floor) (Bldg no./ name) (Street) (Municipality)

Previous company/business
phone no. (area code +no.)
Length of stay in
Current company yrs mos

Length of stay in
Previous company yrs mos

Current position
Position in previous company
Are you related to any staff or director of
HSBC? [ ] Yes [ ] No
Name/s of Relative/s
in HSBC
S P O U S E D E T A I L S
Last
Name
First
Name
Middle
Name
Mobile Phone (mobile code +no.)
Nationality
Resident [ ] Yes
[ ] No
Identification

Date
of Birth
( dd / mm / yy )

Company phone (area code +no.)
Current company/ (Floor) (Bldg no./ name) (Street) (Municipality)
Business name
And address


Occupation/Position
P E R S O N A L F I N A N C E & C R E D I T R E F E R E N C E
What is the Source of Income or Source of Repayment for this loan?
[ ] Salary/Employment [ ] Business [ ] Others. Please Specify: __________________________________________________
Other credit cards held Non-HSBC bank accounts
Card Issuer Card Number Credit Limit
Member Since
(MM/YY)
Bank Name
Account No. Client since Balance













[ ] I am interested to appl y or I would like to be referred for an HSBC Credit Card.
[ ] I am also interested to know about other HSBC Products.
I agree to be called by an HSBC representative and the best day and time to call me is on ________________________ at ________________________.
Other loans Credit references
Loan type Monthly amortization
Outstanding
principal
Date granted Name Address Contact no Relation





ALL ERASURES OR ALTERATIONS MUST BE COUNTERSIGNED
Details valid as of April 2013. Eligibility and requirements are subject to change after said date without prior notice. Page 2 of 3
PUBLIC




Borrower Signature over printed Name:

Dat e:
CERTIFICATION OF INCOME AND EMPLOYMENT



We certify that
o the signature of the Borrower herein is true and authentic;
o all information declared herein by the Borrower matches our records;
o that the Borrower is an employee of the Company with income and
employment details as follows:



Employment Status: _____________________________




Position: _____________________________






Date Hired: _____________________________







Monthly Basic Salary: _________________________






Monthly Allowances/Benefits: _________________________
Total Loans*:





Outstanding Balance: _________________________





Monthly Amortisation: _________________________




Other Deductions: _________________________




Remaining Term: _________________________

*All Outstanding Loans (internal/external) with the company

Company Authorized Representati ve/s Name/s and Signature/s: Emerson Electric (Asia) Ltd.





Date:





Details valid as of Jan 2013. Eligibility and requirements are subject to change after said date without prior notice. Page 3 of 3
PUBLIC

DECLARATION AND PROMISSORY NOTE
I hereby certify that the information I have given in this application is in all respects true, complete, updated and correct. I have not withheld any information on my financial position or commitments that may
affect HSBCs decision on this application.

I hereby authorize The Hongkong and Shanghai Banking Corporation Limited (HSBCor the Bank) to treat communications, including without limitation instructions, information and documents, received
via telephone or fax as fully authorized by me, and binding. HSBC shall be entitled to take such steps in connection with or in reliance upon such telephone or faxed communications as HSBC, may, in good
faith, consider appropriate. I agree that my telephone communications will only be acted upon if made through a recorded line and after my answering such security questions as HSBC may decide to ask. I
shall hold HSBC free from and harmless against any action taken in connection with my telephone or fax communications, even if, in the case of faxed communications, the same were forged.

I hereby authorize HSBC to make inquiries and verifications with the appropriate government agencies and/or third parties on the authenticity of any and all documents submitted in relation to my loan
application, including, but not limited to, income tax returns and financial statements, and to make such disclosure of information to such government agencies or third parties as may be necessary for such
inquiry and verification.

I hereby hold the Bank subsidiaries, affiliates and companies under common ownership (herein after known as the HSBC Group) and the companies/service providers from which the Bank shall obtain,
disclose and/or share information contained herein or make verifications hereunder, free and harmless from the exchange and sharing of any such information, regardless of whether or not such information
had been previously classified as confidential under related contracts/agreements, and regardless of the effect to this personal loan application of the information or data so disclosed, shared and/or verified.

I hereby agree that the application form and documents submitted become property of the Bank and will not be returned for whatever reason. I understand that HSBC reserves the right to withhold
information if the application is not approved and the right to cancel the loan approval anytime before drawdown. I understand that the requirements of X307 of the BSP manual (what is required to be
disclosed) have been stated in this agreement.

I confirm that the amortization table was made available to me for my perusal.

I confirm that all correspondences and notices shall be sent to the human resources department of my company who is hereby authorized to receive the same on my behalf. I hereby authorize the Company
to disclose any information in any way or manner relevant to my loans with The Hongkong and Shanghai Banking Corporation Limited and/or my capacity or capability to pay the said loans including, but not
necessarily limited to, contact and financial information, during and after the course of my employment with the Company.

Upon receipt of my loan, I promise to pay HSBC at its office in Makati City PHILIPPINE PESOS: __________________________________________________ ONLY (PHP___________________) loan
value with interest at _____% per month from the date of availment payable monthly for ____________ months under the terms of this Promissory Note. Repayment is by monthly amortization of PHP
___________________ calculated based on the Fixed Equal Amortization method of payment. I agree this loan will be subject to the Banks overriding right of cancellation of the loan facility at any time and
repayment of outstanding balances on demand.

Should I pay at least six monthly installments and at least PHP 10,000 of the loan, I may re-avail of the amount repaid. I understand and agree that any such re-availment shall result in an extension of the
entire loan, including the outstanding balance plus the re-availed amount, for the same period and under the same repayment terms as stated in this Declaration and Promissory Note. This right of re-
availment may be exercised more than once, Provided that, each re-availment shall be subject to the approval and consent of the Bank, and shall be covered by the representations, consents, terms and
conditions contained herein, to which I have agreed to be bound; Provided further, that, all references to the loancontained in this Declaration and Promissory Note shall include re-availments thereof.

All sums payable to the Bank under this Promissory Note shall be payable in cleared funds in the agreed currency on the due date of such amounts and without deductions for any taxes including, levies,
imposts, duties, charges, fees, deduction, withholdings, restrictions or conditions of any nature now or hereafter imposed by the Republic of the Philippines or any political subdivision or taxing authority
thereof or therein. All such taxes, levies, imposts, duties, charges and fees, shall be charged to and be for the Borrowers account.
I agree that the Bank will impose a penalty on overdue principal outstanding and/or overdue interest in the form of a late payment charge of 36% per annum to be applied on all overdue amounts, if any,
including but not limited to overdue principal and interest or a minimum of Php300.
In case collection is made by or through an attorney, I agree to pay twenty five percent (25%) of the amount due on this note (but in no case less than Php 10,000) as for attorneys fees in addition to
expenses and costs of suit.

I confirm that the proceeds of the loan herein established shall be utilized for the following purpose:
[ ] Exclusively for the purchase of a house, lot, motor vehicle, appliance or furniture for my personal use or that of my family and not for business, resale, barter or hire.
[ ] Others (Please indicate): _____________________________________________________________________________________________

Should I decide to use the proceeds of the loan for purpose/s other that what I originall y stated above, I undertake to secure prior written approval from the HSBC. I understand that the Bank
shall have the right to terminate the loan and the same shall immediately become due and demandable in case I utilize the loan proceeds for purposes other than what I stated above without
prior written approval from HSBC.


In case of my failure to pay, when due and payable, any sum under this note and/or any other obligation which I may now or in the future owe to the Bank, whether as principal or guarantor, or in the case of
my conviction for a criminal offense by final judgment carrying with it the penalty of civil interdiction or death or in the case covered by Article 1198 of the Civil Code of the Philippines, then the entire sum
outstanding under this note shall, without prior notice or demand, immediately become due and payable. I further agree that, in the event the Company ceases its operations, whether temporarily or
permanently, or is subject to proceedings for bankruptcy, insolvency, receivership, levy on execution, garnishment or attachment, or in case of my separation, resignation or termination, including without
limitation separation in the form of absence without leave (AWOL), from the Company, the loan shall become due and demandable. I understand that in the event of bankruptcy, insolvency or receivership of
the Company or my resignation, separation or termination from the Company, I may apply for conversion of my loan into a regular personal installment loan under the prevailing commercial interest rate
within thirty (30) days from the date of the Banks receipt of a court order declaring the Companys bankruptcy, insolvency or receivership, or of a notice that the Company has ceased its operations or of a
notice of my resignation/ separation/ termination from the Company; Provided that the conversion of my loan into a regular personal installment loan shall not affect the right of the Bank to receive amounts
from the Company in accordance with the Debit Authority signed by me in order to effect partial or full payment of my loan with the Bank.

The Bank shall have the right to set-off the Loan and all amounts due from me against, or withhold until full payment, funds or properties owned by me which may be in, or come into, the Bank's and/or HSBC
Group's possession.

I am aware that the Company will remit to the Bank monthly on a common date all amortization amounts due to HSBC on the Personal Loans obtained by the Company's employees under the EPP,
accompanied by a corresponding written breakdown of said remittance, pursuant to the Debit Authority executed by the employees. In the event of a partial remittance of the monthly amortizations due
without any instructions from the Company on its application, HSBC shall have the right to apply the payment pro-rata to the existing Personal Loans obtained by its employees, including my loan, in the
following order: first, to any penalty charges due; second. to the interest on the loan; and third, to the principal amount of the loan. I confirm that HSBC shall not be liable for any claims, losses or damages
resulting from such application. I further acknowledge that, in the event of a partial remittance of the monthly amortizations due, I shall be liable to pay HSBC the Late Payment Fee indicated herein unless I
provide written proof to HSBC that the full amount of the monthly amortization due on my loan account was deducted from my salary.

I hereby authorize the Human Resources Department of my Company to receive on my behalf any and all documents pertaining to my loan, including the Disclosure Statement and Amortization Schedule.
Securing and obtaining all information and documents from the Company shall be my sole responsibility.

I understand that the acceptance of any payment or part thereof by the Bank after due date shall not be considered as extending time for the payment of any of the installments.
I further acknowledge that any violation of the Employee Privilege Plan by me or my employer/(COMPANY), shall entitle the Bank to immediately declare the loan due and demandable and/or withdraw the
preferred loan interest rate on this loan and impose the regular loan interest rate retroactive to the grant of the loan until the loan is fully paid. I agree that this remedy shall be without prejudice to such other
rights or remedies available to the Bank under the terms of this loan and under the law.

I irrevocably agree that any legal action, suit or proceeding arising out of or relating to this Note may be instituted, at the option of the Bank, in any competent court in Makati City, Metro Manila, and by
execution and delivery of this Note, I submit to and accept, with regard to any such action or proceeding for itself and in respect of its properties or assets, generally and unconditionally, the jurisdiction of any
such court. The foregoing, however, shall not limit or be construed to limit the rights of the Bank to commence proceedings or to obtain execution of judgment against me in any venue or jurisdiction where
my assets may be found.

I hereby waive my right under Article 1252 of the Civil Code of the Philippines and authorize the Bank to apply such payment to either the principal interest and charges or to any of my existing obligations at
the latters discretion.

Notice of demand, presentment, dishonor or protest is hereby waived.

I HEREBY AFFIRM THAT I HAVE CAREFULLY READ AND UNDERSTOOD ALL THE STIPULATIONS IN THIS CONTRACT. SHOULD THERE BE ANY CORRECTIONS OR ENTRIES, WHICH NEED TO
BE MADE, THE BANK IS HEREBY AUTHORIZED BY ME TO MAKE SUCH CORRECTIONS OR ENTRIES IN ACCORDANCE WITH THE TERMS OF MY APPROVED LOAN.

I hereby agree to all the terms and conditions indicated herein, and on all the other pages of this document. In the event that I do not agree with the terms of the loan indicated in the Disclosure Statement
and/or Amortization Schedule provided to me, I shall not encash the Cashiers Order covering the loan proceeds and return the same to the Bank within two (2) days from my or my Authorized
Representatives receipt thereof. My encashment of the Cashiers Order shall be deemed as my acceptance of the terms therein. In the event that the check has already been encashed and the loan
proceeds have been received by me, I shall pay any and all outstanding obligation relating the loan in full.

DEBIT AUTHORITY

I hereby authorize Emerson Electric (Asia) Ltd. (the Company) to deduct from my salary and from any and all amounts which may come into the Companys lawful possession or which the
Company is obligated to pay me or which otherwise belong to me, after repayment of my loans with the Company (collectively, the Compensation and Benefits), the monthly amortizations
due on my Personal Loan and remit the same to The Hongkong and Shanghai Banking Corporation, Ltd (HSBC)). I likewise authorize the Company to, in the event of my termination or
separation from employment with the Company for any reason, including without limitation separation resulting from my being declared absent without official leave (AWOL), hold and remit
to HSBC all or a portion of my Compensation and Benefits for the purpose of effecting partial or full payment of my loan, including any renewals or extensions thereof, in conformity with the
provisions of the Employment Privilege Plan (EPP) agreement between the Company and HSBC. I acknowledge that HSBC's grant of the subject loan was conditioned upon my issuance of
this Debit Authority and I thus hereby declare that this Authority shall be deemed irrevocable, shall terminate only upon full payment of my said loan, and shall survive my termination or
separation from the Company.Should the payment of my monthly salary be temporarily suspended during my maternity leave, I further authorize the Company, at its own discretion, to deduct
an additional one month amortisation from my salary for each of the two (2) months preceding my scheduled Maternity Leave or to deduct the monthly amortizations due during the period of
my Maternity Leave from my SSS Benefit and/or any and all salaries/monies due me and remit the same to HSBC.


Borrower Name: __________________________________________


_______________________________
Signature
Date:

Bank:

Authorized Signatory
Our Ref: MNL CAS
Customer Number: _________________________
Marketing Promo : _________________________


PUBLIC
Important: Actual amount may slightly vary from figures shown below.

PL Monthly Amortization
0.83% per month (Average ADD ON RATE) / 18% p.a. (EFFECTIVE RATE)
Loan
Amount/Term 6 months 12 months 18 months 24 months 36 months 48 months 60 months
Add-on rate 5.32% 10.02% 14.85% 19.82% 30.15% 41.00% 52.36%

10,000.00 1,755 917 638 499 362 294 254
20,000.00 3,511 1,834 1,276 998 723 587 508
30,000.00 5,266 2,750 1,914 1,498 1,085 881 762
40,000.00 7,021 3,667 2,552 1,997 1,446 1,175 1,016
50,000.00 8,776 4,584 3,190 2,496 1,808 1,469 1,270
60,000.00 10,532 5,501 3,828 2,995 2,169 1,762 1,524
70,000.00 12,287 6,418 4,466 3,495 2,531 2,056 1,778
80,000.00 14,042 7,334 5,104 3,994 2,892 2,350 2,031
90,000.00 15,797 8,251 5,743 4,493 3,254 2,644 2,285
100,000.00 17,553 9,168 6,381 4,992 3,615 2,937 2,539
110,000.00 19,308 10,085 7,019 5,492 3,977 3,231 2,793
120,000.00 21,063 11,002 7,657 5,991 4,338 3,525 3,047
130,000.00 22,818 11,918 8,295 6,490 4,700 3,819 3,301
140,000.00 24,574 12,835 8,933 6,989 5,061 4,112 3,555
150,000.00 26,329 13,752 9,571 7,489 5,423 4,406 3,809
160,000.00 28,084 14,669 10,209 7,988 5,784 4,700 4,063
170,000.00 29,839 15,586 10,847 8,487 6,146 4,994 4,317
180,000.00 31,595 16,502 11,485 8,986 6,507 5,287 4,571
190,000.00 33,350 17,419 12,123 9,486 6,869 5,581 4,825
200,000.00 35,105 18,336 12,761 9,985 7,230 5,875 5,079
210,000.00 36,860 19,253 13,399 10,484 7,592 6,169 5,333
220,000.00 38,616 20,170 14,037 10,983 7,954 6,462 5,587
230,000.00 40,371 21,086 14,675 11,483 8,315 6,756 5,840
240,000.00 42,126 22,003 15,313 11,982 8,677 7,050 6,094
250,000.00 43,881 22,920 15,951 12,481 9,038 7,344 6,348
260,000.00 45,637 23,837 16,590 12,980 9,400 7,637 6,602
270,000.00 47,392 24,754 17,228 13,480 9,761 7,931 6,856
280,000.00 49,147 25,670 17,866 13,979 10,123 8,225 7,110
290,000.00 50,902 26,587 18,504 14,478 10,484 8,519 7,364
300,000.00 52,658 27,504 19,142 14,977 10,846 8,812 7,618
310,000.00 54,413 28,421 19,780 15,476 11,207 9,106 7,872
320,000.00 56,168 29,338 20,418 15,976 11,569 9,400 8,126
330,000.00 57,923 30,254 21,056 16,475 11,930 9,694 8,380
340,000.00 59,679 31,171 21,694 16,974 12,292 9,987 8,634
350,000.00 61,434 32,088 22,332 17,473 12,653 10,281 8,888
360,000.00 63,189 33,005 22,970 17,973 13,015 10,575 9,142
370,000.00 64,944 33,922 23,608 18,472 13,376 10,869 9,396
380,000.00 66,700 34,838 24,246 18,971 13,738 11,162 9,650
390,000.00 68,455 35,755 24,884 19,470 14,099 11,456 9,903
400,000.00 70,210 36,672 25,522 19,970 14,461 11,750 10,157
410,000.00 71,965 37,589 26,160 20,469 14,822 12,044 10,411
420,000.00 73,721 38,506 26,798 20,968 15,184 12,337 10,665
430,000.00 75,476 39,422 27,436 21,467 15,546 12,631 10,919
440,000.00 77,231 40,339 28,075 21,967 15,907 12,925 11,173
450,000.00 78,986 41,256 28,713 22,466 16,269 13,219 11,427
460,000.00 80,742 42,173 29,351 22,965 16,630 13,512 11,681
470,000.00 82,497 43,090 29,989 23,464 16,992 13,806 11,935
480,000.00 84,252 44,006 30,627 23,964 17,353 14,100 12,189
490,000.00 86,007 44,923 31,265 24,463 17,715 14,394 12,443
500,000.00 87,763 45,840 31,903 24,962 18,076 14,687 12,697