LOAN APPLICATION

Amount Applied P
Date
Loan Purpose
Applicant Spouse
Name & Age
Date of Birth
Residence
TelephoneNo.
Employment
a. Employee No.
b. Office & Station No.
c. Division No.
d. Position
e. Status of Appointment
f. Net Monthly Take Home Pay
Other Sources of Income
Number of Dependents Elementary High School College
Existing Obligations
Name of Creditor Amount of Loan Date Granted Present Balance

We hereby certify that the foregoing information are true and correct, and that we have no
outstanding loan from other lending institution. We authorized the BANK to obtain such other information
as may be required in connection with this application, we are aware to use the proceeds of the loan for
the purpose other than those indicated herein is unlawful.

Signature of Applicant Signature of Spouse

Residence Cert. No.
Date Issued
Place Issued

ACTION OF LOAN APPLICATION

Approval of P loan subject to the following terms and conditions.

a. Term d.
b. Interest Rate e.
c. Service Fee f.

I. CREDIT COMMITTEE II. BOARD OF DIRECTORS

Signature Signature Signature

Evaluated by:
Date:
Manager
Residence Location Map:

JOINT CO-MAKERS STATEMENT

Name & Age

Residence
Telephone No.
Employment
a. Employee No.
b. Office & Station No.
c. Division No.
d. Position
e. Status of Appointment
f. Net Monthly Take Home Pay
Spouse
a. Name & Age
b. Employment
Other Source of Income
Number of Dependents

We certify that the above information are true and correct, and authorize the BANK to obtain more information required
for this loan. We hereby agree to become the co-maker of
and will sign jointly and severally with the said applicant the covering promissory note which will be the evidence of the
loan applied for if granted for an amount of not exceeding P we are aware of the responsibility which will
assure in signing such a note.

Signature of co-maker Signature of co-maker

Residence Cert No.
Date Issued
Place Issued