Вы находитесь на странице: 1из 4

SOLAR ENERGY SYSTEM Basic Information Sheet - CO-MAKER

CO-MAKER’S INFORMATION

Last Name: First Name: Name Extension: Middle Name: Sex:

M / F:

Birthdate: Birth Place: Nationality: Civil Status:


Single Married Widowed
Separated Others

TIN: SSS / GSIS No.: Email Address: No. of Dependents:

Complete Permanent Home Address: Years of Stay:

Home Ownership:
Mobile:
Owned Mortgaged Rented Living w/ Parents

Landline: Others:

Complete Present Home Address: Years of Stay:

Home Ownership:
Mobile:
Owned Mortgaged Rented Living w/ Parents

Landline: Others:

CAR or any Vehicle Owner? Yes No REAL ESTATE Owner? Yes No

If mortgaged, to whom? __________________________________ If mortgaged, to whom? __________________________________

Relation to Customer (Principal):

EMPLOYMENT INFORMATION (For Employed):

Employer’s Name (Present): Employment Status:

Regular / Probationary / Contractual

Employer Address: Position: Years of Stay:

Nature of Business (Industry): Basic Monthly Salary:

Php

Employer Contact No.:

Mobile: Landline:
SOLAR ENERGY SYSTEM Basic Information Sheet - CO-MAKER

Employer’s Name (Previous): Employment Status:

Regular / Probationary / Contractual

Employer Address: Position: Years of Stay:

Nature of Business (Industry): Basic Monthly Salary:

Php

Employer Contact No.:

Mobile: Landline:

EMPLOYMENT INFORMATION (For Self-Employed):

Business Name: Business Address:

Nature of Business (Industry): TIN: No. of Years Doing Business:

Business Contact No.:

Mobile: Landline:

Trade Reference (List down at least 2 Major Suppliers):

Company Name: Company Name:

Contact Number: Contact Number:

Contact Person: Contact Person:


SOLAR ENERGY SYSTEM Basic Information Sheet - CO-MAKER

FINANCIAL DATA

INCOME EXPENSES

Basic Monthly Income: Utilities (please submit related documents)


Note: Average monthly expenses
(Electricity, Water, Communications)
Allowances (please specify type):

Educational:

Rental:

Amortizations (please specify type):

Other Source of Income (please specify type):

Total Expenses

Total Gross
BALANCE
Monthly Income

CREDIT INFORMATION

Bank Reference (applicable only for CHECKING Account):

Bank Name: Branch:

Account No.: Contact Person:

Contact Number:

Credit Cards (must submit copies of latest billing statements - 2 months):

Issuer (Bank Name): Validity/Expiry:

Credit Limit:
SOLAR ENERGY SYSTEM Basic Information Sheet - CO-MAKER

CREDIT INFORMATION AUTHORITY:

I/We, hereby certify that all information and statements on this application are true, correct, complete, and
updated. I/We fully understand that:

1. The above information and submission of requirements are necessary for obtaining credit.
2. Complete submission of required documents to support this application does not constitute automatic
approval.
3. Solar Philippines will treat the information confidential and shall be used for the purpose of giving credit
terms once application is approved.
4. This application, as well as the documents, submitted shall remain property of Solar Philippines whether
the credit is granted or not.

I/We, likewise certify that the signature/s appearing herein are genuine.

By signing this application, I/we are authorizing Solar Philippines and its authorized representative to verify
the authenticity of the above information and submitted documents, only to related companies or financial
institution, to facilitate the processing and evaluation of our application. I/We hereby agree that any
misrepresentation of a material fact, will automatically reject our application or cancel its approval.

Signature over Printed Name / Date


( CO-MAKER )

CO-MAKER UNDERTAKING:

I, the undersigned co-maker, hereby agree, understand and voluntarily bind myself to be jointly and severally
liable with the principal (Customer), in reference to the Sales Agreement issued by Solar Philippines. As
co-maker, I am obliged to submit the complete requirements and I agree to assume full obligation for any
amount not paid on due date by the principal (Customer) for whatever reasons.

Signature over Printed Name / Date


( CO-MAKER )

For Solar Philippines’ use only:

Sales Person-in-Charge: Recommended Payment Terms (by sales team):

Team Leader: Estimated Contract Price:

Похожие интересы