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DESIRED UNIT        :

PERCENT OF DOWNPAYMENT  :

DESIRED YEARS TO PAY :

FULL NAME :

BIRTHDAY :

COMPLETE ADDRESS :

YEARS IN ABOVE ADDRESS :

MARITAL STATUS : SINGLE / MARRIED / SEPARATED / WIDOWED

SPOUSE NAME :

NUMBER OF DEPENDENTS

(CHILDREN)

CONTACT NUMBER :

LANDLINE & CELLPHONE

NAME OF EMPLOYER / COMPANY (IF WORKING) :

POSITION / TITLE IN THE WORK :

NUMBER OF YEARS WORKING :

ADDRESS OF EMPLOYER / COMPANY :

LANDLINE NO. OF WORK :

(SPOUSE / CO-COMAKER) NAME OF EMPLOYER / COMPANY (IF WORKING)

(SPOUSE / CO-COMAKER) NUMBER OF YEARS WORKING :

(SPOUSE / CO-COMAKER) ADDRESS OF EMPLOYER / COMPANY :

(SPOUSE / CO-COMAKER) POSITION / TITLE IN THE WORK :

(SPOUSE / CO-COMAKER) LANDLINE NO. OF WORK :

NAME OF BUSINESS (IF ANY) :

LANDLINE NO. OF WORK :

ADDRESS OF BUSINESS :

NUMBER OF YEARS OF OPERATION :

LANDLINE NO. OF BUSINESS :

SAVINGS / TIME DEPOSIT

AND WHICH BRANCH

CREDIT CARD (MASTERCARD, CITI, ETC, IF ANY)