Credit Application Form


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* Required Fields

Company Details

Major Stockholders / Partners / Officers

Name Position Amt. of
Stock Participation
% Address

Other Related Business

Name Nature Of Business Year Established Amount of Income

Business References

Name Address Contact Numbers

Bank Accounts

Bank / Branch Account Type Account No.

Loan Information

Real Estate Chattel
Location Loan Amount Terms Unit, Model & Make Price Downpayment

* Required Fields
By clicking Submit Application, I hereby certify that all information disclosed in this application form is true to my personal knowledge. I hereby certify 88 ASIA FINANCE CORPORATION and its authorized representative to conduct the required investigation thereon.

I hereby acknowledge and authorize: 1) the regular submission and disclosure of my basic credit data (as defined under Republic Act No. 9510 and its implementing Rules and Regulations) to the Credit Information Corporation (CIC) as well as any updates or corrections thereof; and 2) the sharing of my basic credit data with other lenders authorized by the CIC credit reporting agencies duly accredited by the CIC.