Application Form

Online Application Form.

Please Complete all asterisked fields. If a field is not applicable , please type N.A.

Your Mc Loan Pro Agent's Name: *

How Did You Know About Us?: *

Name of Referror (If Referred): *

Desired Loan Amount (Subject to Bank's Approval): *

Desired Loan Term: *

Purpose of Loan: *

Purpose Of Loan Others:

Fill Up If You select others in purpose of loan.

PERSONAL INFORMATION

Existing Loan Customer Of Chinatrust?: *

First Name: *

Middle Name: *

Last Name: *

Other Name (Alias): *

Title: *

Sex: *

Date Of Birth: *

Marital Status: *

Spouse Name: *

Spouse Working?: *

No. Of Children: *

No. Of Dependents: *

Mother's First Name: *

Mother's Middle Name: *

Mother's Last Name: *

Philippine Resident?: *

Nationality: *

Educational Attainment: *

Educational Attainment (Others):

Please Fill Up If You've Selected Others In Educational Attainment.

SSS No.: *

Tin No.: *

Residence Type: *

Residence Type (Amortization/Month):

Please Fill Up if you've selected Owned (Mortgaged)

Residence Type (Rent/Month):

Please Fill Up If you've selected rented.

Residence Type (Others):

Please Fill Up If you selected others.

Current Home Address

Lot/Blk No.: *

House/Unit Number: *

Floor No./Building Name: *

Subd./Compound Name: *

Street: *

City/Province: *

Zip Code: *

Residence Contact number

Area Code: *

Phone 1: *

Phone 2: *

Mobile: *

Fax: *

Email: *

Previous Home Address

Lot/Blk No.: *

House/Unit No.: *

Floor No./Building Name: *

Subd.Compound Name: *

Street: *

City/Province: *

Zip Code: *

Yrs./Month at Present Address

Years: *

Months: *

Yrs./Month at Previous Address

Years: *

Months: *

Provincial Home Address

Lot/Blk No.: *

House/Unit No.: *

Floor No./Building Name: *

Subd./Compound Name: *

Street: *

City/Province: *

Zip Code: *

Provincial Contact number

Area Code: *

Phone 1: *

Phone 2: *

Mobile: *

Fax: *

Email: *

WORK AND FINANCES

Present Employment Permanent: *

Part Owner: *

Company Type: *

Company Type (others):

Please Fill Up If you've selected others.

Nature Of Business: *

Position: *

Rank: *

Employer/Business Name: *

Employer's Address

Lot/Blk No.: *

House/Unit No.: *

Floor No./Building Name: *

Subd./Compound Name: *

Street: *

City/Province: *

Zip Code: *

Office Contact Number

Area Code: *

Phone 1: *

Phone 2: *

Mobile: *

Fax: *

Email: *

Previous Employment

Employer/Business Name: *

Previous Employer's Address

Lot/Blk No.: *

House/Unit No.: *

Floor No./Building Name: *

Subd./Compound Name: *

Street: *

City/Province: *

Zip Code: *

Previous Office Contact Number

Area Code: *

Phone 1: *

Phone 2: *

Mobile: *

Fax: *

Email: *

Yrs./Month a Present Company

Years: *

Months: *

Yrs./Month at Previous Company

Years: *

Months: *

Monthly Income Expenses (based on one month payslip)

Basic: *

Allowance: *

Deduction: *

SPOUSE DETAILS

Employer/Business Name: *

Designation/Title/Rank: *

Department: *

Spouse Office Contact Number

Area Code: *

Phone 1: *

Phone 2: *

Mobile: *

Fax: *

Email: *

OTHER DETAILS

Bank References

Bank 1

Bank Name: *

Branch: *

Account Type: *

Account Number:

Bank 2

Bank Name: *

Branch: *

Account Type: *

Account Number:

Bank 3

Bank Name: *

Branch: *

Account Type: *

Account Number:

Credit Card Owned

Credit Card 1

Credit Card Number:

Issuer's Name: *

Member Since (mm/yyyy): *

Card Expiry (mm/yyyy): *

Card Limit: *

Credit Card 2

Credit Card Number:

Issuer's Name: *

Member Since (mm/yyyy): *

Card Expiry (mm/yyyy): *

Card Limit: *

Credit Card 3

Credit Card Number:

Issuer's Name: *

Member Since (mm/yyyy): *

Card Expiry (mm/yyyy): *

Card Limit: *

Personal Reference

Personal Reference 1

Name: *

Landline: *

Mobile Number: *

Relationship: *

Address: *

Personal Reference 2

Name: *

Landline: *

Mobile Number: *

Relationship: *

Address: *

Personal Reference 3

Name: *

Landline: *

Mobile Number: *

Relationship: *

Address: *

HR Authorized Informant For Employee Verification: *

HR Contact Number

Direct Line: *

Trunk Line: *

Local: *

Best Time To Call HR Informant?: *

Best Time To Call Applicant?: *

Preferred Telephone Number of Applicant: *

For Self-Employed Applicants Only:

3 Major Suppliers

Supplier 1

Name Of Company:

Contact Person:

Office Address:

Contact Number:

Materials/Services Supplied:

Supplier 2

Name Of Company:

Contact Person:

Office Address:

Contact Number:

Materials/Services Supplied:

Supplier 3

Name Of Company:

Contact Person:

Office Address:

Contact Number:

Materials/Services Supplied:

3 Major Customers

Customer 1

Name Of Company:

Contact Person:

Address:

Contact Number:

Customer 2

Name Of Company:

Contact Person:

Address:

Contact Number:

Customer 3

Name Of Company:

Contact Person:

Address:

Contact Number:

Requirements

For Employees:

For Employees:
- Completely filled out Application Form
- Photocopy of Latest ITR/Form 2316
- Photocopy of ID Issued by employer with photo and signature (Front and Back)
- 3 specimen signatures
- Photocopy of One (1) month latest payslip (original copy may be required prior to loan release)
- Latest Certificate of Employment (30 days validity upon issuance date)
- Other Documents )may be required from the applicant to process the loan)

Attach Supporting Ducuments here for employees

Scanned ITR/Form 2316: