Dealer: Marketing Coordinator:

UNIT APPLIED FOR

Purchase / Refinancing Brand New Vehicle / Used Vehicle Kind of Vehicle: Car AUV LCV SUV Truck Others

Use: Personal Business Brand: Type: Model:

Cash Price: Down Payment: Amount Financed: Term:

PERSONAL DETAILS
Borrower’s Name: Birthdate: Birthplace:
Last First Middle Name mm/dd/yy
Gender: Male Marital Status: Single Married Annulled/Divorced Citizenship:

Female Widow/er Separated Cellphone Number/s:

Educational Attainment: Email Address:

TIN NO./SSS/GSIS NO.:/Alien Certificate of Registration (ACR) Number (for foreigners only):

Issued at: Date Issued: Verification O.R.NO.: Date:

Home Address:
Number/Lot/Block Street/Avenue Road District/Barangay City/Municipality Province

Owned by borrower/spouse Rented Mortgaged with Length of Stay: year/s month/s

Used Free Living w/ Parents/Relatives Telephone Number/s:

SPOUSE/CO-BORROWER DETAILS
Spouse’s Name: Birthdate: Birthplace:
(Co-borrower’s Name) Last First Middle Name mm/dd/yy Citizenship:

SOURCE OF INCOME
BORROWER SPOUSE/CO-BORROWER
BORROWER SPOUSE/CO-BORROWER

Employment Type/ Private Immigrant/OFW Government NGO Others Private Immigrant/OFW Government NGO Others
Type of Business
Single Proprietorship Partnership Corporation Single Proprietorship Partnership Corporation

Employer’s Name / Business Name

Telephone/Fax Number
Address
Position/Email Address
Years of Employment
Nature of Business

MONTHLY INCOME DETAILS

DETAILS
Borrower’s Monthly Salary: P Monthly Expenses:
Spouse’s Monthly Salary: Rentals: P
Other Monthly Income from Mortgages:

TOTAL INCOME: P TOTAL EXPENSES: P NET INCOME: P

PERSONAL / CHARACTER REFERENCES OTHER SOURCE/S OF INCOME

NAME ADDRESS TELEPHONE NO Employer / Business Name Nature of Business

Employer / Business Address Owned

Rental/Mo. P
Length of Stay/ Years in Business Telephone No. Monthly Income

BANK ACCOUNTS
Bank /Branch Account Type Account No. Date Opened

BANK AUTHORIZATION UNDERTAKING

DATE: I/We hereby certify that all the information furnished in this Application Form are true, correct and
DEAR: complete, and that the signatures appearing herein are true and genuine. I/We hereby authorized
ASIALINK FINANCE CORPORATION to obtain such information as maybe required concerning the
validity and veracity of the information provided in this application using any applicable emthods of
This is to authorize ASIALINK FINANCE CORPORATION or its authorized processes, including my/our loan and deposit account, and waive my/our rights under R.A. 1405. I/
representative to verify my/our savings/checking account with your bank. We further agree that this application and all supporting documents and any other information
obtained by ASIALINK relative to this application shall remain as ASIALINK’s property whether or
You are allowed to disclose the date opening of my/our savings/checking account, not the loan is granted. I/We agree that ASIALINK has no obligation to furnish me/us the reason for
the handling and the Average Daily Balance (ADB) for the last 6 months. such rejection. I/We also understand that any false statement or concealment of information which
maybe discovered after the loan has been granted shall be sufficient basis forASIALINK to consider
Bank Branch/ Address Account Type Account No. the loan due and demandable immediately

I hereby undertake not to use the proceeds of the loan for placement purposes and/or to pay
any chargeable and allowable fees in relation to my travel and/or work abroad. Otherwise Asia
link Finance Corporation has the right to rescind the loan and shall declare all unpaid amortization
immediately due and demandable together with all interesrs and damages.
Thank you very much for your kind assistance.

PRINCIPAL BORROWER SPOUSE

Very Truly yours,
(Printed Name and Signature) (Printed Name and Signature)