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Salary Stretch
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Online Application
LOAN DETAILS
Desired Loan Amount (Subject to Bank’s approval)
Desired Loan Term
12 months
18 months
24 months
36 months
Purpose of Loan
Appliance
Balance Transfer
Health / Hospitalization
Home Improvement
Education
Livelihood / Working Capital
Travel
Others
PERSONAL INFORMATION
Exisiting Loan Customer
Yes
No
Title
Mr.
Mrs.
Ms.
First Name
Middle Name
Last Name
Date of Birth (mm/dd/yyyy)
City / Province
Area Code
Phone 1
Phone 2
Mobile
SSS No.
TIN
WORK AND FINANCES
Present Employment Permanent?
Yes
No
Part Owner
Yes
No
Position
Rank
Employer / Business Name
City / Province
Area Code
Phone 1
Phone 2
Mobile
Fax
e-mail
Years/Months at Present Company
years
months
Years/Months at Previous Company
years
months
OTHER DETAILS
Personal References
Name
Relationship
Landline
Mobile No.
City/Province
Loan Officer
