UNION MOTOR CORPORATION - KALOOKAN

Sales Manager : CRIZZ JOY NINA R. CHUA Unit :

Sales Representative : Jessie Boy Cristian N. Huavas Price :
Contact # : 0977-2372-483 Down Payment :
EMAIL : [email protected] Terms :

BORROWER'S DATA
Borrower's Name Co-Borrower's Name

LAST NAME FIRST NAME MIDDLE NAME LAST NAME FIRST NAME MIDDLE NAME
BIRTH DATE: TIN: BIRTH DATE: TIN:
MOBILE #: MOBILE #:
E-mail Add.: E-mail Add.:
[/ ] Same as Borrower
Present Address: Present Address:

[ ] owned (mortgage) [ ] company provided [ ] owned (mortgage) [ ] company provided

[ ] owned (not mortgage) [ ] rented [/] owned (not mortgage) [ ] rented

[ ] living w/family Length of Stay: [/] living w/family Length of Stay:

Permanent Address: Permanent Address:

[ / ] Same as the Above [/] Same as the Above

Civil Status: [ ]Single [ ] Married [ ] Widowed [ ] Separated Civil Status: [ ]Single [ ] Married [ ] Widowed [ ] Separated
Citizenship: Citizenship:
Employer/ Business Name: Employer/ Business Name:

Position/ Department: Position/ Department:

Tenure: Tenure:
Office Address Office Address

Nature of Business: Nature of Business:

Office Tel. No. Office Tel. No.
HR Email: HR Email:
Previous Employer: Previous Employer:
Position/ Dept: Position/ Department:
Tenure : Tenure:
FINANCIAL STANDING
Monthly Income: Additional Information for SELF-EMPLOYED:
Borrower Spouse/ Co-Maker Major Customers/ Tel. No.
Salaries 1
Allowance 2
Other/s 3
Major Suppliers/ Tel. No.
Combined Monthly Income: 0 1
Bank/s: Branch Type : 2
3

DATA PRIVACY ACT WAIVER TO BE INCLUDED IN AND CONSIDERED PART AND PARCEL OF THE CREDIT APPLICATION FORM AND DOCUMENTS:

I hereby authorize UNION MOTOR CORPORATION to process and share my personal data to any of its accredited banks, which is likewise authorized to receive,

use, collect and process my personal data, for the purpose of financing my purchase of auto vehicles/s from the dealer or assignment of the dealer's rights

to its accredited banks, including verification,customer profiling,cross-checking and credit investigation. In this regard my personal information may also be shared

with accredited banks' branches, subsidiaries, affiliates, representative or third party service provider. I am also aware that the details of how my personal data

will be processed and the rights available to me are listed in the accredited banks' Privacy Policy Statement, which I may secure from the accredited bank(s) concerned.
(/) YES I ACCEPT AND AGREE WITH THE TERMS AND CONDITIONS OF "DATA PRIVACY ACT"

Printed Name and Signature/Date

UNION MOTOR CORPORATION - KALOOKAN

Sales Manager : CRIZZ JOY NINA R. CHUA Unit : 2023 MIRAGE HB GLX
Sales Representative : Jessie Boy Cristian N. Huavas Price : P772,000
Contact # : 0977-2372-483 Down Payment : 20%
EMAIL : [email protected] Terms : 60 MOS.

BORROWER'S DATA
Borrower's Name Co-Borrower's Name
ROSARIO JILL MISTADES DELOS SANTOS CARLO SINGSON
LAST NAME FIRST NAME MIDDLE NAME LAST NAME FIRST NAME MIDDLE NAME
BIRTH DATE: 4/16/1981 TIN: 305-694-15 BIRTH DATE: 11/12/1980 TIN: OFW
MOBILE #: 0929-478-6195 MOBILE #: 0919-949-6970
E-mail Add.: [email protected] E-mail Add.: [email protected]
[/ ] Same as Borrower
Present Address: Present Address:
0023 LT BLOCK 5 STCAMILLA CERRITOS PH 2 MOLINO III BACOOR CAVITE

[ ] owned (mortgage) [ ] company provided [ ] owned (mortgage) [ ] company provided

[/] owned (not mortgage) [ ] rented [/] owned (not mortgage) [ ] rented
[/] living w/family Length of Stay: [/] living w/family Length of Stay: 42 YEARS
Permanent Address: 5 YEARS Permanent Address:
[ / ] Same as the Above [/] Same as the Above

Civil Status: [/ ]Single [ ] Married [ ] Widowed [ ] Separated Civil Status: [/]Single [ ] Married [ ] Widowed [ ] Separated
Citizenship: FILIPINO Citizenship: FILIPINO
Employer/ Business Name: Employer/ Business Name:
PRIMERA BAR AND RESTAURANT CF SHARD CREW MANAGEMENT /NORWEGIAN CRUISE LINE
Position/ Department: RESTAURANT MANAGER Position/ Department: CABIN STEWARD
Tenure: 4 MOS. Tenure: 5 YEARS
Office Address Office Address
9001 LIGAS IILINO BLVDCOOR CAVITE 290-292 CASA ROCHA BLDNG.GENERAL LUNA ST. INTRAMUROS MANILA

Nature of Business: RESTAURANT Nature of Business: MARITIME

Office Tel. No. 0963-527-6709 Office Tel. No. 02-852-7607/ (+632)8527-5459
HR Email: [email protected] Email: [email protected]
Previous Employer: LIMA PARK HOTEL Previous Employer:
Position/ Dept: RESTAURANT MANAGER Position/ Department:
Tenure : 5 YEARS AND 3 MOS Tenure:
FINANCIAL STANDING
Monthly Income: Additional Information for SELF-EMPLOYED:
Borrower Spouse/ Co-Maker Major Customers/ Tel. No.
Salaries 20,569 110,800 1
Allowance 10,000 2
Other/s 3
Major Suppliers/ Tel. No.
Combined Monthly Income: 141,369 1
Bank/s: Branch Type : 2
3

DATA PRIVACY ACT WAIVER TO BE INCLUDED IN AND CONSIDERED PART AND PARCEL OF THE CREDIT APPLICATION FORM AND DOCUMENTS:

I hereby authorize UNION MOTOR CORPORATION to process and share my personal data to any of its accredited banks, which is likewise authorized to receive,

use, collect and process my personal data, for the purpose of financing my purchase of auto vehicles/s from the dealer or assignment of the dealer's rights

to its accredited banks, including verification,customer profiling,cross-checking and credit investigation. In this regard my personal information may also be shared

with accredited banks' branches, subsidiaries, affiliates, representative or third party service provider. I am also aware that the details of how my personal data

will be processed and the rights available to me are listed in the accredited banks' Privacy Policy Statement, which I may secure from the accredited bank(s) concerned.
(/) YES I ACCEPT AND AGREE WITH THE TERMS AND CONDITIONS OF "DATA PRIVACY ACT"
JILL M. ROSARIO 12/9/2022
Printed Name and Signature/Date