BUSINESS INFORMATION SHEET (put N/A if not applicable, and for numeric entry put 0 if not applicable)
* Required Field
Business Name Tel. No.
Business Address Fax  No.
City/Province/Town Email Address
Type of Business Nature of Business
Purpose(s) of Loan Term
OWNERSHIP AND MANAGEMENT (put N/A if not applicable, and for numeric entry put 0 if not applicable)
Name and Holding of Stockholders/Partner & Board of Directors
NAME NO. OF SHARES PAID UP BOARD POSITION
ABOUT THE OWNER OR PRESIDENT (put N/A if not applicable, and for numeric entry put 0 if not applicable)
Name Age
Residence Address Tel. No./Cell No.
Business Address Tel. No.
Birth Date   [mm/dd/yyyy] Birth Place
Civil Status Citizenship
Spouse Name Age of Spouse
Mother's Maiden Name Spouse Occupation
Contact No.
NAME OF CHILDREN (put N/A if not applicable) AGE OCCUPATION BUSINESS ADDRESS
BUSINESS /CIVIC AFFILIATION (Membership,e.g. Trade/Industry Association, Civic Club)
EDUCATIONAL BACKGROUND: BORROWER  (put N/A if not applicable) SPOUSE  (put N/A if not applicable)
High School
College
Degree / Year Graduated
Graduate School/Yr. Graduated
Other Training
WORK EXPERIENCE: (put N/A if not applicable)
EMPLOYER /COMPANY & ADDRESS POSITION/RESPONSIBILITY INCLUSIVE PERIOD
LIST OF CUSTOMERS (put N/A if not applicable, and for numeric entry put 0 if not applicable)
NAME ADDRESS CONTACT PERSON/NUMBER
LIST OF SUPPLIERS (put N/A if not applicable, and for numeric entry put 0 if not applicable)
NAME/ADDRESS/TELEPHONE ITEM SUPPLIED / TERMS UNITS PURCHASED FREQUENCY
CREDIT REFERENCES (Borrowing Experience - Amounts in Pesos)
NAME OF BANK/FINANCIAL ORIG. AMOUNT/ BALANCE AMORTIZATION/
MODE OF PAYMENT		 VALUE/DUE DATE
BANK DEPOSIT/INVESTMENT:
INSTITUTION AVERAGE DAILY BALANCE (PESOS) MAINTAINED SINCE
PERSONAL REFERENCES (put N/A if not applicable, and for numeric entry put 0 if not applicable)
Name Address Contact Number Relation
Applicant
Amount Applied For
TIN
Co-Borrower
Co-Borrower  TIN
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