eBIS

I. BUYER GENERAL INFORMATION

Q1. Title *

Q1. First Name *

Q1. Middle Name

Q1. Last Name *

Q2. ADDRESS - Country *

Q2. ADDRESS - Province *

Q2. ADDRESS - City/Municipality *

Q2. ADDRESS - Zip Code

Q2. ADDRESS - No. Inc, Bldg Name

Q2. ADDRESS - Street *

Q2. ADDRESS - Brgy/Subdivision *

Q3. Gender *

Q4. Highest Educational Attainment *

Q5. Civil Status *

Q6. Email Address *

Q7. Cellphone Number (in the Philippines) *

Q8. Birth date *

MM

/

DD

/

YYYY

Q9. Religion *

Q10. TIN *

Q11. Facebook

II. SPOUSE'S INFORMATION (IF APPLICABLE)

Q1. Title

Q2. First Name

Q3. Middle Name

Q4. Last Name

Q5. Gender

Q6. Complete Address

Q7. Contact Number

Q8. Email Address

Q9. Birth Date

MM

/

DD

/

YYYY

III. CO-BORROWERS INFORMATION (IF APPLICABLE)

A co-borrower is someone who applies for a loan with you and shares joint responsibility for repaying the loan. This is applicable to cases when the Principal Buyer's salary does not meet the required salary for loan approval.

Q1. Title

Q2. First Name

Q3. Middle Name

Q4. Last Name

Q5. Gender

Q6. Civil Status

Q7. Contact Number

Q8. Email Address

Q9. Complete Address

Q10. Birth Date

MM

/

DD

/

YYYY

Q11. TIN

Q12. Relationship to Buyer

IV. ATTORNEY IN FACT INFORMATION (FOR OFWs ONLY)

Attorney In Fact (AIF) is a designated person to perform specific acts or transactions on behalf of the principal buyer working abroad. Preferably a first degree relative residing in the Philippines.

Q1. Title

Mr.

Ms.

Clear selection

Q2. First Name

Q3. Middle Name

Q4. Last Name

Q5. Gender

Q6. Civil Status

Q7. Contact Number

Q8. Email Address

Q9. Complete Address

Q10. Birth date

MM

/

DD

/

YYYY

Q11. TIN

Q12. Relationship to Buyer

V. WORK & OCCUPATION

Kindly fill up work & occupation details of spouse/co-borrower if applicable

A. EMPLOYMENT STATUS *

B. IF SELF EMPLOYED - Proceed Answering Q2 to Q6

Q2. Business Name (Principal Buyer) - if Self Employed

Q2. Business Name (Spouse) - if Self Employed

Q2. Business Name (Co-borrower) - if Self Employed

Q3. Location of Business (Principal Buyer)

- if Self Employed

Q3. Location of Business (Spouse)

- if Self Employed

Q3. Location of Business (Co-borrower)

- if Self Employed

Q4. Industry (Principal Buyer) - if Self Employed

Q4. Industry (Spouse) - if Self Employed

Q4. Industry (Co-borrower) - if Self Employed

Q5. Business Type (Principal Buyer) - if Self Employed

Q5. Business Type (Spouse) - if Self Employed

Q5. Business Type (Coborrower) - if Self Employed

Q6. Date of Business Establishment (Principal Buyer) - if Self Employed

MM

/

DD

/

YYYY

Q6. Date of Business Establishment (Spouse) - if Self Employed

MM

/

DD

/

YYYY

Q6. Date of Business Establishment (Co-borrower) - if Self Employed

MM

/

DD

/

YYYY

C. IF OFW or LOCALLY EMPLOYED- Proceed Answering Q7 to Q13

Q7. Company Name (Principal Buyer) - if OFW/Locally Employed

Q7. Company Name (Spouse) - if OFW/Locally Employed

Q7. Company Name (Co-borrower) - if OFW/Locally Employed

Q8. Location of Work_Country (Principal Buyer) - if OFW/Locally Employed *

Q8. Location of Work_Country (Spouse) - if OFW/Locally Employed

Q8. Location of Work_Country (Coborrower) - if OFW/Locally Employed *

Q9. Location of Work_City/Municipality (Principal Buyer) - if OFW/Locally Employed

Q9. Location of Work_City/Municipality (Spouse) - if OFW/Locally Employed

Q9. Location of Work_City/Municipality (Co-borrower) - if OFW/Locally Employed

Q10. Industry (Principal Buyer) - if OFW/Locally Employed

Q10. Industry (Spouse) - if OFW/Locally Employed

Q10. Industry (Co-borrower) - if OFW/Locally Employed

Q11. Date Hired (Principal Buyer) - if OFW/Locally Employed

MM

/

DD

/

YYYY

Q11. Date Hired (Spouse) - if OFW/Locally Employed

MM

/

DD

/

YYYY

Q11. Date Hired (Co-borrower) - if OFW/Locally Employed

MM

/

DD

/

YYYY

Q12. Employment Contract Status (Principal Buyer) - if OFW/Locally Employed

Q12. Employment Contract Status (Spouse) - if OFW/Locally Employed

Q12. Employment Contract Status (Co-borrower) - if OFW/Locally Employed

Q13. Position/Level (Principal Buyer) - if OFW/Locally Employed

Q13. Position/Level (Spouse) - if OFW/Locally Employed

Q13. Position/Level (Co-borrower) - if OFW/Locally Employed

D. MONTHLY INCOME

Monthly income should be in Pesos. Also indicate monthly income of spouse and co-borrower. Write N/A if not applicable.

Q1. Monthly Net Income (Principal Buyer) *

Q1. Monthly Net Income (Spouse) *

Q1. Monthly Net Income (Co-borrower) *

VI. PERSONAL REFERENCES

Please indicate 3 character references (must be in the Philippines). These can be friends or relatives.

C1. Full Name

C1. Contact Number

C1. Relationship to Buyer

C2. Full Name

C2. Contact Number

C2. Relationship to Buyer

C3. Full Name

C3. Contact Number

C3. Relationship to Buyer