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Seaman Loan Form
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* Indicates required question
Email
*
Your email
Complete Name (with middle name)
*
Your answer
Seaman Mobile Number
*
Your answer
Current Complete Address
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Current Residence Status
*
Choose
Fully Owned - Relative or Family Member House
Renting or Lease or Boarding Only
FREE Use
Board and Lodging
Have province residence
Others
Complete Coborrower Name (pwede anak or asawa or magulang or common law wife with kids)
*
Your answer
Coborrower Mobile Number or Landline Number
*
Your answer
Seaman Civil Status
*
Choose
Married
Single
Separated
Widowed
Living In with Kids
Living In Without Kids
Contract Salary
*
Your answer
Contract Duration or Term (How Many Months?)
*
Your answer
Departure Date
*
MM
/
DD
/
YYYY
Manning Agency
*
Your answer
Position
*
Your answer
Salary Type
*
Choose
Self Allottee
Pay On Board
Tipping with Payslip
Tipping without Payslip
With Allotment
Willing to Wait 1 Full Day?
*
Yes
No
Required
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