Apply for a BPInoy Seafarer's Home Loan now! Simply print and fill out this form then fax to BPI Direct Savings Bank at 816-9424.     BPInoy Seafarer's Application Form                                                             (Please print this page.)   Existing BPI/ BFSB/ BPI Direct client? Yes No   If yes, type of relationship Credit Card Deposits Housing Loan Auto Loan Others       LOAN DETAILS     Amount applied for Purpose of Loan   PhP   Purchase of Vacant Lot   Term   Purchase of House & Lot   Interest rated fixed for  years   Purchase of Townhouse/ Condominium     Refinancing/ Take out from              Renovation/ Home Improvement     Construction of House     Reimbursement of Acquisition Cost     Multi-purpose/ Property Equity Loan     Loan Consolidation     Others         PERSONAL DETAILS OF BORROWER     Name                   (Last)                 (First)                 (Middle)   Birthdate Age          (mm/dd/yyyy)     Marital Status     Single TIN     Married year/s SSS No.     Widowed year/s GSIS No.     Separated year/s Citizenship     Present Residence Address (No./ Street/ Barangay/ Municipality or City/ Province)         Zip Code        Residence is   Owned       Not Owned       Mortgaged   If not owned   Renting      Living with Relatives         Previous Residence Address (No./ Street/ Barangay/ Municipality or City/ Province)         Zip Code        Length of Stay in Present Address   Years   Months   Length of Stay in Previous Address   Years   Months   Residence Tel. No. No. of Children   Office Tel. No. E-mail Address     PERSONAL DETAILS OF SPOUSE     Name                   (Last)                 (First)                 (Middle)   Spouse's Maiden Name                   (Last)                 (First)                 (Middle)   Birthdate Age          (mm/dd/yyyy)     Citizenship TIN   E-mail Address SSS No.   Cellphone No. GSIS No.      INCOME DETAILS         Borrower   Spouse/ Co-Borrower   Employment Type     Seaman     Employed     Employed     Self-Employed w/ Business     Self-Employed Professional     Government Employee     Expat Pinoy     Others                    Employer/ Business Name       Employer/ Business Address       Type of Business     Single Proprietorship     Single Proprietorship     Partnership     Partnership     Corporation     Corporation   Nature of Business       Years of Employment/ in Business   Years   Years   Present Position/ Title       Gross Annual Income PhP PhP   Previous Employment/ in Business       Other Income       Fixed Income Source       Estimated Living Expenses         COLLATERAL DETAILS     Property Address (No./ Street/ Barangay/ Municipality or City/ Province)       Selling Price/ Market Value   Present Registered Owner   TCT/ CCT No.   Developer   Project   Lot No. Equity   Block No. Amount   Area sqm %     CREDIT DEALINGS     Type of Credit/ Loan Type of Credit/ Loan   Bank/ Financial Institution Bank/ Financial Institution         Original Amount Original Amount   Monthly Amortization Monthly Amortization   Outstanding Balance Outstanding Balance   Maturity Date Maturity Date     CREDIT CARDS     Credit Card Issuer Credit Card Issuer   Card Number Card Number   Credit Limit Credit Limit   Member Since Member Since   Expiry Date Expiry Date   Average Payment Average Payment     ASSETS     Borrower Spouse/ Co-Borrower/ Co-Maker   Type of Property/ Investment   Location/ Description   Estimated Value/ Size (sqm)     REFERENCES (TRADE/ PERSONAL)     1. Name of Supplier/ Client   Address   Telephone No.   Contact Person   2. Name of Supplier/ Client   Address   Telephone No.   Contact Person   3. Name of Supplier/ Client   Address   Telephone No.   Contact Person   4. Name of Supplier/ Client   Address   Telephone No.   Contact Person I/We affirm that each of the statements made in this application is true and correct. I/We agree to notify BPI Direct Savings Bank, herein after referred to as “Bank”, of any material change affecting the information herein. I/We authorize the Bank to obtain and verify such information as may be required covering this application. I/We commit to inform the Bank in case of resignation from my present manning agency or of my transfer to another manning agency. The Bank may approve or reject my application at its own discretion. I/We understand that should this application be denied, the Bank has no obligation on its part to furnish the reason for such rejection. I/We further agree that all information obtained by the Bank shall remain its property whether or not the loan is granted. I/We understand that this application is non-transferable. By signing below, I/We agree to abide by the Bank’s terms and conditions on housing loans. I/We certify that any material misrepresentation or falsification therein shall be construed as an act to defraud the Bank for which civil and/or criminal liability can be pursued against me/ us. I/We waive the confidentiality to the transaction for BIR purposes and hereby give authority to the Bank to conduct random verification with the BIR in order to establish authenticity of the Income Tax Return and accompanying financial statements.     __________________________ __________________________ Signature of Borrower Signature of Spouse   __________________________ __________________________ Date Date   ACCOUNT IS REFERRED BY     Unit/ Branch   Account Officer/ Marketing Assistant   Developer (if applicable)   Broker (if applicable) Simply print and fill out this form then fax to BPI Direct Savings Bank at 816-9424.