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.