Truth in Lending Act

Application Center
Home Loan

APPLICANT PERSONAL DATA
Last Name
First Name
Middle Name
Birthdate ,
Sex
Civil Status
Nationality
Mother's Maiden Name
No. of Dependents    Ages
Home Address
Zip Code
Years of Stay
Home Ownership
Previous Address
Billing Address
Provincial Address
No. of Vehicles Owned
  Mortgaged
E-mail Address
T.I.N.
Telephone Number
Cellphone Number
Pager Number

APPLICANT EMPLOYMENT DATA
Employer/Name of Business
Position
Nature of Business
Office Address
Zip Code
Telephone Number
Fax Number
Years in Business
Other Income Source

SPOUSE PERSONAL DATA
Last Name
First Name
Middle Name
Birthdate ,
T.I.N.
Nationality

CO-BORROWER/ ADMINISTRATOR PERSONAL DATA
Last Name
First Name
Middle Name
Birthdate ,
T.I.N.
Nationality

SPOUSE EMPLOYMENT DATA
Employer/Name of Business
Position
Nature of Business
Office Address
Zip Code
Telephone Number
Fax Number
Years in Business
Other Income Source

CO-BORROWER/ ADMINISTRATOR EMPLOYMENT DATA
Employer/Name of Business
Position
Nature of Business
Office Address
Zip Code
Telephone Number
Fax Number
Years in Business
Other Income Source

MONTHLY INCOME
  Currency Borrower Currency Spouse Currency Co-Borrower/ Administrator
Salaries
Business Income
Allowances
Commissions
Rental Income
Others

APPLICATION DETAILS
Type of Application  
Amount of Loan PhP
Equity Ratio %
Term years

EXISTING DEPOSITS
Bank/Branch Account Type Account Number Current Balance

EXISTING CREDIT CARDS
Credit Card Company Card Number Credit Limit (PhP) Expiry

ALL EXISTING LOANS AND FINANCING
Creditor Loan Type Current Balance (PhP) Monthly Payments

TRADE REFERENCES (For Self-Employed Clients Only)
Name of Supplier/Customer Address/Telephone Nos.

PERSONAL REFERENCES
Name (Last/First/Middle) Address/Telephone Nos.

COLLATERAL DATA
Type of Collateral
Title in the name of
Property Address

Please provide details only if you have been referred by an employee of the Bank.
Branch/BERC Office
Name of Employee

Note: Appraisal Fee is PHP 3,000.00 only. This will cover appraisal and credit investigation expenses.

AGREEMENT

I(We) affirm that the statements made in this application form are true and correct and agree to notify BPI Direct* of any material changes affecting the information contained herein. I(We) authorize BPI Direct to obtain and verify such information as may be required covering this application from above references or any other sources. By submitting this form, I(We) certify that any material misrepresentation or falsity therein shall be construed as an act to defraud BPI Direct for which civil and/or criminal liability can be pursued against me(us). In case of disapproval of my(our) application, BPI Direct is under no obligation to provide me(us) with the reason for such decision. I(We) agree that all information obtained by BPI Direct shall remain its property whether or not the loan application is approved.

*All approved online applications will be booked with BPI Direct. However, BPI Family Bank, as the Service Agent of BPI Direct, will be handling the processing of your loan. Therefore, all communication regarding your loan application shall be with BPI Family Bank in behalf of BPI Direct.

Please wait for the application confirmation page to appear to confirm that your application has been received.