Consent Form - For Credit Verification
Consent Form - For Credit Verification
Consent Form - For Credit Verification
to disclose and provide to the PHILIPPINE SAVINGS BANK (PSBANK), and/or its authorized
employee and/or service provider tasked to do credit verification any personal information or document
containing my personal information relating to the above, for the purpose of validation and verification of
the information Isubmitted to PSBANK in connection with my loan application therewith.
I further give consent to and authorize PSBANK to receive from the said PIC/PIP/holder/processor any
personal information or document related to the above, and to use and process the same for the
aforementioned purpose.
In giving the above authorities, I hereby hold the said PIC/PIP/holder/processor of my personal
information, as well as PSBANK, its directors, officers, employees, and agents, free and harmless from,
waive, and indemnify the latter against, any and all claims, suits, proceedings, actions, and other demands
related to data privacyin connection with the disclosure, receipt, use, and processing of my personal
information.
I hereby warrant that this Consent and Authorization was voluntarily and willfully executed knowing the
full legal consequences thereof, and for the purpose of my loan application with PSBANK.
_________________________________
[printed name of Borrower]
Witnessed by:
______________________________
[signature above printed name]