HOMEPLUS LOAN APPLICATION

Individuals
Application Date Application ID Generating Unit Account/Branch Officer CIF No.:

Not a CBC Customer upon Application Date

PURPOSE OF LOAN Selling Price / Estimated Cost Desired Loan Amount

Acquisition O Lot O House O Townhouse O Condominium PHP PHP
Construction O House O Townhouse O Apartment Borrower’s Equity Desired Monthly Payment
Renovation/Home Improvement Refinancing Reimbursement PHP PHP
Others (please provide details) Rate Fixing (in years) Term (in years)
1 2 3 5 10
Property Type
Property Address / Location TCT / CCT No. Lot / Floor Area
Residential Commercial
COLLATERAL

Type of Improvement Storey(s) Floor Area Year Built

BORROWER’S INFORMATION
Name (Last Name, First Name, Middle Name) Mr. Ms. Mrs. Dr. Atty. Engr. ________ Nicknames/Aliases/Other Names

Date of Birth (mm/dd/yyyy) Place of Birth (City/Country) Mother’s Maiden Name (First Name, Middle Name, Last Name)
Male Philippines
Female _________________________________________

Civil Status Nationality Mobile Phone No.

Single Married Separated Annulled Widowed Filipino ______________________

Personal E-mail Address Highest Educational Attainment Source(s) of Funds

High School College Post-Graduate Salary/Profession Business
Undergraduate ______________________________ Remittance __________________________

Home / Permanent Address (Unit No./Floor, Building Name, Building/House No., Street, Subdivision/Village, Barangay, City/Municipality, Province, Zip Code) Years of Telephone No.:
Residency

Owned Living with Relatives Renting for PHP ______________________ Presently Mortgaged for PHP _________________________
Present Address Same as Home / Permanent Address Years of Telephone No.:
Residency

Previous Address Same as Home / Permanent Address Years of

Residency

No. of Name of Dependent(s) Age School / Company Level / Year Employed

Dependents

Work Information Employed Self-Employed / Business

Employer’s / Business Name
Office / Business Address
Nature of Employment / Business
Telephone No.
Occupation / Designation / Position / Title
No. of Years in Employment / Business
TIN / SSS / GSIS No. Previous Employer (if less than 2 years in current employment) DTI Registration No.

SPOUSE / CO-BORROWER INFORMATION (if applicable)

Name (Last Name, First Name, Middle Name) Mr. Ms. Mrs. Dr. Atty. Engr. ________ Date of Birth (mm/dd/yyyy) CIF No. (For Bank’s Use Only)
Male
Female Not a CBC Customer upon Application Date
Place of Birth (City/Country) Nationality Mother’s Maiden Name (First Name, Middle Name, Last Name)
Philippines
Filipino ____________
__________________
Highest Educational Attainment Source(s) of Funds Mobile Phone No. Personal E-mail Address
High School College Post-Graduate Salary/Profession Business
Undergraduate ___________________ Remittance _______________________

Work Information Employed Self-Employed / Business

Employer’s / Business Name
Office / Business Address
Nature of Employment / Business
Telephone No.
Occupation / Designation / Position / Title
No. of Years in Employment / Business
Gross Monthly Income
TIN / SSS / GSIS No. Previous Employer (if less than 2 years in current employment) DTI Registration No.

FINANCIAL INFORMATION
A
A

Spouse / Co-Borrower Monthly Expenses

Monthly Income Borrower TOTAL
(if applicable)

Basic Salary Living Expenses

Rent and Utilities
Allowances
Education
Business Income
Transportation
Rental Income Monthly Amortization
Others Credit Cards / Insurance / Others

TOTAL TOTAL
A
A

CBG-003 (10-23) TMP

 ASSETS AND LIABILITIES
Location Lot Area Estimated Market Value
REAL ESTATE

Year Make Model Estimated Market Value

AUTOMOBILE

Company Name Number of Shares Estimated Market Value

SHARES OF
STOCK
Bank / Branch Date Opened Account Type / Account No. Balance
DEPOSIT
ACCOUNT(S)
Issued By Card Number Credit Limit Balance
CREDIT
CARD(S)
Bank / Branch Purpose Collateral Date Granted Maturity Date Balance Monthly Amortization
Loan(s)
(last 3 years)

TRADE AND BUSINESS REFERENCES (Existing and Within the Last 3 Years)
Name Contact Person Contact No. Nature of Transaction / Volume

AFFILIATIONS WITH CHINA BANK / ITS EMPLOYEES / THE PHILIPPINE GOVERNMENT / INTERNATIONAL ORGANIZATIONS
NO YES I’m a Director / Stockholder / Employee (Employee No.: ________________________________________ )
NO YES My relative is a Director / Stockholder / Employee (Name/Unit __________________________________________________ Relationship ____________________________)
NO YES I’m / I’m related or associated with a person currently/formerly holding a position in any branch of the Philippine or foreign government or an international organization.
Relationship with the government personnel: Occupying Relative Associate (Position and Dept. of the Gov’t Personnel _____________________________________________ )
FOREIGN ACCOUNT TAX COMPLIANCE ACT (FATCA) INFORMATION
Are you a US Citizen/Green Card Holder or do you meet the Substantial Presence Test?
YES. Kindly accomplish a separate FATCA Customer’s Information for U.S. Persons form.
NO.
Do you have any of the following records in the U.S.? ⃝ YES ⃝ NO
 Born in the U.S.*  U.S. Residence  Mailing Address (including a U.S. Post Office Box)  U.S. Telephone Number  Standing Instruction to transfer funds to accounts maintained in the U.S.
 Do you have a Power of Attorney or signatory authority granted to a person with a U.S. Address; or “in-care-of” or “hold mail” address?
If Yes, kindly submit: U.S. IRS Form W-8BEN** AND valid non-U.S. passport or any similar documentation establishing non-U.S. citizenship (e.g., Driver’s License, Tax Certificate issued by the Government **Kindly ask the
Bank for a copy of U.S. IRS Form W-8BEN (Certificate of Status of Beneficial Owner for United States Tax Withholding and Reporting - Individuals)
* Additional Requirement if Born in the U.S.: Copy of Individual’s Certificate of Loss of Nationality of the U.S. OR Written explanation of your renunciation of U.S. Citizenship or reason you did not obtain U.S. citizenship at birth

ATTORNEY-IN-FACT INFORMATION (if applicable)

Name (Last Name, First Name, Middle Name) Date of Birth (mm/dd/yyyy)

Relationship to Borrower Nationality Civil Status

Filipino ____________________________ Single
Married Separated Annulled Widowed
Address (Unit No./Floor, Building Name, Building/House No., Street, Subdivision/Village, Barangay, City/Municipality, Province, Zip Code)

Mobile Phone No. Personal E-mail Address TIN / SSS / GSIS No.

REFERRED BY BROKER / AGENT? YES NO Broker / Agent Contact No.

If YES, kindly ask the Broker / Agent to accomplish this section: Signature Over Printed Name / Date

AGREEMENT
I/We affirm that each of the statements made in this application is true and correct and the signature(s) appearing industry practice, businesses of CBC’s subsidiaries and affiliates, and by law. I/We shall notify CBC in writing, which
herein is/are genuine. I/We further affirm that I/we have provided the necessary information in order for China must be acknowledged by CBC, if I/we do not consent to the processing and disclosure of the said information with
Banking Corporation (CBC) to accurately determine whether or not the product or service is appropriate. I/We CBC’s representative offices, subsidiaries, affiliates and agents or other persons or entities that CBC may reasonably
agree to notify CBC of any changes affecting the information contained herein. I/We further confirm that I/we do select. I/We further acknowledge my/our right to information, access, correction, rectification, erasure of my/our
not have any outstanding civil or criminal case filed against me/us and that I/we do not have any arrearages/past personal data, data portability, objection to processing, file complaint and damages under the Data Privacy Act.
due loans with any bank or financial institution. Relative to the above, I/We agree that CBC may retain my/our personal and account information for as long as
I/We hereby waive the confidentiality accorded by RA No. 1405 Secrecy of Bank Deposit Act, as amended, RA necessary for the fulfilment of the purpose for which it was collected and such other purposes that I/we may have
No. 6426 Foreign Currency Deposit Act of the Philippines, as amended, RA No. 8791 General Banking Law of consented to from time to time, or as required by pertinent laws and regulations, and provide information when
2000, as amended, RA No. 9160 Anti-Money Laundering Act of 2001, as amended, and other similar and required to do so in accordance with RA 1405, RA 6426, RA 8791, RA 9510, RA 9160, RA 10173, as amended, and
applicable laws, pursuant to Sec. 26 of RA No. 7653, The New Central Bank Act and Sec. X337 of the BSP Manual other similar and applicable laws, by court order, and jurisprudence.
of Regulations for Banks, and allow examination, inquiry, inspection, and investigation of my/our deposits of I/We consent and authorize the Land Registration Authority, Register of Deeds, Land Transportation Offices, local
whatever nature, photocopying of my/our documents, maintained with CBC and in all banks in the Philippines. government unit offices and other government agencies and instrumentalities to give, provide, share, and disclose
However, any information obtained from an examination of my/our deposits shall be held strictly confidential and any and all information and documents as may be necessary and required by the Bank and its authorized
may be used by the examiners only in connection with their supervisory and examination responsibility or by the representatives, in connection with its conduct of skiptracing, asset and property search and/or verification.
BSP in an appropriate legal action it has initiated involving the accounts. I/We agree that CBC shall not be liable for any loss or damage arising from CBC’s disclosure of personal data and
I/We hereby expressly agree to CBC’s credit policies and procedures in accordance with BSP Circular No. 855 account information for the above purposes.
(Sound Credit Risk Management Practices), as well as other similar, applicable and related laws/regulations. If I/we provide CBC with any personal data relating to a third party (e.g. my/our references, suppliers, customers,
I/We further authorize CBC to conduct random verification with the Bureau of Internal Revenue (BIR) in order to et.al.), I/we warrant to CBC that I/we have obtained the written/recorded consent of such third party to provide CBC
establish the authenticity of the Income Tax Returns ITR(s) submitted by me/us duly stamped as received by the with his/her personal data for the necessary credit checks and other relevant purposes.
BIR, together with the supporting financial statements, as applicable, and such other documents required A photocopy of this authorization shall be effective and valid as the original. I/We agree that any information obtained
thereunder and hereby waive the benefit of confidentiality of client information in relation to said ITR(s) and by CBC shall remain its property whether or not the loan is granted.
financial statements (pursuant to BSP Circular No. 472 Series of 2005 as implemented by BIR Revenue Regulation
I/We confirm that I am/we are a) not director(s), officer(s), or stockholder(s) of CBC; and b) not the spouse(s) or
RR-4 2005 and Section X304.1 of the Bangko Sentral ng Pilipinas Manual of Regulations for Banks).
relative(s) within the second degree of consanguinity or affinity, or a relative by legal adoption, of a director, officer or
I/We further allow CBC to disclose my/our basic credit data as well as any regular updates and corrections thereto, stockholder of CBC, or related interest of a director, officer or stockholder of CBC as defined under law or BSP
to the Credit Information Corporation (CIC) pursuant to RA No. 9510 otherwise known as the Credit Information regulations. In case I am/we are director(s), officer(s), or stockholder(s) of or have related interest(s) to a director,
System Act (CISA) and its implementing rules. I/We understand that my/our credit data may be shared by the CIC officer or stockholder of CBC, I/we affirm that the necessary approvals have been obtained and/or the same is covered
with other authorized lenders and duly accredited reporting agencies, for the purpose of establishing my/our credit by a fringe benefit plan approved by the BSP. I/We agree that this HomePlus loan application shall be subject to BSP
worthiness. regulations including those pertaining to directors, officers, stockholders of CBC and their related interests.
I/We hereby consent and/or was authorized to give consent to the collection, retention, processing (as provided I/We acknowledge that by accomplishing the Broker/Agent section of this form, I/we hereby certify that I was/we were
under applicable confidentiality and data privacy laws of the Philippines including all subsequent amendments or referred by a Broker/Agent who is handling my/our account whose details are indicated above.
supplements thereto), and disclosure by CBC, of any personal, sensitive personal and privileged information
I/We fully understand that any material misrepresentation or failure to disclose information on my/our part as required
(“personal data”) relating to me/us, my/our surety(ies), third party mortgagor(s), my/our authorized person(s),
herein may cause disapproval of my/our loan application; and CBC at any time, shall have the right to cancel the loan
whether provided by me/us or coming to CBC’s possession, for purposes of loans and/or credit accommodations
approval and/or declare the loan due and demandable. I/We acknowledge that I/we have been informed by CBC of
and/or any of its existing credit facilities, or any other present or future credit transactions or arrangements that
I/we may have with CBC, its subsidiaries and affiliates. I/We further consent to the sharing and disclosure (and the Terms and Conditions regarding my/our HomePlus loan application including its current fees and charges being
incidentally, their collection, processing, retention and disclosure) of such personal data by CBC to its offices, imposed.
branches, subsidiaries, affiliates (Chinabank Insurance Brokers, Inc., China Bank Securities Corporation, China I/We agree to indemnify and hold free and harmless CBC, its subsidiaries and affiliates, as well as any of its officers,
Bank Capital Corporation, ChinaBank Savings, Inc., China Bank Properties and Computer Center, Inc., and directors and employees against any and all losses, claims, damages, penalties, liabilities, choses of actions and
Manulife-China Bank Life Assurance Corporation, among others), accredited third parties/vendors, or other costs of any kind that may arise directly or indirectly from the execution of this HomePlus loan application.
persons or entities that CBC may reasonably select, personal information processors, credit reporting or credit Further, in connection with this application, I/we agree to pay CBC a non-refundable Filing Fee of Five Thousand
reference agencies, credit protection provider, guarantee institutions, debt collection agencies, government Pesos (PHP 5,000.00) if within Metro Manila or fifty (50) km from any Consumer Loans Group (CLG) Center or Five
agencies and private regulatory organizations and other financial institutions and other outsourced service Thousand Five Hundred Pesos (PHP 5,500.00) if outside of Metro Manila or outside fifty (50) km from any CLG Center
providers engaged by the Bank as allowed by law and internal Bank policies, for purposes reasonably required by (subject to change at the option of CBC).
CBC such as, but not limited to, its conduct of everyday business (processing my/our transactions, maintenance Finally, by signing this application, the Borrower and/or Co-Borrower agrees that this application shall likewise serve
of my/our account/s), performance of daily technological and operational functions, communications technology as the Borrower’s and/or Co-Borrower’s application for the issuance of CBC Credit Card/s. The Borrower and/or Co-
services including updates and automation of the systems of CBC group and its subsidiaries and affiliates, Borrower undertakes to submit documents as may be deemed necessary by CBC. The Borrower and/or Co-Borrower
compliance with the law and regulatory organizations, research and statistics including conduct of surveys, authorizes CBC to conduct whatever credit investigation and verification with government agencies or third parties to
marketing and cross-selling of products and services of CBC, its subsidiaries and affiliates, client relationship ascertain credit standing, financial capability of the Borrower and/or Co-Borrower, and establish the authenticity of
management, sales lead generation, running credit and negative information checks, appraisal or valuation of the information declared and/or documents submitted. The Borrower and/or Co-Borrower understands that the
collateral/property and title verification, conduct of skiptracing, asset and property search and/or verification, issuance of a CBC Credit Card shall be subject to credit evaluation and discretion of CBC.
statistical and risk analysis, data analytics and client profiling and all other purposes as allowed in the banking

______________________________________________________________ ________________________________________________________________ ______________________________________________________________

Borrower’s Signature Over Printed Name / Date Spouse’s / Co-Borrower’s Signature Over Printed Name / Date Attorney-In-Fact’s Signature Over Printed Name / Date
REQUIREMENTS TO BE SUBMITTED UPON APPLICATION
BASIC REQUIREMENTS (Required from Principal, Co-Borrower and Attorney-In-Fact)
 Duly Accomplished Application Form  One (1) Photo Bearing Valid ID  Latest Income Tax Return / BIR Form 2316  Proof of Billing  Marriage Contract (if applicable)  FILING FEE (non-refundable)
Additional Requirements:
 For Employed  For OFWs/Non-Residents  For Sole Proprietorship
Certificate of Employment with Compensation and Tenure - Certificate of Employment / POEA Contract - DTI Registration - Audited Financial Statements for the last three (3) year
- Proof of Remittance/Pay Slips (for the last 6 months) - Bank Statements - Company Profile
 For Professionals - Consularized Special Power of Attorney - Complete List of Customers and Suppliers (including contact person and number)
Profession Information Sheet (CBC Form) (CBC Format, to be submitted upon Loan Approval if applicable)
COLLATERAL REQUIREMENTS Additional Collateral Requirements:  House Construction / Home Renovation / Home Improvement
 Owner’s Duplicate Copy of Transfer / Condominium Certificate of Title  Purchase of Lot / House and Lot / Townhouse / Condominium or - Floor and Building Plans - Cost Estimates and Material Specifications
 Vicinity / Location Map and Lot Plan Reimbursement  Refinancing
 Current Tax Declarations (Land and Improvement) - Contract to Sell (CTS) / Reservation Agreement / Conditional Deed of Sale - Statement of Account - Bank Ledgers / Official Receipts of Loan
 Current Real Estate Tax Receipts (Land and Improvement) - Statement of Account Payments for 3 months
 Current Real Estate Tax Clearances (Land and Improvement) - Deed of Assignment/Title for designated parking lot (if applicable)
1. Submit one (1) complete set of documents (attach the original document for verification) together with the non-refundable filing fee to ensure fast processing of loan application. CBC may ask for additional requirements in the course of processing
the application. Other post-approval requirements shall be submitted once loan is approved.
2. Inquiries can be made at the following numbers: 8-885-5555 local 5289, 5330, 5371, 5381, 5382, 5383, 5456; 8-815-4749; 8-802-9307; 8-840-2745 or visit www.chinabank.ph for more information.
CBG-003 (10-23) TMP