MAILIW

MAILLIW LENDING CORPORATION
Lower Ground Floor, Quadrillon Mansion Condominium, No. 151 M. Paterno St. cor. N. Domingo St. San Juan City
TYPE OF LOAN
Seaman/Allottee Doctor Others ___________________________
OFW/MIGRANT Business
Salary Loan Car Loan 2x2
Real Estate Tricycle PICTURE
New Account Renewal
Purpose of Loan:
Amount Applied:_______________________ Agent:______________________
BORROWER
Last name First Name Middle Name Birthday Age Sex Place
Mother's Maiden Name Civil Status

Single Married Widowed Separated
Educational Attainment SSS / GSIS no. TIN no.
Present Address Type of Ownership Neighborhood Length of Stay Zip Code
Permanent Address Type of Ownership Neighborhood Length of Stay Zip Code
Telephone Nos. / Residence Cellphone Office E-mail Address
DEPENDENTS
Name Age School
WORK INFORMATION
Name of Employer/Business Name/Agency POSITION
Employer/ Business Address Length of stay/Yrs. In Business
Office Tel. No. Monthly Income Schedule of Remittance if Seaman Status

Contractual Permanent
SPOUSE
Last name First Name Middle Name Birthday Age Sex
Name of Employer/Business Name POSITION
Empolyer/ Business Address Length of stay/Yrs. In Business
Office Tel. No. Monthly Income Status

Contractual Permanet
BANK ACCOUNTS
Bank and Branch Address Type of Account Account No. Date Opened
PERSONAL REFERENCES
Name Address Telephone No.
BUSINESS TRADE REFERENCES

Name of Supplier/Clients Address Contact Person Telephone No.
CO-MAKER INFORMATION
Last name First Name Middle Name Birthday Age Sex Place
Mother's Maiden Name Civil Status

Single Married Widowed Separated
Present Address Type of Ownership Neighborhood Length of Stay Zip Code
Permanent Address Type of Ownership Neighborhood Length of Stay Zip Code
Telephone Nos. / Residence Cellphone Office E-mail Address
Name of Employer/Business Name POSITION
Empolyer/ Business Address Length of stay/Yrs. In Business
Office Tel. No. Monthly Income Status

Contractual Permanet
BANK AUTHORIZATION
Date :______________________
The Manager
This is to authorize MAILLIW LENDING CORPORATION or its authorized representative to verify my/our savings/checking account with your bank.
You are allowed to disclose the date of opening of my/our account, the handling and the average daily balance (ADB) for the last six months
Bank and Branch Address Type of Account Account No. Date Opened
Thank you very much for your kind assistance.

Very truly yours,
Signature Over Printed Name

AGREEMENT
I/WE affirm that each of the statement made in this application is true and correct and the signature appearing herein is genuine. I agree to notify MAILLIW LENDING CORPORATION of
any material change affecting the information contained herein. I / We further confirm that I /We do not have any outstanding Civil or Criminal case filed against me and that I do not have
any arreanges / past due with any bank or any financial institution.
I authorized Mailliw Lending Corporation to obtain and verify such information as may be required covering this application from above references or any other sources. For this purpose, I
authorized the Mailliw Lending Corporation to disclose any information about me to any credit agency or regulating body for purpose of verification on reports or other requirements.
I hereby waive confidentiality of information reflected in my Bank Statement and /or Financial Statements I submitted as part of Mailliw Lending Corporations requirements and I authorized
Mailliw Lending Corporation to conduct such random verifications that may be necessary with the Bureau of Internal Revenue, with any bank, financial institution or goverment agency to
determine the veracity of any such information.
I agree and understand that should this application be denied, Mailliw Lending Corporation is not obliged to furnish the reason for denial.
I fully understand that any material misrepresentation or failure to disclose information on my part as required herein, may cause disapproval of my loan application; and Mailliw Lending
Corporation at any time, shall have right to cancelthe loan approval and/or declare the loan due and demandable.
I understand that all fees, taxes, and expenses pertaining to my loan shall be on my account and deducted from my loan proceeds.
BORROWER SPOUSE CO-BORROWER

Printed Name Over Signature Printed Name Over Signature Printed Name Over Signature
LOAN PRODUCTS AND REQUIREMENTS
Filipino Citizen Proof of billing
21-65 years old upon loan maturity 2 valid Government I.D. (Passport, Driver's License, SSS ID, TIN, etc)
Completely filled out application form Phone number (Residential or Cell Phone )
2 x 2 pictures Sketch of residence
SEAMAN DOCTOR'S LOAN:
1 Passport 1 PRC I.D. Or Proof of Renewal
2 Seaman's Book/SRC 2 Mayor's Permit if with clinic
3 Seafarer's Registration Certificate 3 Latest Bank Statements (3 months)
4 Allotment Slip BUSINESS LOAN/CORPORATE LOAN
5 Contract of Employment with POEA Validation 1 Latest Mayors Permit
6 E-receipt / OEC 2 DTI
7 Latest three months bank statement 3 Latest three months bank statement
4 SEC (additional for corporate loan)
CAR LOAN 5 Board Resolution to Borrow (additional for corporate loan)
1 Car Models 2000 up 6 Articles of Incorporation and by Laws (additional for corp)
2 OR/CR
3 Stencil of motor no. & chassis no. In LTO blue form REAL ESTATE
4 TIN 1 Certified True Copy of TCT
5 Latest picture of vehicle 2 Real Estate Tax Receipt
6 Latest (3) three months bank statement 3 Tax Declaration
7 Proof of income : Business Permit/Latest 2 months payslip 4 Vicinity Map and picture of property
5 Tax Clearance and TIN
6 Latest (3) three months bank statement
OTHER LOAN PRODUCTS: TRUCK LOAN, TAXI LOAN, EQUIPMENT LOAN 7 Proof of income : Business Permit/Latest 2 months payslip

MAILIW

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MAILLIW LENDING CORPORATION

Mother's Maiden Name Civil Status

Present Address Type of Ownership Neighborhood Length of Stay Zip Code

Permanent Address Type of Ownership Neighborhood Length of Stay Zip Code

Telephone Nos. / Residence Cellphone Office E-mail Address

Employer/ Business Address Length of stay/Yrs. In Business

Office Tel. No. Monthly Income Schedule of Remittance if Seaman Status

Educational Attainment SSS / GSIS no. TIN no.

Name of Employer/Business Name POSITION

Empolyer/ Business Address Length of stay/Yrs. In Business

Office Tel. No. Monthly Income Status

BUSINESS TRADE REFERENCES

Mother's Maiden Name Civil Status

Present Address Type of Ownership Neighborhood Length of Stay Zip Code

Permanent Address Type of Ownership Neighborhood Length of Stay Zip Code

Telephone Nos. / Residence Cellphone Office E-mail Address

Name of Employer/Business Name POSITION

Empolyer/ Business Address Length of stay/Yrs. In Business

Office Tel. No. Monthly Income Status

Thank you very much for your kind assistance.

Signature Over Printed Name

BORROWER SPOUSE CO-BORROWER

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