BUSINESS LOAN APPLICATION FORM

(INDIVIDUAL/SOLE PROPRIETORSHIP)

New Application Renewal In case of loan renewal or restructuring, are there any updates from previous submission?
Yes No (If yes, kindly provide details)
Additional Loan Restructuring
ID PHOTO

Individual Sole-Proprietorship (Please mark the appropriate boxes and indicate N/A if not applicable)

A. BORROWER AND BUSINESS INFORMATION

Name of the Borrower (First Name) (Middle Name) (Last Name) (Suffix, if available)

Civil Status Single Widow/er Separated Date of Birth (mm/dd/yy) Place of Birth Citizenship Sex Male
Married Annulled Female
Name of Spouse (First Name) (Middle Name) (Last Name) (Suffix, if available) Date of Birth (mm/dd/yy)

Home Address (Unit #, Building/House #, Street, Subdivision/ Barangay/ District, Municipality/ City, Province, Zip Code)

Home Address Ownership Owned (unencumbered) Rented Length of Stay in Location Landline No. (Area Code, Number)
Owned (mortgaged) Living with relatives __________ years
Mobile No. Email Address

TIN PhilSys Other Government-issued ID (Please specify type/number)

Mother’s Maiden Name (First Name) (Middle Name) (Last Name) (Suffix, if available)

Registered Business Name (Trade Name) Years the Business has been in operation Number of Branches
__________ years
Is this similar to Home Address? Yes No (If no, kindly provide the details) Business address ownership
Principal Business Address (Unit #, Building/ House #, Street, Subdivision/ Barangay/ District, Municipality/City, Province, Zip code) Owned (unencumbered) Rented
Owned (mortgaged)

Website/social media (Business) Indicate whether the business has 2 Female Manager/s
Female head officer for operations/administrative services

Nature of Business (Based on PSIC reference) Please specify business activity;

Business registration Date of Business Registration Expiry Date of Registration Registration Number
(Check all that apply) (mm/dd/yyyy) (mm/dd/yyyy)

DTI

BIR

Barangay/Mayor’s Permit

Others (Please specify):

Firm Size 3 (Total assets exclusive of the land on which the business entity’s office, plant and equipment are situated) 4
Micro (not more than Php 3M) Small (Php3,000,001 to 15M) Medium (Php15,000,001 to 100M)

Annual Sales or Revenue Number of employees (Please indicate all paid employees and/or directly involved in business operations)
Full time______________ Part-time/Contractual _______________

Top Trade References (use additional sheet if necessary)

Name of Top Suppliers Goods Supplied/Services Rendered Contact Person Contact Number

Name of Top Customers Goods Purchased/Services Availed Contact Person Contact Number

1 Additional borrower information such as but not limited to the following may be obtained using a separate sheet/form: co-borrower, dependents, questionnaire on politically exposed person (PEP)
and Foreign Account Tax Compliance Act (FATCA).
2 This information will solely be used to monitor information on business ownership/management in the country. Responses in this part will not affect the assessment and approval of your loan application.
3 Subject to bank verification.
4 The size of the firm is being collected for the BSP’s monitoring purposes.
 B. LOAN APPLICATION INFORMATION
Loan amount applied for (subject to the approval of the bank) Proposed frequency of repayment 5
Php _______________________________ Weekly Monthly Quarterly Annually Lump sum Others (Please specify) ____________
Loan Facility Credit Line Loan Purpose Working capital (including receivables and inventory financing) Business expansion Tenor
Term Loan Purchase of equipment/motor vehicles Acquisition of real estate
Others (Please specify)
Loan takeout/refinancing Purchase of biological asset
________________
Construction/Development of real estate Others (Please specify) __________ months
________________

Type of Loan Unsecured Loan Secured Loan

If secured, collateral/s and/or surety/ies offered:
Loan secured by real estate (e.g., land, building)
Loan backed by third party credit guarantee/continuing suretyship
Loan secured by movable property
Title documents (e.g., warehouse receipt, bill of lading) Receivables & any other claims to payment Equipment Others (Please specify)
Financial assets (e.g., deposits, tradable securities, company shares) Intellectual Property Inventory ___________________

C. FINANCIAL INFORMATION
Source of Funds for Repayment of Loans Revenue Savings and/or Investment Salary/Allowance
Asset Sale Inheritance Others (Please specify) _________________________

Existing Deposit and E-money Accounts (please indicate top 3 in terms of outstanding balance size, use additional sheet if necessary)

Name of Financial Institution Type of Account Year Opened Type of Account Ownership
Savings Checking E-wallet Others (Please specify) Personal Business/ Merchant
__________________

Savings Checking E-wallet Others (Please specify) Personal Business/ Merchant

__________________

Savings Checking E-wallet Others (Please specify) Personal Business/ Merchant

__________________

Savings Checking E-wallet Others (Please specify) Personal Business/ Merchant

__________________

Existing Loans (please indicate top 3 in terms of loan amount, use additional sheet if necessary)

Name of Financial Institution Loan Amount Date Granted Maturity Date Outstanding Balance Collaterals offered
(mm/yyyy) (mm/yyyy) (If applicable, indicate if real estate,movable property, etc.)

Existing Credit Cards (please indicate top 3 in terms of credit limit, use additional sheet if necessary)
Name of Financial Institution Credit Limit Outstanding Balance Type of Ownership
Personal Business

Personal Business

Personal Business

D. UNDERTAKING/DECLARATION
I/We hereby confirm that all information and supporting documents provided herein are true, accurate and complete and I/we agree to notify the financial institution of any changes in any of
the information supplied. The financial institution can withdraw or cancel any loan approval if any major information and supporting documents are found to be materially inaccurate.
I/We authorize the financial institution to obtain relevant information as it may require concerning this application.
I/We understand and agree that additional undertaking/declaration, not stated in this form, may be required by the financial institution.
I/We hereby agree that this application shall be subject to applicable laws (BSP circulars, rules and regulations) and policies of _______________________________ .

E. DATA PRIVACY CONSENT

In compliance with the requirements of the Data Privacy Act (DPA), I/we hereby authorize and give my/our consent to Bank of the Philippine Islands on the general use
and sharing of information obtained in the course of any transaction/s pursuant to my banking relationship with it. Personal information and sensitive personal information 6
may be collected, processed, stored, updated, or disclosed by the financial institution:
a. for legitimate bank-related purposes and requests;
b. to implement transactions which the borrower requests, allows, or authorizes;
c. to comply with the bank's internal policies and its reporting obligations to government authorities under applicable laws; and
d. to offer and provide new or related products and services of the financial institution, its affiliates and subsidiaries through mail, email, SMS or other means of
communication.
I/We confirm that I/we am/are aware that, in case of unlawful acquisition, inaccuracy, and error, I/we have the right to access, update, dispute, block, or correct certain personal
information, or withdraw my/our consent to the use of any information provided herein, subject to the rights and limitations under the DPA.
I/We understand that this consent shall continue to be in effect until the expiration of the records retention limits set by applicable banking laws.
I/We further warrant that, prior to submitting to the financial institution any information (including personal information) of an individual, I/we have obtained all necessary
authorizations and consents as may be required by applicable confidentiality and data privacy laws or agreement to enable the financial institution to process such information.
I/We understand that should I/we wish to access, update, dispute, block, or correct certain information, or withdraw consent to the use of any of the information provided herein,
subject to the rights and limitations under the DPA, I/we may communicate with the financial institution's Data Protection Officer at [email protected], and may lodge complaints
with, and/or seek assistance from, the National Privacy Commission.
I/We understand that my/our basic credit data, as well as any regular updates or corrections thereof, are mandated to be submitted to the Credit Information Corporation (CIC)
pursuant to R.A. 9150 and its Implementing Rules and Regulations for consolidation and disclosure as may be authorized by the CIC. Consequently, my/our basic credit data
may thus be shared with other lenders authorized by the CIC, and other reporting agencies duly accredited by the CIC, for the purpose of establishing my/our creditworthiness.
I/We understand and agree that additional data privacy provisions, not stated in this form, may be required by the financial institution.
I/We have read and understood and consent to be bound by all the terms and conditions stated above.

5 As may be applicable.
6 Name, address, gender, age, marital status, contact details, birthday, SSS/GSIS, TIN, education, employment or financial or medical information, spouse details, preferences, behavior, and
other information classified as "personal data", "personal information", or "sensitive personal information" under the DPA, and those of the Borrower's authorized representative/s, as well as accounts,
transactions, and communications.
 Signature above Date Signature above Printed Name of Date
Printed Name of Borrower Co-Borrower/Spouse

Third party credit guarantor and/or security grantor (i.e., a person or entity who grants a security interest in collateral to secure the obligation of the borrower)

Contact Information
Printed Name Affiliation Relationship with Borrower
(address, contact number)

1.

2.

3.

CHECKLIST OF SUPPORTING DOCUMENTS

The checklist enumerates the types of supporting documents that the borrower may present to facilitate the financial institution’s evaluation of the loan application. Borrowers are
not expected to provide all the listed documents but only those that are applicable to the loan application.

After the initial loan application screening, additional information (using separate sheet or form) may be requested to further evaluate the loan application and the security being
offered. The financial institution may also require additional documents, as deemed necessary.

For the financial institution to better consider the application, additional post-approval documents not specified in the list may be required, as applicable.

Basic Documents Security Documents (Please check applicable item/s)

Filled-out and signed application form Photocopy of Transfer Certificate of Title (TCT)/ Condominium
Certificate of Title (CCT)
Clear copy of one (1) valid government-issued ID
Marriage contract, if applicable Photocopy of Tax Declaration (for land and improvement)
Location/Vicinity Map
Proof of business registration: (Please check applicable item/s)
Land Transportation Office (LTO) Official Receipt (OR)/ Certificate of
Certificate of Registration with Bureau of Internal Revenue (BIR) Registration (CR) or Deed of Sale of Motor Vehicle
Certificate of Registration with Department of Trade and Industry (DTI) Reservation Agreement or Contract to Sell or Statement of Account
Certificate of Registration with Securities and Exchange Commission (SEC) (for Deed of Assignment (DOA) accounts only)

Certificate of Registration with Farmers and Fisherfolk Enterprise

Development Information System (FFEDIS) If secured by a Continuing Suretyship
Basic Documents (as enumerated in this form) of the Surety
Barangay Permit
Income Documents (as enumerated in this form) of the Surety
Mayor’s Permit

If construction loan
Personal Income Documents (Please check applicable item/s) Building/Floor plan of proposed improvement

Latest Income Tax Return (ITR) or BIR Form 2316 Bill of materials

Latest payslip for the past 2 months Specification of proposed finishes

Certificate of Employment (COE) with salary or Employment Contract Building permit

Latest crew contact (for seafarers)

If refinancing/loan take out
Proof of remittance for the past 6 months
Statement of Account from current lender and official receipts for the past
Bank statements or photocopy of passbook for the past 6 months 3 months
Lease contract (for rental income)
Proof of other income Others
___________________________________ Appraisal fee
Additional security documents (please specify)
Business Documents (Please check applicable item/s) _____________________________________
Photocopy of Audited Financial Statements for the past 3 years
with latest ITR or photocopy of in-house financial statements or Post-approval requirements for real estate collateral-backed loans
pre-operating financial statements (Please check applicable item/s)
Business Plan/Business Proposal Original owner’s copy of TCT/CCT
Photocopy of purchase agreement Original Tax Clearance
Photocopy of franchise agreement, if any Certified true copy of latest Tax Declaration
Business background/Company profile Insurance policy/ies (for properties with improvements)
Others (please specify) Master Deed of Declaration (for condominium only)
___________________________________ Photocopy of latest full year Real Estate Tax Receipt (RETR)
Price quotation of the property (for property acquisition)
Other Pre-application Requirements
Affidavit of Consent to Mortgage Family Home
Billing statement of utilities for the past 3 months
Others (please specify)
Statement of Account from current lender and official receipts
____________________________________
for the past 3 months (if loan purpose is refinancing/loan takeout)
Others (please specify)
Other post-approval requirements
___________________________________
General Information Sheet (GIS), if applicable
Special Power of Attorney, if applicable
Certificate of Ownership for movable property (e.g., motor vehicles, etc.)
 FOR BANK REFERENCE ONLY

PHILIPPINE STANDARD INDUSTRIAL CLASSIFICATION (PSIC)

A– Agriculture, Forestry & Fishing

B– Mining and Quarrying
C– Manufacturing
D– Electricity, Gas Steam and Air-conditioning Supply
E– Water Supply, Sewerage, Waste Management and Remediation Activities
F– Construction
G– Wholesale & Retail Trade; Repair of Motor Vehicles & Motorcycles
H– Transportation & Storage
I– Accommodation & Food Services Activities
J– Information & Communication
K– Financial & Insurance Activities
L– Real Estate Activities
M– Professional, Scientific & Technical Activities
N– Administrative & Support Service Activities
O– Public Administration & Defense; Compulsory Social Security
P– Education
Q– Human Health & Social Work Activities
R– Arts, Entertainment and Recreation
S– Other Service Activities
T– Activities of Household as Employers; Undifferentiated Goods- and- Services- Producing Activities of Households for Own Use
U– Activities of Extraterritorial Organizations and Bodies