LOAN APPLICATION FORM
SOURCE: Walk in Loan Specialist Telemarkter Purpose of Loan: _______________________________
Referrer Name: _______________________ Desired Loan Amount: __________________________ Desired Term: _________
BORROWER’S CO-BORROWER’S
INFORMATION………………………………………….
INFORMATION…………………………………………
FULL NAME: (Last, First, Middle)
FULL NAME: (Last, First, Middle)
Civil Status: Single Married Gender:
Civil Status: Single Married Gender: _____________
_____________ Date of Birth: _____________Place of Birth:
Date of Birth: _____________Place of Birth: ________________
________________ Present Address:
Present Address: _______________________________________
_______________________________________
_______________________________________________________
_______________________________________________________
Length of Stay: _________________________________________
Length of Stay: _________________________________________
Permanent Address: _____________________________________
Permanent Address: _____________________________________
_______________________________________________________
_______________________________________________________
Length of Stay: _________________________________________
Length of Stay: _________________________________________
Mobile No.: _______________________________Mobile No.: _______________________________
Email Address: ____________________________ Email Address: ____________________________
Facebook/Viber: ___________________________ Facebook/Viber: ___________________________
Nationality: Filipino Nationality: Filipino Others:
_____________________________ TIN #:
_____________________________ TIN #:
_____________________ SSS #: ___________________________
_____________________ SSS #: ___________________________
Educational Attainment: Educational Attainment:
High School Undergraduate College High School Undergraduate College
INCOME INCOME
INFORMATION………………………………………………………. INFORMATION……………………………………………………….
Source of funds: Source of funds:
Salary/ Profession Business Salary/ Profession Business
Remittances Others Name Remittances Others Name
of Employer/Business: of Employer/Business:
______________________________________________________
______________________________________________________
___ O ice/Business Address: ___ O ice/Business Address:
________________________________________________________
________________________________________________________
_ Nature of Business/ Employment: _ Nature of Business/ Employment:
________________________________________________________
________________________________________________________
_ Contact Information: _____________________________________
_ Contact Information: _____________________________________
Designation/Position_____________________________________
Designation/Position_____________________________________
CHARACTER REFERENCES (not living in the same household)……………………………………………………………….
NAME BORROWER’S INFORMATION 1CHARACTER REFERENCES ADDRESS
CONTACT NO. (not living in the same household
_____________________________ ___________________________________________________
________________________________
_____________________________ ___________________________________________________
________________________________
_____________________________ ___________________________________________________
________________________________
BORROWER AND CO-BORROWER’S UNDERTAKING AND SIGNATURE………………………………………………
I/We hereby certify that all the information furnished in this Loan Application Form (LAF) are true, correct, and complete. I/We further certify that the signatures a ixed herein are
true and genuine.
I/We hereby authorize GSLI to obtain such information, as may be required, concerning the validity and veracity of the information provided in this application. I/We agree that
this LAF, all supporting documents and any other information obtained by GSLI relative to this application, shall remain as the property of GSLI whether or not the loan is granted.
I/We agree that any false statement or concealment of information which may be discovered after the loan has been granted shall be su icient basis for GSLII to consider the loan as
due and demandable.
GSLI branches DO NOT accept cash payments. Payments of any kind must be settled directly at GSLI accredited payment centers. Please refer to GSLI's list of accredited
payment centers. In case the loan has been denied, GSLI has no obligation to disclose the reason to the Borrower.
We further understand that a cooling-o period of three (3) business days shall be applied following the execution of this transaction. You may cancel this transaction without
penalty; however, nothing herein prevents GSLI from recovering the processing costs incurred.
DATA PRIVACY AND CONSENT FORM…………..……….…………………………………………
The privacy and security of your personal data (“Personal Information”) that GSLI collects is important to us. It is equally important that you understand how GSLI handles this
data. In conducting our business, we must collect your “Personal Information”. It will be strictly used to administer your account and to provide the products and services you have
requested from us and to further meet your needs and the standard procedures of GSLI’s business.
We will treat your “Personal Information” as confidential data. It will only be disclosed, subject to our permission, to GSLI’s a iliates and partners such as credit bureaus,
collection companies, and other financial institutions for the purpose of assisting you in your financial needs and for the e ective handling of your account. For the proper
assessment of your loan application, you hereby allow GSLI directly or through its partners, to collect, retrieve, process, use, and store your “Personal Information” such as name,
age, photographs, mobile number/s, employment details, income, financial data, financial profile, credit standing, loan payment history, other means of positive identification such
as photograph, signature, and/or such other identifiable features, and other information required in the application form for the purpose of reviewing and processing your loan
application. Further, you hereby give consent to the collection of your personal data from telecommunication companies, banks, credit bureaus, payment platforms, airlines, utility
companies, suppliers, and employers for credit evaluation purposes. Furthermore, in case of restructuring your loan obligation, you are giving consent and allow GSLI to disclose
and collect information from the above-mentioned institutions and people. Throughout the processing of the your “Personal Information”, your rights under the Data Privacy Act
of 2012, such as the (1) right to be informed, (2) right to object, (3) right to access, (4) right to rectification, (5) right to erasure or blocking, and (6) right to damages, shall be
upheld. For your complete rights as a data subject, please visit https://www.privacy.gov.ph/data-privacy-act/
GSLI affiliates and partners:
A.Collection Companies:
Pinnacle Collection and Resource Management Inc. Prudent Collection Services. Inc.
Executive Collection & Credit Management Services, Inc. Legion Credit and Collections Corporation Eagle Eye
Business & Collection Services, Inc.
Titan Collection & Credit Management, Inc.
Sparta Credit Management Services , Inc.
Supreme Collection Management Services, Inc.
B. Loan Specialist Accredited by GSLI
__________________________________ ____________________________________ Borrower Signature Co-Borrower
Signature Date:_________________________________ Date:__________________________________
GSLI_ApplicationForm_2024
