DES APPLIANCE PLAZA, INC. / HONDA DES, INC.
DES STRONG MOTORS, INC. / STRONG MOTOCENTRUM, INC.

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IMPORTANT: To speed up credit approval, it is neccessary to fill up this form completely. If data is not applicable please type "N/A"

CREDIT APPLICATION

I. PERSONAL DATA

Name of Applicant
Citizenship
Residence Address
Years
Months
Email Address
Facebook
Instagram
Date of Birth
Age
TIN
Cell #
Civil Status
Married
Single
Widow
Separated
Live In
Sex
Male
Female
Previous Address
Years
Months
Name of Spouse(Maiden)
No. of Dependents
In School

References: Those who are not living with you preferably a resident of your locality not related with you.

Name
Address
Relationship

II. ECONOMIC INFORMATION

Occupation
Applicant
No. of Years
Monthly Salary
Spouse
No. of Years
Monthly Salary

A. EMPLOYEE

Employer
Business Office/Address
Position/Job Title
Previous Job
Spouse Employer
Address
Job Title


III. CREDIT REFERENCES
Please list all past and present lending loans, salary loans, and installment purchases and etc.

CREDITOR
TYPE OF CREDIT
AMOUNT OWING
AMORTIZATION

IV. DESCRIPTION OF UNITS TO BE PURCHASED


BRAND
MODEL
DELIVERY ADDRESS
LCP



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