SPOUSE INFORMATION

Sourcing Data:

SPOUSE:
NAME*:
Last

Source Code:

Channel Source:

Referror / Account Officer / DSA:_______________________________________________________________

CREDIT CARD DETAILS

Mr.

First

Date of Birth(dd/mm/yy):

Highschool

Yes

Vocational

Post Graduate

Payment term (Months)*

Php

12
Appliance

24

Tuition Fees

36

Personal Consumption

Children:

Mode of Loan Release:

Others:

Credit to my PDB / Acct.: Bank Name______________________ Branch__________________

Employment Type:

Government

Position*:

Acct. Type__________ Acct. No.

Private

Self-employed

Rank and File

Unemployed

Permanent:

Officer

Nature of Business*:
PERSONAL INFORMATION
Title:

Mr.

Mrs.

Ms.

NAME*:
Last

Gender:

First

Civil Status*:

Citizenship*:

Middle

Single

Legally Separated

Married

Annulled

Date of Birth(mm/dd/yyyy)*:

Educational Attainment:

High School

Car Ownership:

Others:_______________

Length of Service*:

TIN*:

SSS/GSIS/UNIFIED ID Number*:

Business / Employer Address (Floor, Street, Brgy./Village, Subdivision, City/Municipality, Province)*:

Fax No.:

Living with relatives

Mortgage

Name of Previous Employer:

Length of Service:

Home Phone No*:

Telephone Number:

Length of Stay:_____________years

Present Home Address (No., Street, Brgy./Village, Subdivision, City/Municipality, Province)*:

Mobile Phone No.*:

Zip Code:

Zip Code:

I hold the Bank free and harmless from any and all liabilities, claims and demands of whatever kind or
nature in connection with or arising from the aforementioned disclosure or reporting.
I hereby acknowledge that the Personal Loan or any part(s) thereof shall be deemed to have been
availed on the date on which funds are transferred to my bank account, maintained with the Bank, or
receipt of the Managers Check reflecting the amount of the loan less applicable fees, charges and taxes.

I likewise authorize the Bank to provide me with a consumer loan or additional bank product/s (such as
but not limited to auto, housing, credit card and other products suited to my situation) at the Banks sole
discretion. My acceptance of the credit card or the proceeds of any loan released pursuant thereto shall be
conclusive proof of my acknowledgement of my additional obligations and/or indebtedness to the Bank
under the Terms and Conditions set forth by the Bank and prevailing at the time the credit card is issued or
the additional loan is approved.
I hereby agree that the Bank has the right to approve a lower amount than my desired loan amount as
indicated in this application and shall render the Bank free and harmless from any liability arising thereof.
I hereby agree that should my application be denied, the Bank has no obligation to furnish the reason
for such rejection or to return my application and other submitted documents.

PERSONAL REFERENCES

Permanent Home Address (No., Street, Brgy./Village, Subdivision, City/Municipality, Province)*: Zip Code:

Previous Home Address (No., Street, Brgy./Village, Subdivision, City/Municipality, Province)*:

Total years at work/ in business:

Zip Code:

E-mail Address:

I hereby willingly, voluntarily, and with full knowledge of my right under the law, waive the right to
confidentiality of information and authorize the Bank to disclose, divulge and reveal any such information
relating to the account of the Borrower/Mortgagor, including events of default, for the purpose of, among
others, client evaluation, credit reporting or verification and recovery of the obligation due and payable to
the Bank under the terms and conditions of this agreement.

I further authorize the Bank to deduct from my Loan proceeds all fees including, but not limited to,
processing fees, documentary stamp tax, notarial fees and interest accruals should the first due date be
over 30 days from the release of my loan and other related charges.

Company Provided

Rented, P___________________/mo.

UNDERTAKING
I hereby certify that all information herein are true and correct based on my own knowledge and further
authorize the Bank to obtain information as it may require concerning my loan application and agree that it
shall remain the Banks property whether my loan is approved or not. Any information given by me or other
persons I authorized which is not true or accurate, will automatically cause the Bank to reject my loan or
cancel its approval.

I further authorize the Bank, as my Attorney-in-Fact, to conduct random verification with the Bureau of
Internal Revenue (the "BIR") in order to establish the authenticity of my Tax Statements (the "ITR) and the
accompanying financial statements/documents submitted to the BANK in accordance with banking
regulatory requirements.

Gross Annual Income:

Immediate Supervisor / HR Contact Person:

Company-owned

Monthly Payment

In view of the foregoing, the Bank may disclose, divulge and reveal the aforementioned information to
third parties, including but not limited to my employer, the Banks affiliates, subsidiaries, agents or services
providers, the Bankers Association of the Philippines Credit Bureau (BAP CB) or to any similar central
monitoring entity or recipients as provided for by law and required by competent authority.

Business / Employer*:

Best Time /Day to call:

None
Owned

Date of Hire*:

Office Phone No.*:

College

Personal, monthly amortization(Php_________________)

Both

Home Ownership:

Place of Birth:

Vocational

Post Graduate

Widow/Widower

Outstanding Balance

(Relationship:_______________)

MY WORK AND FINANCES

Via Managers Check

Bank / Company
1

Number of Dependents:

Others: ___________________

Type of Loan

OTHER LOAN ACCOUNTS

Position:

Office Tel. No.:

Expiry Date

College

Business / Employer Address (Floor, Street, Brgy./Village, Subdivision, City/Municipality, Province)*: Zip Code:

18

Card No.

Others:_________________________

No

Desired Loan Amount *

Credit Limit

Business / Employer:

Existing Loan Customer?

Loan Purpose*:

Middle

Educational Attainment:

ITEMS MARKED WITH AN ASTERISK (*) ARE MANDATORY FIELDS. APPLICATIONS WITH
INCOMPLETE DOCUMENTS AND INFORMATION WILL NOT BE PROCESSED.
PERSONAL LOAN DETAILS

Credit Card
1

Mrs.

Name
1

Address

Relationship

Tel. No.

I also legally bind myself to the Terms and Conditions of the Loan Program Promissory Note,
Disclosure Statement and other relevant documents that I shall execute in favor of the Bank.

2
Borrowers Signature Above Printed Name

Date

NOTE: No fees are collected by the Bank or any representative upon application. Any fees paid
for this application made to individuals or entities not authorized by the Bank will not be binding
on the Bank.

Personal Loan

Personal Loan

Covers any financial need

Borrow any amount from P15,000 P1,000,000 to finance
anything from tuition to electronics and appliances to debt
consolidation to personal consumption.
LOAN AMORTIZATION SCHEDULE*

Get cash when

you need it.

Flexible Terms
Payment terms of 12, 18, 24 or 36 months light on your pocket.

Reasonable Rate
As low as 1.39% monthly add-on rate.*

Tenor

12 mo.

18 mo.

24 mo.

36 mo.

Monthly
Add On Rate

1.39%

1.49%

1.59%

1.69%

Monthly
Effective Rate

2.46%

2.63%

2.77%

2.83%

Amount

Approximation of Monthly Amortization

15,000

1,459

1,057

864

671
2,234

50,000

4,862

3,523

2,879

100,000

9,724

7,046

5,757

4,468

300,000

29,170

21,137

17,270

13,404

500,000

48,617

35,228

28,784

22,339

1,000,000

97,234

70,456

57,567

44,678

*Interest rates and charges are subject to change without prior notice. Rates are effective
as of June 28, 2010. All applications will be subject to the Banks credit policies and
procedures.

FEES AND CHARGES:

Processing Fee: P2,000 (deducted from loan proceeds)
Documentary Stamps Tax of P1.00 for every P200, only for loans P250,000 and above
Late Payment Fee: 3% of overdue amount or minimum of P500.00
Returned Check Fee: P500.00 per check
Pre-termination Fee: 5% of the remaining principal balance or minimum of P500.00
Notarial Fee: P100 only for loans P100,000 and above
SOA Certification Fee: P100 per SOA request

Worry-free
No guarantors, no collateral needed

Qualifications:
- At least 21 years old but not more than
65 years upon loan maturity
- Filipino citizen
- With office or residence landline
- Residence or office is within the banks
service processing area
If Employed:
- Regular and Permanent with current
employer and with total employment of
at least 2 years.
For Metro Manila:
PHP15,000 gross monthly income
For outside Metro Manila:
PHP12,000 gross monthly income
If Self-Employed:
- With at least two (2) continuous years of
profitable operations in the same line of
business
For Metro Manila:
PHP30,000 gross monthly income and
PHP15,000 net monthly income
For outside Metro Manila:
PHP25,000 gross monthly income and
PHP12,500 net monthly income

Requirements:
- Completely filled-out and signed
application form
- Signed Promissory Note and
Disclosure Statement
- Photocopy of Company ID with a
clear photo and signature
- Photocopy of one (1) valid government
issued photo ID with three (3) specimen
signatures
- Proof of income:
If Employed:
- Latest original one (1) month payslip
- Latest BIR Form 2316
If Self-Employed:
- Latest ITR with BIR stamp and tax
receipt
- Two (2) years Audited Financial
Statements
- SEC/DTI Certificate of Registration
- Six (6) months Bank Statements
Note: Other documents may be required
to process the loan.

Security Bank Savings Corporation

6797 Ayala Avenue
Makati City, Philippines
Tel. No.: (02) 464-3000
www.securitybanksavings.com

As of October 2012

LOAN AMORTIZATION SCHEDULE*

Apply for a
Security Bank Savings Personal Loan NOW
and avail of easy payment terms.