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    Kia Clark Application

    Uploaded by

    Steff Musni-Quiballo
    The document contains personal and employment details for Stephanny Musni Quiballo and her spouse Andie Rafael E. Quiballo. It includes information such as their names, addresses, birthdays, employers, positions, income and references.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Kia Clark Application

    Uploaded by

    Steff Musni-Quiballo
    8 views2 pages
    The document contains personal and employment details for Stephanny Musni Quiballo and her spouse Andie Rafael E. Quiballo. It includes information such as their names, addresses, birthdays, employers, positions, income and references.

    Original Title

    KIA CLARK APPLICATION

    Copyright

    © © All Rights Reserved

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    DOCX, PDF, TXT or read online from Scribd

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    The document contains personal and employment details for Stephanny Musni Quiballo and her spouse Andie Rafael E. Quiballo. It includes information such as their names, addresses, birthdays, employers, positions, income and references.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    8 views2 pages

    Kia Clark Application

    Uploaded by

    Steff Musni-Quiballo
    The document contains personal and employment details for Stephanny Musni Quiballo and her spouse Andie Rafael E. Quiballo. It includes information such as their names, addresses, birthdays, employers, positions, income and references.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    PERSONAL DETAILS

    1. Complete Name: STEPHANNY MUSNI QUIBALLO 


    2. Gender: FEMALE
    3. Birthday: SEPTEMBER 21, 1991
    4. Mother’s Maiden Name: EMILY CAPIENDO GAPASIN
    5. Civil Status: MARRIED
    6. Number of Dependents: N/A
    7. Nationality: FILIPINO 
    8. Complete Home Address: 0690 SITIO PULONG SANTOL, CUT-CUT 1 ST,
    CAPAS, TARLAC
    9. Length of Stay on Address Above: 28 YEARS
    10. Mobile Number: 09275641135
    11. Email Address: [email protected]
    12. BIR TIN: 414-920-726

    EMPLOYMENT DETAILS
    1. Employer: DEPED TARLAC PROVINCE
    2. Business Address: CALANGITAN HIGH SCHOOL- CAPAS, TARLAC
    3. Position: TEACHER
    4. No. of years employed: 3 YEARS
    5. Gross Monthly Income: 24,495

    SPOUSE / CO-MAKER PERSONAL DETAILS


    1. Complete Name: ANDIE RAFAEL E. QUIBALLO 
    2. Gender: MALE
    3. Birthday: JUNE 9, 1990
    4. Mother’s Maiden Name: BETTY CAMPOS ESTABILLO
    5. Civil Status: MARRIED
    6. Complete Home Address: 0690 SITIO PULONG SANTOL, CUT-CUT 1 ST,
    CAPAS, TARLAC
    7. Mobile Number: 09272990737
    8. Email Address: [email protected]
    9. BIR TIN: 409-907-880
    10. Relation to the Borrower: SPOUSE

    EMPLOYMENT DETAILS
    1. Employer: TARLAC STATE UNIVERSITY
    2. Business Address: SAN VICENTE, TARLAC CITY
    3. Position: INSTRUCTOR
    4. No. of years employed: 3 YEARS
    5. Gross Monthly Income: 24,495
    OTHER SOURCES OF INCOME and AMOUNT OF INCOME (if any).

    BANK REFERENCES
    Bank/Branch:
    Type of Account:

    PERSONAL/CHARACTER REFERENCES

    1. Name: MARY PAULENE P. SANTOS


    Address: CAPAS, TARLAC
    Contact number: 09564103749

    2. Name: DIANA G. LAMINTAO


    Address: CAPAS, TARLAC
    Contact number: 09230900533

    3. Name: OLIVER G. CURA


    Address: TARLAC CITY
    Contact number: 09174757568

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