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LOAN APPLICATION FORM DATE (MM/DD/YYYY): ____________
Source: Loan Consultant: _________________ SR/SRA/SRO: ________________ Dealer: _______________ GDFI Employee: ______________
Type of loan applied for: Collateral Details:
Collateral Non-collateral For Vehicles:
If with Collateral, what type? Year: _______ Make/Model: _____________________ Color: ________________
_____________________________________ Plate No.:_________ Mileage (Kms): _______ Place of Registration:____________
Loan purpose: __________________________ For Real Estate:
Loan amount applied: _________________
Loan term: _____________________________ TCT No: ____________ CTC No.: ______________ Location: ________________
Note:
How did you know about GDFI? - For Vehicles: All details SHOULD match with the vehicle’s Official Receipt and
Certificate of Registration (OR/CR)
- For Real Estate: The property should be located within NCR, Bulacan,
Walk-in Client GDFI Website
Pampanga, Batangas, Cavite, Laguna, Rizal, Cebu and Davao
- GDFI will perform the necessary investigation to determine if the declared
GDFI Employee Loan Consultant
collateral is free from any lien and encumbrance as of the date of this loan
application.
Social Media ______________________
BORROWER’S PERSONAL INFORMATION (MANDATORY)
Last Name First Name Middle Name Suffix
Full Name
MM DD YEAR Place of Birth (City/Municipality) Gender (Male or Female)
Date of Birth / Place of Birth
Length of Stay
Present Address ____ year/s ____month/s
Length of Stay
Permanent Address
____ year/s ____month/s
Length of Stay
Provincial Address ____ year/s ____month/s
Primary Phone Number Mobile Number E-mail Address/es
Contact Details
Citizenship or Nationality Filipino Others If “Others”, please specify:
TIN / SSS / GSIS Number TIN _________________ SSS No. _________________ GSIS No. _________________
School Name: __________________________________________
School Last Attended
Grade / Level / College course: ______________ Year Graduated (last year of stay): ___________
Owned (Not mortgaged) Rented: If “Rented” – (PHP/month) ________________
Owned (Mortgaged) If “Mortgaged” – (PHP/month) _________________ Used Free
House Ownership
• If “Rented”, from whom? Individual/Bank/Company):__________________________________
• If “Mortgaged”, from whom? (Individual/Bank/Company): ______________________________
• If “Free”, owned by whom? (Individual/Bank/Company): _______________________________
Owned (Not mortgaged) Rented: If “Rented” – (PHP/month) ________________
Owned (Mortgaged) If “Mortgaged” – (PHP/month) _________________ Used Free
House Ownership of
Provincial Address • If “Rented”, from whom? Individual/Bank/Company):__________________________________
• If “Mortgaged”, from whom? (Individual/Bank/Company): ______________________________
• If “Free”, owned by whom? (Individual/Bank/Company): _______________________________
Name of Dependents
Age School Last Attended Relationship with the Borrower
(Not married or employed)
INCOME INFORMATION
Name of Employer: Name of Business: Not Applicable:
Name of Employer / Business
Length of stay:
Monthly Income:
____ year/s ____month/s
Employer / Business Address Professional Regulation Commission (PRC) License No. (if applicable). Business Tel. No.
Employment Remittance Pension/Retirement Commissions
Source of Income / Funds
(Tick all applicable) Business Interest Income Sale of Assets
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1. Agriculture / Animal Farming 13. Finance / Insurance / Securities
2. Food Services/Food Processing 14. Manufacturing
3. Real Estate / Leasing 15. Utilities
1 4. Business Process Outsourcing 16. Foreign Exchange Dealer / Money
/ Knowledge Process Outsourcing Changer / Remittance Agent
5. Government Service 17. Maritime / Shipping
Nature of Work / Business 6. Tourism 18. Foundation
7. Casino/Gaming Club 19. Medical / Health Services
8. IT / Software 20. Others _____________
9. Transportation
10. Construction
11. Law / Accounting/Auditing Firm
12. Wholesale / Retail Trade
Year: ___________ Make / Model: __________________ Color: _________ Plate
No.:_________
Do you own a motor Mileage (Kms): __________ Place of Registration:____________
vehicle/s?
(Not used as collateral for this
loan application) Year: ___________ Make / Model: __________________ Color: _________ Plate
No.:_________
Mileage (Kms): __________ Place of Registration:____________
CHARACTER REFERENCES (not living in the same household)
Name Address Contact number/s
TRADE REFERENCES (Client / Supplier)
Name / Business Name Address Contact number/s
SPOUSE or CO-BORROWER INFORMATION
Last Name First Name Middle Name Suffix
Full Name
MM DD YEAR Place of Birth (City/Municipality) Gender (Male or Female)
Date of Birth / Place of Birth
Length of Stay
Present Address ____ year/s ____month/s
Length of Stay
Permanent Address ____ year/s ____month/s
Length of Stay
Provincial Address ____ year/s ____month/s
Primary Phone Number Mobile Number Email Address/es
Contact Details
Citizenship or Nationality Filipino Others If “Others”, please specify:
TIN / SSS / GSIS Number TIN _________________ SSS No. _________________ GSIS No. __________________
School Name: __________________________________________
School Last Attended / Year
Grade / Level / College course: ______________ Year Graduated (last year of stay):
Graduated
Owned (Not mortgaged) Rented: If “Rented” – (PHP/month) ________________
Owned (Mortgaged) If “Mortgaged” – (PHP/month) _________________ Used Free
House Ownership
• If “Rented”, from whom? Individual/Bank/Company):__________________________________
• If “Mortgaged”, from whom? (Individual/Bank/Company): ______________________________
• If “Free”, owned by whom? (Individual/Bank/Company): _______________________________
Owned (Not mortgaged) Rented: If “Rented” – (PHP/month) ________________
Owned (Mortgaged) If “Mortgaged” – (PHP/month) _________________ Used Free
House Ownership of
Provincial Address • If “Rented”, from whom? Individual/Bank/Company):__________________________________
• If “Mortgaged”, from whom? (Individual/Bank/Company): ______________________________
• If “Free”, owned by whom? (Individual/Bank/Company): _______________________________
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Name of Employer: Name of Business: Not Applicable:
Name of Employer / Business
Tenure of employment:
Monthly Income:
____ year/s ____month/s
Business Tel. No.
Employer / Business Address
Professional Regulation Commission (PRC) License No. (if applicable)
BORROWER’S BANK ACCOUNTS
ACCOUNT TYPE
BANK BRANCH DATE OPENED (SAVINGS/CURRE ACCOUNT NUMBER
(MM/DD/YYYY)
NT)
AUTHORIZATION TO VERIFY BANK DETAILS
To: ______________________
(Bank / Branch)
This is to authorize GLOBAL DOMINION FINANCING, INC. (GDFI), or its authorized representative, to verify my savings/checking
account with your bank.
You are allowed to disclose the date of opening of my/our/savings/checking account and the Average Daily Balance (ADB) for the last
six (6) months from the date of this loan application.
ACCOUNT TYPE
NAME OF BANK/S / BRANCH BRANCH ACCOUNT NUMBER
(SAVINGS / CURRENT)
Thank you very much for your kind assistance.
Very truly yours,
_____________________________________ ____________________________________
Borrower Spouse / Co-Borrower
(Signature over printed name / Date) (Signature over printed name / Date)
SPECIMEN SIGNATURES
Name of Borrower: Name of Spouse / Co-Borrower:
1. 1.
2. 2.
3. 3.
BORROWER AND SPOUSE’S / CO-BORROWER’S UNDERTAKING
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 affixed herein are true and genuine.
I/We hereby authorize GDFI 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 GDFI relative to
this application, shall remain as the property of GDFI whether or not the loan is granted.
I/We consent to the forfeiture of the processing fee that I/we paid to GDFI in case I/we cancel, withdraw or terminate my/our loan
application without the fault of GDFI. I/We agree that any false statement or concealment of information which may be discovered after
the loan has been granted shall be sufficient basis for GDFI to consider the loan as due and demandable.
That in case the present Loan Application will be granted by GDFI, I/We hereby consent to be contacted before 6:00 A.M. or after
10:00 P.M., solely for collection purposes of the subject loan.
_____________________________________ _____________________________________
Borrower Spouse / Co-Borrower
(Signature over printed name / Date) (Signature over printed name / Date)
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DATA PRIVACY CONSENT FORM
The privacy and security of your personal data (“Personal Information”) that GDFI collects is important to us. It is equally important that
you understand how GDFI 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 GDFI’s business.
We will treat your “Personal Information” as confidential data. It will only be disclosed, subject to our permission, to GDFI’s affiliates 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 effective handling of your account.
For the proper assessment of your loan application, you hereby allow GDFI 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 GDFI 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/
For further information regarding GDFI’s privacy policy, you may visit our website at www.gdfi.com.ph.
GDFI affliates and partners:
A. Collection Companies:
- Annapolis Credit Management Services, Inc.
- Supreme Collection Management Services, Inc.
- Sparta Credit Management Services, Inc.
- Titan Collection and Credit Management, Inc.
- Executive Collection & Credit Management Services, Inc.
- Eagle Eye Business & Collection Services, Inc.
B. Insurance Company:
- ALFC Insurance Agency, Corp.
_____________________________________ _____________________________________
Borrower Spouse / Co-Borrower
(Signature over printed name / Date) (Signature over printed name / Date)
Note:
- For the complete list of products offered by GDFI, please go to https://gdfi.com.ph/
- GDFI branches DO NOT accept cash payments. Payments of any kind must be settled directly at GDFI accredited payment
centers. Please refer to https://gdfi.com.ph for GDFI's list of accredited payment centers.
- In case the loan has been denied, GDFI has no obligation to disclose the reason to the Borrower.
FOR GDFI USE ONLY:
I certify that by exercising due diligence:
- I have verified the information stated in this LAF against the documents submitted by the Borrower to be true and correct;
- I have collected all the required Know-Your-Client requirements from the Borrower and shall proceed with the loan application
process in compliance with GDFI’s existing policies as of the loan application date; and
- In case the original document of the Borrower is not available for verification, I will ensure that these are presented for verification
prior to the release of the loan proceeds.
_________________________________ _________________________________
Verified by: GDFI Officer/Associate Checked by: Branch Head
(Signature over printed name / Employee No. / Date) (Signature over printed name / Employee No. / Date)
- Nothing follows -
