Page 1 of 6

LOAN APPLICATION FORM

DATE (MM/DD/YYYY): ____________

Source: Loan Consultant: _______________ SR/SRA/SRO: _______________

Dealer: _______________ GDFI Employee: ______________ Others: _______________

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): _______
Loan purpose: ______________________ Place of Registration:____________
Loan amount applied:_____________
Loan term: ____________________ For Real Estate:

How did you know about GDFI? TCT No: ____________ CTC No.: ______________
Location: ________________
Walk-in Client GDFI Website
Note:
GDFI Employee Loan Consultant - For Vehicles: All details SHOULD match with the vehicle’s
Official Receipt and Certificate of Registration (OR/CR)
Social Media ____________________ - For Real Estate: The property is located in selected areas
nationwide."
First-time Borrower of GDFI? - GDFI will perform the necessary investigation to determine
Yes No if the declared collateral is free from any lien and
encumbrances as of the date of this loan application.
For the complete list of products offered by
GDFI, please go to https://gdfi.com.ph/

BORROWER’S PERSONAL INFORMATION (MANDATORY)

(Last Name, First Name, Middle Name, Suffix) Civil Status
Full Name
Single
Married
Date of Birth / (MM/DD/YYYY) (City/Municipality) Gender (Male or Female)
Place of Birth
Length of Stay
Present Address ____ year/s ____month/s
Permanent Length of Stay
Address ____ year/s ____month/s
Provincial Length of Stay
Address ____ year/s ____month/s

Primary Phone Number Mobile Number E-mail Address/es

Contact Details

Citizenship or
Filipino Others If “Others”, please specify:
Nationality
TIN / SSS / GSIS
TIN ______________ SSS No. _____________ GSIS No. _________________
Number
School Name: __________________________________________
School Last
Grade / Level / College course: ______________
Attended
Year Graduated (last year of stay): ___________

GDFI Loan Application Form – April 2025

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Owned (Not mortgaged) Rented: If “Rented”– (PHP/month) ____________

Owned (Mortgaged) If “Mortgaged” – (PHP/month) _________________
Used Free
House
• If “Rented”, from whom? Individual/Bank/Company): ____________________
Ownership
• 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) _________________
House Used Free
Ownership of
• If “Rented”, from whom? Individual/Bank/Company): ____________________
Provincial
• If “Mortgaged”, from whom? (Individual/Bank/Company): _________________
Address
• If “Free”, owned by whom? (Individual/Bank/Company): __________________

Name of
Dependents Relationship with the
Age School Last Attended
(Not married or Borrower
employed)

INCOME INFORMATION
Name of Employer: Name of Business: Not Applicable:
Name of
Employer /
Length of stay:
Business Monthly Income:
____ year/s ____month/s
Business Tel. No.
Employer /
Business
Professional Regulation Commission (PRC) License No. (if
Address
applicable).
Source of Income Employment Remittance Pension/Retirement Commissions
/ Funds Business Interest Income Sale of Assets
(Tick all
applicable)
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 / 18. Foundation
Business 6. Tourism
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
Do you own a
No.:_________
motor vehicle/s?
Mileage (Kms): __________ Place of Registration:____________
(Not used as
Year: ___________ Make / Model: __________________ Color: _________ Plate
collateral for this
No.:_________
loan application)
Mileage (Kms): __________ Place of Registration:____________
Do you own a bank account? Yes No
(If “Yes”, please fill out BORROWER’S BANK ACCOUNTS details)
CHARACTER REFERENCES (not living in the same household)
Name Address Contact number/s

GDFI Loan Application Form – April 2025

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TRADE REFERENCES (Client / Supplier)

Name / Business
Address Contact number/s
Name

SPOUSE or CO-BORROWER INFORMATION

(Last Name, First Name, Middle Name, Suffix)
Full Name
Date & Place of (MM/DD/YYYY) (City/Municipality) Gender (Male or Female)
Birth
Length of Stay
Present Address
____ year/s ____month/s
Permanent Length of Stay
Address ____ year/s ____month/s
Length of Stay
Provincial
____ year/s ____month/s
Address
Primary Phone Number Mobile Number E-mail Address/es
Contact Details
Citizenship or Filipino Others If “Others”, please specify:
Nationality
TIN / SSS / GSIS TIN _____________ SSS No. ______________ GSIS No. _____________
Number __________________
School Last School Name: __________________________________________
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
• If “Rented”, from whom? Individual/Bank/Company): ____________________
Ownership
• 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) _________________
House Used Free
Ownership in
• If “Rented”, from whom? Individual/Bank/Company): ____________________
Provincial
• If “Mortgaged”, from whom? (Individual/Bank/Company): _________________
Address
• If “Free”, owned by whom? (Individual/Bank/Company): __________________

Name of Employer: Name of Business: Not Applicable:

Name of
Employer /
Tenure of employment:
Business Monthly Income:
____ year/s ____month/s
Business Tel. No.
Employer /
Business
Address

BORROWER’S BANK ACCOUNTS

ACCOUNT
DATE OPENED TYPE
BANK / BRANCH ACCOUNT NAME ACCOUNT NUMBER
(MM/DD/YYYY) (SAVINGS/
CURRENT)

GDFI Loan Application Form – April 2025

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BORROWER’S AUTHORIZATION TO VERIFY BANK DETAILS

To: ______________________
(Bank / Branch)

In compliance with Section 2 of Republic Act No. 1405, “AN ACT PROHIBITING DISCLOSURE OF OR INQUIRY
INTO, DEPOSITS WITH ANY BANKING INSTITUTION AND PROVIDING PENALTY THEREFOR.” Otherwise
stated, consider this as my written permission in favor of 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
NAME OF BANK/S / ACCOUNT TYPE
BRANCH
BRANCH NUMBER (SAVINGS /
CURRENT)

Thank you very much for your kind assistance.

_____________________________________ ____________________________________
Borrower Spouse / Co-Borrower
(Signature over printed name / Date) (Signature over printed name / Date)

SPECIMEN SIGNATURES
Name of Borrower Name of Spouse or 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) is 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 that may be discovered after the loan has been granted shall be sufficient basis for GDFI to
consider the loan as due and demandable.

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.

We further understand that a cooling-off 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 GDFI from
recovering the processing costs incurred.

That in case the present Loan Application will be granted by GDFI, I/We hereby consent to be contacted before
6:00 AM or after 10:00 PM, solely for collection purposes of the subject loan when past due for more than fifteen
(15) days.

____________________________________ ____________________________________
GDFI Loan Application Form – April 2025
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Borrower Spouse / Co-Borrower

(Signature over printed name / Date) (Signature over printed name / Date)
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 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.

For the list of GDFI’s Affiliates and Partners, please go to this link: https://gdfi.com.ph/partners-and-affiliates/

Or scan this code:

You hereby give consent to:

a) the collection of your Personal Data and/or Information from telecommunication companies, banks, credit
bureaus, payment platforms, airlines, utility companies, suppliers, and employers for credit evaluation
purposes;
b) authorize GDFI and its subsidiaries, affiliates and accredited partners to use your Personal Data and/or
Information for legitimate business purposes, including but not limited to marketing, offering, and cross-
selling of products and services that may be beneficial to you. These may include financial products,
insurance, credit facilities, or other value-added services offered by GDFI, its subsidiaries, affiliates, or
accredited partners;
c) allow GDFI to disclose and collect information from the above-mentioned institutions in case of your loan
is to be restructured;
d) to comply with any obligations, requirements, policies, procedures, measures or arrangements for sharing
data and information within GDFI, its affiliates and subsidiaries, including use of Personal Data and/or
Information in accordance with GDFI programs for purposes of compliance with tax, sanctions or
prevention or detection of money laundering, terrorist financing or other unlawful activities; and
e) process and use your Personal Data and/or Information on any other transactions and/or purposes
analogous or relating directly thereto.

You hereby acknowledge that you have been provided with the written notification below on your rights as a Data
Subject in accordance with the Data Privacy Act of 2012 as follows:

i. to be informed whether Personal Data and/or Information is being or has been processed;
ii. to require GDFI to correct any Personal Data and/or Information relating to the Data Subject which is
inaccurate;
iii. to object to the processing of the Personal Data and/or Information in case of changes or amendments
thereon as supplied or declared;
iv. to access the Information and/or Personal Data; and
v. to suspend, withdraw, block, remove, or destroy the Data Subject's Personal Data and/or Information
from GDFI information database system.

Throughout the processing of 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.

All personal information collected will be stored in a secured location; and retained in accordance with GDFI’s
retention policies; and only authorized employees will have access to them.
GDFI Loan Application Form – April 2025
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If you think that your personal data was mishandled in terms of confidentiality or integrity, or if someone tampered
with your personal data without your consent, please do not hesitate to contact our Data Protection Officer
through the following:

Data Protection Officer

Unit 201 Jollibee Plaza Condominium,
Emerald Ave., Ortigas, Pasig City
Mobile Number: (63) 917 826 2931
E-mail Address: [email protected]

_____________________________________ ____________________________________
Borrower Spouse / Co-Borrower
(Signature over printed name / Date) (Signature over printed name / Date)

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 -

GDFI Loan Application Form – April 2025