AUTO LOAN APPLICATION CAR LOAN APPLICATION LOAN INFORMATION CHOOSE YOUR DEALER *NISSAN SOUTHWOODSNISSAN STA ROSANISSAN DASMANISSAN SANPABLONISSAN LIPANISSAN BATANGAS CITYPREFERRED VEHICLE *ALMERASYLPHY370ZGT-RJUKEX-TRAILTERRAPATROL ROYALENAVARANV350 URVANVEHICLE PRICE *DOWNPAYMENT *20%30%40%50%LOAN TYPE *PERSONALBUSINESSLOAN TERMS *12 MONTHS24 MONTHS36 MONTHS48 MONTHS60 MONTHSSALES EXECUTIVEPERSONAL INFORMATION FIRST NAME *MIDDLE NAME *LAST NAME *AGE *BIRTHDAY *CIVIL STATUS *SINGLEMARRIEDSEPARATEDWIDOWEDDIVORCEDNATIONALITY *MOBILE/ TEL. NO *EMAIL ADDRESSADDRESS *LENGTH OF STAY *OWNERSHIP *OWNEDRENTEDUSED FREELIVING WITH PARENTSFIRST NAME *MOTHER'S MAIDEN NAMEMIDDLE NAME *MOTHER'S MAIDEN NAMELAST NAME *MOTHER'S MAIDEN NAMEPERSONAL REFERENCE FIRST NAME *MIDDLE NAME *LAST NAME *ADDRESS *MOBILE/ TEL. NO *RELATIONSHIP *PRIMARY SOURCE OF INCOME COMPANY/BUSINESS NAME *ADDRESS *CONTACT NUMBER *POSITION *LENGTH OF STAY *IF EMPLOYEDMONTHLY INCOME *OTHER SOURCE OF INCOME SOURCE OF INCOMEBUSINESSONLINE BUSINESSREMITTANCESNONESOURCE OF INCOME NAME *MOBILE/ TEL. NO *MONTHLY INCOME *LENGTH OF STAY *IF EMPLOYEDPOSITION *DEPOSITORY BANKBANK *BRANCH *TYPE OF ACCOUNT *SAVINGSCHECKINGTIME DEPOSITDOLLAR ACCOUNTCO-BORROWER INFORMATION (MUST PROVIDE IF INCOME IS BELOW PHP50,000)FIRST NAMEMIDDLE NAMELAST NAMEAGEBIRTHDAYNATIONALITYCIVIL STATUS *SINGLEMARRIEDSEPARATEDWIDOWEDDIVORCEDEMAIL ADDRESSMOBILE/ TEL. NORESIDENTIAL ADDRESSCO-BORROWER'S SOURCE OF INCOMEOWNERSHIP *OWNEDRENTEDUSED FREELIVING WITH PARENTSCO-BORROWER'S SOURCE OF INCOMECOMPANY/BUSINESS NAMEADDRESSMOBILE/ TEL.NOPOSITIONLENGTH OF STAYMONTHLY INCOME*Mandatory FieldDOCUMENTARY REQUIREMENTS Please upload Borrowers and Co-borrower's I.D. and income documents. I hereby authorize and give my consent to Dealer and its accredited third-party partners to collect stores, process and share my information provided that such collection storage, processing and sharing are in accordance with the provisions of Republic Act No. 10173 or Data Privacy Act of 2012 it's implementing Rules and Regulations and other laws rules and regulations relating to data privacy.