Borrowers Application Form

Before you begin, please do note that if your company is not accredited with us yet and you proceed to apply nonetheless, your application will be tagged as a Personal Loan and would go through special processing where additional requirements may be asked of you, e.g. post-dated checks for monthly amortization payments or a Certificate of Employment.

You may want us to reach out to your company's HR personnel likewise, just enter details by clicking HERE.

In any case, we thank you for considering us and we're looking forward to be of service to you!

Personal Details

First Name: *

Middle Name: *

Last Name: *

Suffix:

Company Name: *

Company HR Name:

HR Contact No.:

Birth Date: *

Gender: *

Male

Female

Civil Status: *

Place of Birth: *

Mobile No.: *

Email Address: *

Permanent Address: *

City / Municipality: *

Province: *

Zip Code:

Country: *

Present Address: *

City / Municipality: *

Province: *

Zip Code:

Country: *

Contact References:

Reference 1 Name: *

Reference 1 No.: *

Reference 2 Name: *

Reference 2 No.: *

Company Details:

Employee ID Number:: *

Position: *

Date of Employment: *

Gross Monthly Salary: *

Loan Details:

Loan Amount: *

Proposed No. of Months to Pay: *

3 Months

6 Months

12 Months

18 Months

Other

Reason for Applying: *

Upload Requirements

Notes: Documents should be in following formats only: TIFF, JPG, BMP, PNG, GIF, PDF, DOC, DOCX, PPT, PPTX. Max file size per document is 2 MB.

Upload selfie while holding valid ID: *

1 Valid Gov’t. ID (Any of the ff.: Driver's License, Passport, UMID, Postal ID, SSS, Voter's ID, National Professional ID Card): *

Company ID: *

Latest Certificate of Employment *

To process your application, we would like to ask permission for the following:

Pursuant to the Data Privacy Act of 2012 and its implementing Rules and Regulations, I express my consent for AGK Clover Lending Company, Inc. and its affiliate companies to use, collect, record, and consolidate my personal data for information, which shall be used for the purpose of processing my loan application.

I have read and agree with the Terms & Conditions *

Terms and Conditions

Submit