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Moto Application Form for Business
Point of Contact Details
First Name:
*
Middle Name:
*
Last Name:
*
Suffix:
Company Name:
*
Company Addr.:
Birth Date:
*
Gender:
*
Male
Female
Civil Status:
*
Single
Married
Widowed
Separated
Divorced
Place of Birth:
*
Mobile No.:
*
Email Address:
*
Present Address:
*
City / Municipality:
*
Province:
*
Zip Code:
Country:
*
Philippines
Contact References:
Reference 1 Name:
*
Relationship to Ref. 1:
Reference 1 No.:
*
Reference 2 Name:
*
Relationship to Ref. 2:
Reference 2 No.:
*
Company Details:
Position:
*
Start Date of Business:
*
Motorcycle Loan Details:
Loan Amount (SRP of Unit less Down Payment):
*
Proposed No. of Months to Pay:
*
12 Months
24 Months
36 Months
48 Months
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.
1st Valid Gov’t. ID (Any of the ff.: Driver's License, Passport, UMID, Postal ID, SSS, Voter's ID, National Professional ID Card):
*
2nd Valid Gov’t. ID (Any of the ff.: Driver's License, Passport, UMID, Postal ID, SSS, Voter's ID, National Professional ID Card):
*
Latest Business Permit
*
Proof of Business Transaction (OR, Invoice, Sales Records)
*
Picture of Business (Office, Warehouse, Staff)
*
Proof of Billing (latest and original)
*
Proof of Assets
*
Bank Stmt. or Passbook (latest 3 months)
*
Co-maker's 1st Valid ID:
*
Co-maker's 2nd Valid ID:
*
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 or business data for information, which shall be used for the purpose of processing my motorcycle for business loan application.
I have read and agree with the Terms & Conditions
*
Terms and Conditions
Submit