MotoAppIndividual | AGK Clover Lending Company Inc.

Personal Details

First Name: *

Middle Name: *

Last Name: *

Suffix:

Company Name: *

Company Addr.:

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: *

Relationship to Ref. 1:

Reference 1 No.: *

Reference 2 Name: *

Relationship to Ref. 2:

Reference 2 No.: *

Company Details:

Employee ID Number:: *

Position: *

Start Date of Employment: *

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): *

Payslip (latest 3 months) *

Certificate of Employment: *

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 employment data for information, which shall be used for the purpose of processing my motorcycle personal loan application.

I have read and agree with the Terms & Conditions *

Terms and Conditions

Moto Application Form for Individuals