The document appears to be a loan application for an automobile, as it requests information about the applicant such as name, address, contact details, employment, income, and existing financial obligations. It also asks for details about the vehicle such as model, price, and financing terms. The applicant signs to affirm that the information provided is true and complete and authorizes the lender to verify the application details.

1. CAP NO.
124 E. Rodriguez Jr. Ave. Bo. Ugong, Pasig City
DATE
DEALER
IiI TOYOTA BICUTAN
MARKETING PROF. RYAN VALDEZ
PLEASE FILL UP COMPLETELY TO FACILITATE APPROVAL.
I/We certify that all the information entered into this loan application are true, correct and complete. I/We authorize you to verify and investigate said information
from whatever sources you may consider appropriate. I/We authorize the sources that you approach to provide information relative to this application. I agree that this
application and the information derived will remain your property whether the loan is granted or not.
I/We understand that any misrepresentation may adversely affect approval of this application and status of my loan if already granted
U MODEL VARIANT
N
I UNIT PRICE DOWN PAYMENT AMOUNT FINANCED TERM
T
PRINCIPAL BORROWER CIVIL STATUS DATE OF BIRTH CITIZENSHIP
NO. OF
A LAST NAME FIRST NAME MIDDLE NAME DEPENDENTS
P
P EDUCATIONAL ATTAINMENT:
HS COLLEGE VOCATIONAL GRADUATE / PG
L DATE OF BIRTH CITIZENSHIP RELATIONSHIP
CO-BORROWER / CO-MAKER
I LAST NAME FIRST NAME MIDDLE NAME
C
COMPLETE HOME ADDRESS YRS.
STAYED HOME TEL. NO.
A
CELLPHONE NO.
N
T PROVINCIAL ADDRESS
OWNED MORTGAGED TO USED FREE LIVING WITH RENTED
RELATIVES
_____________
APPLICANT’S EMPLOYER/BUSINESS NAME CO-BORROWER’S/CO-MAKER’S EMPLOYER/BUSINESS NAME
I
N
BUSINESS ADDRESS BUSINESS ADDRESS
C
O
M
E TEL. NO. YRS. WITH THE COMPANY POSITION TEL. NO. YRS. WITH THE COMPANY POSITION
APPLICAN’TS MONTHLY SALARY _______________________ LESS: MONTHLY EXPENSES
C CO-BUYER’S/CO-MAKER’S MONTHLY SALARY __________________________ RENTALS _________________________
A
ADD: OTHER MONTHLY INCOME MORTGAGES ________________________
S
H ________________________ __________________________ HOUSEHOLD
________________________ __________________________ EXPENSES ________________________
________________________ __________________________ OTHER EXPENSES ________________________
F
L __________________ __________________________ TOTAL EXPENSES ________________________
O TOTAL MONTHLY INCOME _______________________
W NET MO. INCOME
MAIN BANK/BRANCH: C/A #: S/A #:
NAME ADDRESS TEL. NO.
R
E PERSONAL
F
E
R TRADE/
E SUPLLIER
N
C
E NAME OF CHILDREN/DEPENDENTS AGE SCHOOL GRADE/YEAR
S
YES NO
 HAVE YOU FILLED-OUT CAR LOAN APPLICATION TO OTHER [ ] [ ]
CAR DEALER/FINANCING CO.?
If yes, pls. state the name of the car dealer/financing company - _____________________
YES NO
 HAVE YOU HAD PREVIOUS CAR LOAN? [ ] [ ] __________________________________
If yes, pls. state the name of the financing. company - ________________________________ SIGNATURE OF APPLICANT