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    Loan Application Form: RISE UP Micro Multi-Purpose Loan Program

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    Gemma Narciso Moquete
    Jerson Narciso is applying for a PHP 100,000 loan over 12 months from RISE UP Micro Multi-purpose Loan Program to support his business KAKA's Toga Rental. He owns the business and resides in Iloilo. The application requires documentation like his valid ID, proof of business and assets, and bank account information. Jerson agrees to the terms, authorizes verification of his application, and consents to sharing of his personal information for legitimate purposes related to the loan.

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    Loan Application Form: RISE UP Micro Multi-Purpose Loan Program

    Uploaded by

    Gemma Narciso Moquete
    68 views2 pages
    Jerson Narciso is applying for a PHP 100,000 loan over 12 months from RISE UP Micro Multi-purpose Loan Program to support his business KAKA's Toga Rental. He owns the business and resides in Iloilo. The application requires documentation like his valid ID, proof of business and assets, and bank account information. Jerson agrees to the terms, authorizes verification of his application, and consents to sharing of his personal information for legitimate purposes related to the loan.

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    Jerson Narciso is applying for a PHP 100,000 loan over 12 months from RISE UP Micro Multi-purpose Loan Program to support his business KAKA's Toga Rental. He owns the business and resides in Iloilo. The application requires documentation like his valid ID, proof of business and assets, and bank account information. Jerson agrees to the terms, authorizes verification of his application, and consents to sharing of his personal information for legitimate purposes related to the loan.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    68 views2 pages

    Loan Application Form: RISE UP Micro Multi-Purpose Loan Program

    Uploaded by

    Gemma Narciso Moquete
    Jerson Narciso is applying for a PHP 100,000 loan over 12 months from RISE UP Micro Multi-purpose Loan Program to support his business KAKA's Toga Rental. He owns the business and resides in Iloilo. The application requires documentation like his valid ID, proof of business and assets, and bank account information. Jerson agrees to the terms, authorizes verification of his application, and consents to sharing of his personal information for legitimate purposes related to the loan.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    LOAN APPLICATION FORM

    RISE UP Micro Multi-purpose Loan Program

    BORROWER’S INFORMATION
    Last Name: NARCISO First Name: JERSON Middle Name: BENIA

    Suffix: Date of Birth: 09/22/1963 Sex: Male Female


    Mobile No.: (0920) 4027191 Landline No. E-mail Address: [email protected]

    IDENTIFICATION DOCUMENT
    Government-issued ID: VOTER'S ID I.D. No.:
    RESIDENTIAL ADDRESS
    MV 3 BLK 1 LOT 22 MONTICELLO VILLAS BALABAG
    House/Lot No., Street Name, Subdivision Barangay
    PAVIA ILOILO Region VI (WESTERN VISAYAS)
    City/Municipality Province Region

    BUSINESS INFORMATION
    Business Name: KAKA'S TOGA RENTAL

    Business Address: Same as residential address of the borrower Not same as residential address of the borrower
    (Supply this only if different from residential address provided above)
    MV 3 BLK 1 LOT 22 MONTICELLO VILLAS BALABAG
    House/Lot No., Street Name, Subdivision Barangay
    PAVIA ILOILO Region VI (WESTERN VISAYAS)
    City/Municipality Province Region

    Estimated Asset Size: 1000000


    (Excluding land)

    REQUESTED LOAN TERMS


    Loan Amount: PhP 100,000 Loan Tenor: 12

    Grace Period: 6

    LOAN RELEASE DETAILS


    PNB SAVINGS BANK JERSON NARCISO 310810017955
    Bank/EMI Name Account Name Account No.
    CHECKLIST OF REQUIREMENTS
    A selfie of the loan applicant holding a valid ID clearly One (1) valid ID of the loan applicant
    capturing both the loan applicant’s face and valid ID

    For corporations: Latest General Information Sheet For partnerships: Articles of Partnership
    One (1) minute video showing the financial condition and Three (3) photos showing the following: 1) business signage; 2)
    assets of the business. inventories; and 3) fixed assets
    For loans up to PhP100.0 thousand: current or previous year’s Barangay Permit; or

    For loans above to PhP100.0 thousand:current or previous year’s Mayor’s Permit or Barangay Micro Business Enterprise Certificate

    Proof of bank account or e-money account.


    UNDERTAKING/ DECLARATION
    I/We hereby confirm that all information and supporting documents provided herein are true, accurate and complete and I/we
    agree to notify the Small Business Corporation (SBCorp) of any changes in any of the information supplied. I/We further
    authorize SBCorp to verify and validate all information and supporting documents that I/We submitted to SBCorp before all the
    concerned government agencies (DTI, BIR, SEC, and LGUs). In the event that, SBCorp upon verification with the concerned
    government agencies discovers that any and/or all information or supporting documents submitted is/are
    inaccurate/false/fraudulent, I/We acknowledge that SBCorp can withdraw or cancel any loan approval issued in my/our favor.

    I/We authorize SBCorp to obtain relevant information as it may require concerning this application. I/We hereby agree that this
    application shall be subject to applicable laws (BSP circulars, rules and regulations) and policies of SBCorp.
    DATA PRIVACY CONSENT
    In compliance with the requirements of the Data Privacy Act (DPA), I/we hereby authorize and give my/our consent to Small
    Business Corporation (SBCorp) on the general use and sharing of information obtained in the course of my/our transaction. Any
    disclosed information, including personal and sensitive information may be collected, processed, stored, updated, or disclosed
    by SBCorp on the following purpose:
    a. For legitimate purposes and requests;
    b. To implement transactions which the borrower requests, allows, or authorizes; and;
    c. To provide new and related products and services of SBCorp; and
    d. To comply with the SBCorp’s internal policies and its reporting obligations to the government authorities under
    applicable news.
    I/ we certify that all provided information is correct and true to my /our knowledge. Any false information and
    misrepresentation made in this document shall cause the filing of administrative/criminal case/s against me/us. I/We authorize
    SBCorp to verify/validate the information and supporting documents I/We submitted to SBCorp before the concerned
    government agencies (DTI, BIR, SEC, and LGUs). Moreover, I/we confirm and recognize that SBCorp or their credit delivery
    partners and service providers may disclose collected information or any basic credit data including related changes or
    correction on the data in Credit Information Corporation (CIC) and other authorized entities as stated in the Credit Information
    Act of 2002 (R.A. 9510).

    JERSON BENIA NARCISO 11/29/2022


    Signature under Printed Name (Borrower) Date

    Signature under Printed Name (Co-borrower) Date

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