Auto Loan Application for

Email Address: Individual and Single Proprietorship

TIN No: Important Information : Please fill out all entries in the form to ensure
Source: rapid processing of your loan application. Incomplete information will
Depository Bank: cause a delay in processing. Honda Cars Rizal
Branch: Rizal Autozone Inc.

Step 1 : Tell us about yourself

Applicant personal information

Last name First name Middle name Birthday (mm/dd/yy) Mobile number

Spouse / co-maker personal info. Single / Annulled Married Separated Widowed

If you are an OFW and not married, please provide a If co-maker, relationship to applicant Applicant marital status
close relative as co-maker:

Last name First name Middle name Birthday (mm/dd/yy) Mobile number

Home Address Years at address Home tel. No.

Step 2 : Tell us about your work

Applicant employment information Tenure: Spouse / co-maker employment information Tenure:
Employment ________ Employment - ________
Own business Own business
Position Type of income source Position Type of income source

Employer / business name Office telephone number Employer / business name Office telephone number

Office address Office address

Contact No: Contact No:
HR Name: HR Name:

Step 3 : Tell us about your unit Step 4 : Tell us about your finances
Vehicle and financing information Monthly income

HCRZ +
Unit model name and year Dealership Salesman Applicant Income Co-maker income

Unit price Downpayment Loan amount Term ( months) Other income Gross income

Step 5 : Please sign and date the application

I / We affirm that the statements made in this application and the information given by me/us are true and correct and that any material misrepresentations or galsity therein will be construde as an act to defraud
HONDA CARS RIZAL ( Rizal Autozone Inc. ) for which civil and/criminal liability can be pursued against me/us. I/We agree to notify HONDA CARS RIZAL ( Rizal Autozone Inc. of any material change affecting
the statements/information mentioned herein. I/We authorize you to verify and investigate such statements/information as may be required covering this application from above references or from whatever other
sources you may consider appropriate, including the Bureau of Internal Revenue ( "BIR" ) in order to establish the authenticity of my/our Income Tax Return ( "ITR" ) and the accompanying financial statements
which I/we submitted in connection with our loan/credit application/accommodation with the Bank. Further, I/we hereby authorize the BIR to give copies of my/our ITR and financial statements and/or disclose any
information to the Bank relevant to the said verification. For this purpose, I/we hereby waive my/our rights on the confidentiality of client information. I/We agree that all statements/information obtained by
HONDA CARS RIZAL ( Rizal Autozone Inc. ) shall remain our property whether our property whether the loan is granted. I/We agree that all statements/information gathered about me/us will be used to
determine my/our eligibility for this loan.

Signature of applicant Date signed Signed of spouse / co-maker Date signed

Step 6 : 3 Person References

Name Contact No:
1.
2.
3.