EQUITY INVESTMENT FOR WIA/KIA

PONDO SA PAGBABAGO AT PAG-ASENSO (P3) PROGRAM

APPLICATION FORM

Name of Soldier : Status : [ ] WIA [ ] KIA

Name of Applicant : Relationship to : [ ] Soldier [ ] Wife [ ] Parent
Soldier [ ] Brother/Sister
[ ] Others (pls. specify)
Permanent Address : ____________________________
Tel. Number :
Civil Status : [ ] Married [ ] Single TIN Number :
[ ] Others (pls. specify)
Birth Date : Place of Birth :

DETAILS OF APPLICATION

Nature of Business to : Location/Address :

be Financed
Status of Business : [ ] Start-up [ ] Existing If Existing, No. of :
Years of Operation

Investment Amount Required : P

Investment Purpose/Amount : Loan Purpose Amount

[ ] Working Capital
[ ] Fixed Assets
1. Equipment (Vehicle, Machine, etc. P
2. Building Renovation/Construction: P
[ ] Others (pls. Specify)
1. __________________________ P
2. __________________________ P
3. __________________________ P

Name of Person to Manage : Address :

the Business
Relationship to the Applicant : Tel. Number :

CERTIFICATION

The undersigned certifies that to the best of his/her/their knowledge and belief, all information contained in this investment application and in the accompanying
this loan application and in the accompanying statements and documents are true, complete and correct. The undersigned agree(s) to notify SB Corporation
statements and documents are true, complete and correct. The undersigned agree(s) to notify SB Corporation immediately of any material change(s) in this
application.

We authorize SB Corporation to contact any bank, creditor, and/or trade partners as it deems necessary without further notice, including but not limited to
available credit rating agency of the government and/or private sector.

Further, I/we acknowledge and authorize : 1) the regular submission and disclosure of my/our basic credit data (as defined under RA No. 9510 and its
implementing Rules and Regulations) to the Credit Information Corporation (CIC) as well as any updates or corrections thereof; and 2) the sharing of basic
investment/credit data with other lenders authorized by the CIC, and credit reporting agencies duly accredited by the CIC.

Applicant's Signature over Printed Name Date