Channel Source:

1. ChannelSource: SourceCode: PERSONALLOANDETAILS SalesOfficer: DesiredLoanAmount:PhP_______________________ DesiredPaymentTerm(Months): 12 18 24 36 (SubjecttoBankapproval) LoanPurpose: Tobeusedfororpurchaseof: Travel PersonalConsumption  BalanceTransfer Appliance/s Furniture/Fixtures ElectronicGadgets/Devices Hospitalization/Medical HealthandWellness Education    Others:pls.specify: _____________________ SpecialEvents HomeImprovement CarRepair ModeofLoanRelease:Manager’sCheck CredittoexistingBankAccountNo.:______________________ PERSONALINFORMATION Cash/PrepaidCard Yes No ExistingLoanCustomer? Name:___________________________________________________________________________________________________________________ FirstName MiddleName LastName Mother’sCompleteMaidenName:________________________________________ Title:Mr.Mrs.Ms. Gender:MaleFemale Single Married LegallySeparated Widow/Widower CivilStatus: Nationality:______________________ DateofBirth(mm/dd/yy):______________________ PlaceofBirth:___________________ HighSchool Vocational College Post-Graduate Others:_______________________ EducationalAttainment: HomeOwnership:OwnedLivingwithrelatives Rented,P_________/mo.Company-ownedMortgagedLengthofStay:____years PresentHomeAddress:____________________________________________________________________________ZipCode:_______________ HomePhoneNo.:_______________________MobilePhoneNo.:_______________________E-MailAddress:____________________________ PermanentHomeAddress:_________________________________________________________________________ZipCode:_______________ (No.) (Street) (Building) (Municipality/City) (Province) PreviousHomeAddress:___________________________________________________________________________ZipCode:_______________ (No.) (Street) (Building) (Municipality/City) (Province) SPOUSEANDFAMILYINFORMATION Spouse: Mr. Mrs.______________________________________________________________DateofBirth(mm/dd/yy):_______________ FirstName MiddleName LastName EducationalAttainment: HighSchool Vocational College Post-Graduate Others:_________________ Business/Employer’sName:_______________________________________________________________Position:_______________________ Business/Employer’sAddress:_____________________________________________________________________ZipCode:_______________ No.) (Street) (Building) (Municipality/City) (Province) Office Telephone No.:____________________________Number of Dependents:____ Children ____ Others:(Relationship)_______________ MYWORKANDFINANCES TypeofEmployment: Government Private Self-employed Retired Unemployed EmploymentStatus: Professional/ConsultantNatureofBusiness:________________ Contractual Probationary Permanent/Regular LengthofService:_______years Position:__________________ Totalyearsworking:______years Rank: RankandFile JuniorOfficerSupervisorAsst.Manager/Sr.Asst.Manager Manager/Sr.Manager AVP/SAVP VP/FVP/SVP President/CEO/Chairman/DirectorOwner DateofHire(mm/dd/yy):__________________________SSS/GSISNumber:__________________________TIN:_________________________ Business/Employer’sName:_______________________________________________________________________________________________ Business/Employer’sAddress:_____________________________________________________________________ZipCode:_______________ (No.) (Street) (Building) (Municipality/City) (Province) OfficePhoneNo.:__________________________FaxNo.:__________________________GrossAnnualIncome:PhP_____________________ BestTimeandDaytoCall:______________ImmediateSupervisor/HRContactPerson:________________________TelNo.______________ NameofPreviousEmployer:_____________________________________________________________ OTHERINFORMATION Personaland/orTradeReferences LengthofService:______years Name: ______________________________ ______________________________ ______________________________ RelationtoApplicant: ______________________________ ______________________________ ______________________________ Tel.No.: _________________________ _________________________ _________________________ HomeAddress: ___________________________________ ___________________________________ ___________________________________ CreditCardDetails CreditCard: ______________________________ ______________________________ CardNo.: ______________________________ ______________________________ CreditLimit: _________________________ _________________________ ExpiryDate: ___________________________________ ___________________________________ OtherLoanAccounts Bank/Company: ______________________________ ______________________________ TypeofLoan: ______________________________ ______________________________ OutstandingBalance: _________________________ _________________________ MonthlyPayment: ___________________________________ ___________________________________

2. UNDERTAKING Iherebycertifythatallinformationhereinaretrueandcorrectbasedonmyownpersonalknowledge.IauthorizetheBanktoobtaininformationas itmayrequireconcerningmyloanapplicationandagreethatitshallremaintheBank’spropertywhethermyloanisapprovedornot.Anyinformation givenbymeorotherpersonsdulyauthorizedbymewhichisnottrueoraccurate,willautomaticallycausetheBanktorejectmyloan,cancelitsapproval oriftheloanhasbeenreleasedtome,todemandimmediatepaymentthereof. Iherebywillingly,voluntarilyandwithfullknowledgeofmyrightunderthelaw,waivetherighttoconfidentialityofinformationandauthorizethe Banktodisclose,divulgeandrevealanysuchinformationrelatingtotheloanapplicationoraccount,includingeventsofdefault,forthepurposeof, amongothers,clientevaluation,creditreportingorverification,andrecoveryoftheloandueandpayabletotheBankunderthetermsandconditionsof thisapplication. Inviewoftheforegoing,theBankmaydisclose,divulgeandrevealtheaforementionedinformationtothirdparties,includingbutnotlimitedtomy employer,theBank’saffiliates,subsidiaries,agentsorservicesproviders,theBankers’AssociationofthePhilippines–CreditBureau(BAP–CB)orto anysimilarcentralmonitoringentityorrecipientsasprovidedforbylawandrequiredbycompetentauthority. IfurtherauthorizetheBank,asmyAttorney-in-Fact,toconductrandomverificationwiththeBureauofInternalRevenue(the"BIR")inorderto establishtheauthenticityofmytaxstatements(the"ITR”)andtheaccompanyingfinancialstatements/documentssubmittedtotheBANKinaccordance withbankingregulatoryrequirements. IholdtheBankfreeandharmlessfromanyandallliabilities,claimsanddemandsofwhateverkindornatureinconnectionwithorarisingfromthe aforementioneddisclosureorreporting. IherebyacknowledgethatthePersonalLoanoranypart(s)thereofshallbedeemedtohavebeenavailedonthedateonwhichfundsare transferredtomybankaccountorcash/prepaidcard,maintainedwiththeBank,orreceiptoftheManager’sCheckreflectingtheamountoftheloanless applicablefees,chargesandtaxes. IfurtherauthorizetheBanktodeductfromtheproceedsofmyloan,allfeesincluding,butnotlimitedto,processingfees,documentarystamptax, notarialfeesandinterestaccrualsshouldthefirstduedatebeover30daysfromthereleaseofmyloanandotherrelatedcharges. IlikewiseauthorizetheBanktoprovidemewithaconsumerloanoradditionalbankproduct/s(suchasbutnotlimitedtoauto,housing,creditcard andotherproductssuitedtomysituation)attheBank’ssolediscretion.Myacceptanceofthecreditcardortheproceedsofanyloanreleasedpursuant theretoshallbeconclusiveproofofmyacknowledgementofmyadditionalobligationsand/orindebtednesstotheBankundertheTermsandConditions setforthbytheBankandprevailingatthetimethecreditcardisissuedortheadditionalloanisapproved. IherebyagreethattheBankhastherighttoapprovealoweramountthanmydesiredloanamountasindicatedinthisapplicationandshallrender theBankfreeandharmlessfromanyliabilityarisingthereof. Iherebyagreethatshouldmyapplicationbedenied,theBankhasnoobligationtofurnishthereasonforsuchrejectionortoreturnmyapplication andothersubmitteddocuments. IalsolegallybindmyselftotheTermsandConditionsoftheLoanProgramPromissoryNote,DisclosureStatementandotherrelevantdocuments thatIshallexecuteinfavoroftheBank. __________________________________________________ Borrower’sSignatureAbovePrintedName ________________________________ Date PleasemakepaymentsonlytoauthorizedBankemployees.Salesagentsand/orreferrorsarenotallowedtocollectanyfeesofwhatevernatureonbehalfofthe Bank.Anypaymentsmadetoindividuals/entitiesnotauthorizedbytheBankwillnotbebindingontheBank. QUALIFICATIONS: REQUIREMENTS: Atleast21yearsoldandmustnotbemorethan65yearsolduponloan maturity Filipinocitizen Withofficeorresidencelandline     Dulyfilled-outandoriginalsignedapplicationform SignedPromissoryNoteandDisclosureStatement PhotocopyofCompanyIDwithpictureandsignature Photocopyofone(1)validgovernmentissuedIDwith3specimen Residenceorofficeiswithinselectedprocessingservicearea IfEmployed: signature IfEmployed: Regular/Permanentatleastsix(6)monthswithcurrentemployer GrossMonthlyIncomeRequirement: P20,000.00forMetroManila   Latestoriginalone(1)monthpayslip LatestBIRForm2316 P15,000.00forNonMetroManila IfSelf-Employed: Withatleasttwo(2)continuousyearsofprofitableoperationsinthe samelineofbusiness NetMonthlyIncomeRequirement: P30,000.00forMetroManila P25,000.00forNonMetroManila LoanAmortizationSchedule* IfSelf-Employed: LatestITRwithBIRstampandtaxreceipt Two(2)yearsAuditedFinancialStatements SEC/DTICertificateofRegistration Six(6)monthsbankstatements/passbook Note:Otherdocumentsmayberequiredtoprocesstheloan. FeesandCharges:    Tenor Add-onRate/mo. MonthlyEffective InterestRate 12mo. 1.39% 2.46% 18mo. 1.49% 2.63% 24mo. 1.59% 2.77% 36mo. 1.69% 2.83% Processingfee:Php1,500.00(tobedeductedfromloanproceeds) DocumentaryStampsTaxofP1.00foreveryP200.00,onlyfor loansP250,000.00andabove. LatePaymentFee:3.0%ofoverdueamountorP500.00, whicheverishigher EarlySettlementFee:5.0%oftheremainingprincipalbalanceor P500.00,whicheverishigher. ReturnedCheckFee:P500.00perreturnedcheck. ExtensionFee:P500.00 Amount 15,000 50,000 100,000 300,000 ApproximationofMonthlyAmortization 1,057864671 3,5232,8792,234 7,0465,7574,468 21,13717,27013,404    1,459 4,862 9,724 29,170 500,000 1,000,000 48,617 97,234 35,228 70,456 28,784 57,567 22,339 44,678 *Interestratesandchargesaresubjecttochangewithoutpriornotice. AllapplicationswillbesubjecttoBank’screditpoliciesandprocedures. FORBANKUSEONLY ApplicationNo.:_____________________________________________ MonthlyAmortization:P____________________________ ApprovedLoanAmount: ProcessingFee: DocumentaryStamps: P____________________________ P____________________________ P____________________________ ApprovedLoanTerm: DateofApproval: ____________________________ ____________________________ NetProceeds: P____________________________ ApprovedBy:______________________________________