Isuzu Pasig IDI AutoLoanApplication Corporate

ICONIC DEALERSHIP, INC.
E. Rodriguez Jr. Ave., Cor Calle Industria Bagumbayan Quezon City

Trunk Line: (02) 8671-3434 * Fax No.: (02) 8910-5122
www.isuzupasig.com
Auto Loan Application for Partnerships and Corporations
BUSINESS CONTACT PERSON INFORMATION
Name: Age: Birthday:
Last Name First Name Middle Name
TIN: Tel. No.: Mobile No.: Email Address:
Marital Status: Single [ ] Married [ ] Separated [ ] Widow/er [ ] Citizenship:
Present Address:
Length of Stay:
BUSINESS INFORMATION
Business Name: Nature of Business:
Office Address: Years in Operation:
Office Tel. No.: Mobile No.: Email Address: TIN:
Type of Organization: Partnership [ ] Corporation [ ] Business Annual Income:
MAJOR STOCKHOLDERS
STOCK OWNED (%) NAME ADDRESS CONTACT NO.
KEY OFFICERS AND DIRECTORS

POSITION NAME ADDRESS CONTACT NO.
MOTOR VEHICLE TO BE PURCHASED

Unit / Model/ Year: Selling Price:
Amount Financed: Downpayment: [ %]
Term: 12 [ ] 24 [ ] 36 [ ] 48 [ ] 60 [ ] Sales Executive:
CUSTOMER REFERENCES
NAME RELATIONSHIP TELEPHONE NO. ADDRESS
SUPPLIER REFERENCES
COMPANY NAME CONTACT PERSON TELEPHONE NO. ADDRESS
LENDING / CREDIT FACILITIES REFERENCES

BANK / BRANCH ACCOUNT NO. ACCT. TYPE BALANCE / AMT. OF LOAN
AGREEMENT Consent Clause

I/We hereby certify that all data and I hereby give full consent to Iconic Dealership Inc. (the "Company"), its authorized representatives, dealerships, agents and accredited
statements in this application are correct third-party partners to collect, record, organize, store, update, share, use, consolidate, block, erase, or otherwise process information,
whether personal, sensitive or privileged, pertaining to myself and the transactions subject hereof pursuant to the provisions of the Data
and complete, and are made for the Privacy Act of 2012 (Republic Act No. 10173) and its implementing rules and regulations.
purpose of obtaining credit and the
I confirm that my personal information may be used by the Company for the following purposes:
signatures appearing hereon are genuine.
1. Assessment for auto loan application evaluation purposes;
I/We authorize you to obtain such 2. Quality Assurance, including callouts for products and service satisfaction purposes;
information as you may require concerning 3. Warranty, including notices for recalls and service campaigns;
the statements made in this application and 4. Research, including update of records, invitation to focus group discussions, surveys, satisfaction, indexing,
that the sources from which you may verify and similar studies; and,
5. Marketing, including promotional offers for services, parts, and new vehicle introductions.
are authorized to provide any information
relative to this application. I agree that the I confirm that I have placed a check mark beside the relevant provisions below to indicate my consent to the following processing of my
application may remain your property personal information and the corresponding declared purposes thereof:
Endorsement of my personal information to Accredited Banks* and Financial Institutions in order for the latter to market their car
whether the credit is granted or not. loan products and offers in connection with the bank financing of my purchase of the vehicle.
*Accredited Banks and Financial Institutions pertain to the following chosen institutions and their affiliates:
BPI Family Savings Bank, Inc. Philippine Savings Bank Banco De Oro Unibank, Inc.
SIGNATURE OF BORROWER / DATE Eastwest Banking Corporation Robinsons Bank Corporation RCBC Savings Bank
Sterling Bank of Asia, Inc. Maybank Philippines, Inc. Security Bank Corporation
Bank of Commerce PNB Savings Bank Others, specify
SIGNATURE OF BORROWER / DATE (Unless otherwise indicated, you consentto the endorsement of your personalinformation to all of the foregoing banking and financing institutions.)
The consent and authorization will remain valid throughout the existence of my account(s) unless withdrawn in writing or withheld due to
changes of information given by the Company.
SIGNATURE OF BORROWER DATE SIGNATURE OF BORROWER DATE

Isuzu Pasig IDI AutoLoanApplication Corporate

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ICONIC DEALERSHIP, INC.

E. Rodriguez Jr. Ave., Cor Calle Industria Bagumbayan Quezon City

KEY OFFICERS AND DIRECTORS

MOTOR VEHICLE TO BE PURCHASED

LENDING / CREDIT FACILITIES REFERENCES

AGREEMENT Consent Clause

SIGNATURE OF BORROWER DATE SIGNATURE OF BORROWER DATE

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