Business Loan Application

DATA PROCESSING CONSENT FORM AND UNDERTAKING

Data Processing Consent

In the course of our business transaction/relation or your availment of the Bank’s products and services, Equicom Savings Bank, Inc (the Bank) will process Personal Information and/or Sensitive Personal Information (“Personal Data”) relating to you and/or your legal representative. Such processing of Personal Data may include its collection, recording, retrieval, use,retention, disclosure and disposal/destruction. Personal Data may include name, age, date of birth, gender, race, nationality,home or office address, contact number, email address, identity card number, passport number, specimen signature,company name, occupation, salary, job position, credit card number, credit history, religious affiliation and other informationwhich are relevant to our business transaction or relationship or your availment of the Bank’s products and services. Bysigning this consent form, you hereby authorize and consent to the processing and sharing of your personal data for one or more specific purposes:

(a) to verify your identity, responding to requests, updating your records, processing of transaction and other relevant payment and invoices, receipts, collecting debts, provide other requested products and services in the ordinary course ofour business;

(b) to facilitate commercial transactions with you and fulfill contractual obligations to you in the preparation of any relevant agreements (if any) and for maintaining our own accounts and records;

(c) to assess your application/request for our services, to process your application for and to provide continuous services such as loan and credit/prepaid card application;

(d) to communicate with you and your authorize/legal representative via SMS, phone call, email, fax, mail and/or any other appropriate communication channels;

(e) to notify you of and provide you with information about our products, goods, facilities, services, upcoming events that you request via SMS, phone call, email, fax, mail and/or any other appropriate communication channels unless you have otherwise notified us that you do not wish for us to process your Personal Data for such purpose;

(f) conduct appropriate checks for credit-worthiness in the ordinary course of our business;

(g) to offer and provide you with new or related products and services of Equicom Group, its affiliates, subsidiaries orthird parties,

(h) for internal investigations, audit or security purposes;

(i) to enforce contractual and legal rights and obligations; and

(j) to comply with the Bank’s internal policies and its reporting obligations to governmental authorities under applicable laws

Your information may continue to be collected, stored, processed and/or shared by the Bank as prescribed by the law, or as long as necessary for the purpose of maintaining or implementing our business relation or transaction and to comply with applicable laws, rules, and regulations. You and your legal representative are entitled to certain rights in relation to the Personal Data that may be collected from you and your legal representative, including the right to access, correct, delete, destroy and to object to the processing of the same. A more detailed description of your rights under the Philippine Data Privacy Act of 2012, and its implementing rules and regulations may be accessed and downloaded at https://privacy.gov.ph..

You may communicate with the Bank’s Data Protection Officer through email at dpo@equicomsavings.com.ph or call 812-3861 or visit the National Privacy Commission website at https://privacy.gov.ph for any privacy concern regarding yourpersonal data.

Undertaking

I hereby certify that all information herein are true and correct based on my own personal knowledge. I authorize the Bank to obtain information as it may require concerning my loan application and agree that it shall remain the Bank’s property whether my loan is approved or not. Any information given by me or other persons duly authorized by me which is not true or accurate, will automatically cause the Bank to reject my loan, cancel its approval or if the loan has been released to me, to demand immediate payment thereof. I hereby waive my rights and benefits under the provisions of R.A. 9510 (Credit Information System Act), R.A. 1405 (Secrecy of Bank Deposit Act), R.A. 6426 (Foreign Currency Deposits Act), R.A. 10173 (Data Privacy Act of 2012), R.A. 8791 (General Banking Law), R.A. 9160 (Anti-Money Laundering Act) and other laws on confidentiality of bank account, credit, loan and other related information and hereby authorize the Bank to process divulge, or make necessary disclosure of such otherwise confidential information, to third parties, including but not limited to the Bank’s affiliates, subsidiaries, agents or service providers, the Bankers’ Association of the Philippines – Credit Bureau (BAP – CB) or to other credit bureau or to any similar central monitoring entity or recipients as may be provided for by law and required by competent authority. I further authorize the Bank, as my Attorney-in-Fact, to conduct random verification with the Bureau of Internal Revenue (the "BIR") in order to establish the authenticity of my tax statements (the "ITR”) and the accompanying financial statements/documents submitted to the Bank in accordance with banking regulatory requirements and/or to process, report, share and disclose my information to domestic or foreign authorities and/or tax authorities and/or withhold from me, such amounts as may be required by domestic or foreign regulatory and/or tax authorities in accordance with the requirements of United States Foreign Account Tax Compliance Act (FATCA), and such other rules and regulations issued and/or may be issued, by the Government of the Philippines in connection with FATCA. For this purpose, I hereby authorize the Bank, its employees or its agent to verify and obtain information relevant to my loan application, such as, but not limited to residential and contact information, business or trade and payment performance. I hold the Bank free and harmless from any and all liabilities, claims and demands of whatever kind or nature in connection with or arising from the aforementioned disclosure or reporting.

I hereby acknowledge that the loan or any part(s) thereof shall be deemed to have been availed on the date on which funds are transferred to my bank account or cash/prepaid card, maintained with the Bank, or receipt of the Manager’s Check reflecting the amount of the loan less applicable fees, charges and taxes.

I further authorize the Bank to deduct from the proceeds of my loan, all fees including, but not limited to, processing fees, documentary stamp tax, notarial fees and interest accruals should thefirst due date be over 30 days from the release of my loan and other related charges. I likewise authorize the Bank to provide me with a consumer loan or additional bank product/s (such as but not limited to auto, housing, credit card and other products suited to my situation) at the Bank’s sole discretion. My acceptance of the credit card or the proceeds of any loan released pursuant thereto shall be conclusive proof of my acknowledgment of my additional obligations and/or indebtedness to the Bank under the Terms and Conditions set forth by the Bank and prevailing at the time the credit card is issued or the additional loan is approved.
I hereby agree that the Bank has the right to approve a lower amount than my desired loan amount as indicated in this application and shall render the Bank free and harmless from any liability arising thereof.

I hereby agree that should my application be denied, the Bank has no obligation to furnish the reason for such rejection or to return my application and other submitted documents.

I also legally bind myself to the Terms and Conditions of the Loan Program Promissory Note, Disclosure Statement and other relevant documents that I shall execute in favor of the Bank.

I hereby freely and voluntarily give my consent, and hereby agree and authorize the Company, its parent company, affiliated companies, subsidiaries, financial advisors, accredited/affiliated third parties or independent/non-affiliated third parties, whether local or foreign (collectively referred to as Companies), to collect and process matter or information, personal or otherwise, pertaining to myself, this application or transaction, including sensitive personal information and privileged information (as defined under existing laws and subject to consent of other parties to the exchange as may be applicable) herein provided, collected or held or otherwise obtained separately by the Companies, and to disclose the above information between and among the Companies, for any legitimate business purpose as such Companies may deem appropriate, including but not limited to cross-selling, promotion/conduct of marketing and direct marketing activities, research, providing advice or information covering products or services which the Companies believe may be of interest to me, to effectively administer or manage my account, enhance customer services, or to communicate with me for any purpose. The words collect and process are hereby understood to include any operation or any set of operations performed upon personal information including, but not limited to, the collection, recording, organization, storage, updating or modification, retrieval, consultation, use, consolidation, blocking, erasure or destruction of data.
I hereby confirm that I understand the foregoing and that I am voluntarily giving my consent to the processing of my Personal Data under the terms and conditions provided above. The consent will remain in full force until I revoke it in writing.

STEP 1: LOAN INFORMATION
Note: Put N/A if the field is not applicable to you.
Desired Loan Amount (PhP)*
Please enter a number from 0 to 5000000.
Desired Payment Term (Months)*
Loan Purpose*
Mode of Loan Release*
Referred By*
Other Loan Purpose
Equicom Bank Acct Number
Bank & Acct Number
Branch Code
Agent Code
Note: Put N/A if the field is not applicable to you.

STEP 2: PERSONAL INFORMATION
Note: Put N/A if the field is not applicable to you.
Name*
First Middle Last
Mother’s Maiden Name*
Date of Birth*
Day*
Year*
Age*
Place of Birth*
Civil Status*
Gender*
Nationality*
No. of Dependencies*
Children
Others*
Others
Relationship*
Educational Attainment*
Other Educational Attainment*
Area #*
Home Phone Number*
Mobile Phone Number*
Email Address*
Present Home Address*
Unit No.*
Street No.*
Street Name*
Village/Barangay*
City*
District*
Province*
ZIP Code*
Length of Stay*
Years
Months*
Months
Ownership*
Php*
/ Month
Permanent Home Address*
Unit No.*
Street No.*
Street Name*
Village / Barangay*
City*
District*
Province*
ZIP Code*
Length of Stay*
Years
Months*
Months
Ownership*
Php*
/ Month
Previous Home Address*
Unit No.*
Street No.*
Street Name*
Village/Barangay*
City*
District*
Province*
ZIP Code*
Length of Stay*
Years
Months*
Months
Ownership*
Php*
/ Month
Source of Funds*
Other Source of Fund*
Car Ownership*
No. of Cars Owned*
Php*
/ Month
Are you related to any EqB Employee?
Are you related to any EqB Employee?*
Name*
Relationship*
Are you a Director, Officer or Stockholder (DOS) of Equicom Savings Bank (EqB) subsidiary and/or affiliate? If YES, specify company and position/affiliation
Are you a Director, Officer or Stockholder (DOS) of Equicom Savings Bank (EqB) subsidiary and/or affiliate?*
Company*
Position / Affiliation*
Are you related to a DOS of EqB subsidiary and/or affiliate of Equicom Group of Companies? If YES, specify company and position/affiliation
Are you related to a DOS of EqB subsidiary and/or affiliate of Equicom Group of Companies? If YES, specify company and position/affiliation*
Compnay*
Position / Affiliation*
Note: Put N/A if the field is not applicable to you.

STEP 3: BUSINESS INFORMATION
Note: Put N/A if the field is not applicable to you.
Employer/Business Name*
Business Address*
Unit No.*
Street No.*
Street Name*
Village/Barangay*
City*
District*
Province*
ZIP Code*
Form of Organization*
Number of Employees*
Regular
Probationary*
Probationary
Contractual*
Contractual
Project Based*
Project Based
Major Products/Services Offered*
Position*
Other Position*
Nature of Business*
Total Business Asset Size-Net of Land*
Date Established*
Years in Business Operation
Years
Months*
Months
Length of Service*
Years
Months*
Months
Percentage Ownership (%)*
based on latest (GIS)
SSS / GSIS Number*
Tax Identification Number (TIN)*
Area #*
Office Phone Number*
Area #*
Fax Number*
Office Email Address*
Previous Employer/Business Name*
Length of Service*
Years
Months*
Months
Position*
Note: Put N/A if the field is not applicable to you.

STEP 4: FAMILY / SPOUSE INFORMATION
Note: Put N/A if the field is not applicable to you.
First Name*
Middle Name*
Last Name*
Employer/Business Name*
Position*
Employer/Business Address*
Date of Birth*
Area #*
Office Phone Number*
Mobile Phone Number*
Email Address*
Note: Put N/A if the field is not applicable to you.

STEP 5: OTHER INFORMATION
Note: Put N/A if the field is not applicable to you.
Personal / Trade Reference Name 1*
Relation to Borrower*
Area #*
Telephone Number*
Home Address*
Personal / Trade Reference Name 2*
Relation to Borrower*
Area #*
Telephone Number*
Home Address*
Personal / Trade Reference Name 3*
Relation to Borrower*
Area #*
Telephone Number*
Home Address*
Credit Card Issuing Bank 1
Card Number
Credit Limit
Expiry Date
Expiry Year
Credit Card Issuing Bank 2
Card Number
Credit Limit
Expiry Date
Expiry Year
Credit Card Issuing Bank 3
Card Number
Credit Limit
Expiry Date
Expiry Year
Other Loan Accounts 1
(Bank / Loan)
Type of Loan
Outstanding Balance
Monthly Payment
Other Loan Accounts 2
(Bank / Loan)
Type of Loan
Outstanding Balance
Monthly Payment
Other Loan Accounts 3
(Bank / Loan)
Type of Loan
Outstanding Balance
Monthly Payment
Note: Put N/A if the field is not applicable to you.

STEP 6: DOCUMENTARY REQUIREMENTS
Photocopy of two (2) valid government issued ID with three (3) specimen signatures*
Accepted file types: jpg, png, jpeg, pdf, doc, docx.
- Scanned copies of 2 latest government issued IDs (back-to-back) with 3 specimen signatures. Kindly use and upload in one file.
Latest Credit Card Statement of Account (SOA)*
Accepted file types: jpg, png, jpeg, pdf, doc, docx.
Proof of residence address, either of the following:*
- Latest one (1) month proof of billing (i.e. utility bill or lease contract under applicant’s name)
- Latest one (1) government ID with residence address (i.e. driver’s license, postal ID, NBI, police clearance, etc.)
Accepted file types: jpg, png, jpeg, pdf, doc, docx.
SEC/DTI Certificate of Registration*
Accepted file types: jpg, png, jpeg, pdf, doc, docx.
Latest General Information Sheet*
Accepted file types: jpg, png, jpeg, pdf, doc, docx.
Latest Business Permit*
Accepted file types: jpg, png, jpeg, pdf, doc, docx.
Six (6) months bank statement / passbook*
- File exceeding 25MB and multiple bank statements, please submitted through email at eqb-sld@equicomsavings.com.ph
Accepted file types: jpg, png, jpeg, pdf, doc, docx.
Authorization to verify bank account/s*
Accepted file types: jpg, png, jpeg, pdf, doc, docx.
List of three (3) major suppliers and customers with contact details.*
Accepted file types: jpg, png, jpeg, pdf, doc, docx.
Latest Income Tax Return*
Accepted file types: jpg, png, jpeg, pdf, doc, docx.
Latest two (2) years Audited Financial Statement*
Accepted file types: jpg, png, jpeg, pdf, doc, docx.
Note: Other documents may be required to process loan.

REVIEW BUSINESS APPLICATION

STEP 1: LOAN INFORMATION

Desired Loan Amount (PhP)
{Amount:12}

Desired Payment Term (Months)
{Term:7}

Loan Purpose
{Purpose:6320}

Mode of Loan Release
{Release:6444}

STEP 2: PERSONAL INFORMATION

First Name
{FirstName:20.3}

Middle Name
{MiddleName:20.4}

Last Name
{LastName:20.6}

Mother's Maiden Name
{MothersName:6396}

Date of Birth
{DOBMonth:6476}

Day
{DOBDay:6477}

Year
{DOBYear:6478}

Age
{Age:6437}

Place of Birth
{BirthPlace:25}

Civil Status
{CivilStatus:26}

Gender
{Gender:27}

Nationality
{Nationality:6411}

Number of Dependents
Children {NoDependents:30} Others {OtherDependents:31}

Relationship {RelationshipDep:32}

Educational Attainment
{Education:33}

Area #
{AreaCode:6479}

Home Phone Number
{HomeNumber:6412}

Mobile Phone Number
{MobileNumber:6342}

Email Address
{Email:36}

Present Home Address

Building
{PresentBuilding:6363}

Unit No.
{PresentUnitNo.:6364}

Street No.
{PresentStreetNo.:6365}

Street Name
{PresentStreetName:6366}

Village/Barangay
{PresentVillage/Barangay:6367}

City
{PresentCity:6369}

District
{PresentDistrict:6370}

Province
{PresentProvince:6371}

Zip Code
{PresentZipCode:6372}

Length of Stay
Years {PresentStayYear:41} Months {PresentStayMonth:42}

Ownership
{PresentOwnership:45}

PhP {PresentRent:50} / Month

Permanent Home Address

Building
{PermanentBuilding:6374}

Unit No.
{PermanentUnitNo.:6376}

Street No.
{PermanentStreetNo.:6377}

Street Name
{PermanentStreetName:6378}

Village/Barangay
{PermanentVillage/Barangay:6379}

City
{PermanentCity:6380}

District
{PermanentDistrict:6381}

Province
{PermanentProvince:6382}

Zip Code
{PermanentZipCode:6383}

Length of Stay
Years {PermanentStayYear:43} Months {PermanentStayMonth:44}

Ownership
{PermanentOwnership:46}

PhP {PermanentRent:51} / Month

Previous Home Address

Building
{PreviousBuilding:6385}

Unit No.
{PreviousUnitNo.:6386}

Street No.
{PreviousStreetNo.:6387}

Street Name
{PreviousStreetName:6388}

Village/Barangay
{PreviousVillage/Barangay:6389}

City
{PreviousCity:6390}

District
{PreviousDistrict:6391}

Province
{PreviousProvince:6392}

Zip Code
{PreviousZipCode:6393}

Length of Stay
Years {PreviousStayYear:53} Months {PreviousStayMonth:54}

Ownership
{PreviousOwnership:55}

PhP {PreviousRent:57} / Month

Source of Funds
{SourceofFUnds:58}

Car Ownership
{CarOwnership:60}

No. of Cars Owned
{NoCars:61}

Are you related to any EqB Employee?

{Q1:66}

Name
{Q1Name:67}

Relationship
{Q1Relationship:74}

Are you a Director, Officer or Stockholder (DOS) of Equicom Savings Bank (EqB) subsidiary and/or affiliate? If YES, specify company and position/affiliation

{Q2:69}

Name
{Q2Name:70}

Relationship
{Q2Relationship:75}

Are you related to a DOS of EqB subsidiary and/or affiliate of Equicom Group of Companies? If YES, specify company and position/affiliation

{Q3:72}

Name
{Q3Name:73}

Relationship
{Q3Relationship:76}

STEP 3: BUSINESS INFORMATION

Employer/Business Name
{BusinessName:80}

Business Address

Building
{BusinessBuilding:82}

Unit No.
{BusinessUnitNo.:6422}

Street No.
{BusinessStreetNo.:6421}

Street Name
{BusinessStreetName:6420}

Village/Barangay
{BusinessVillage/Barangay:6418}

City
{BusinessCity:6417}

District
{BusinessDistrict:6416}

Province
{BusinessProvince:6415}

Zip Code
{BusinessZipCode:6413}

Form of Organization
{FormOrg:6324}

Number of Employees
Regular {Regular:6321}

Probationary {Probationary:6322}

Contractual {Contractual:6323}

Project Based {ProjectBase:6325}

Major Products/Services Offered
{Offers:6348}

Position
{Position:6326}

Nature of Business
{NatureofBusiness:81}

Total Business Asset Size-Net of Land
{BusinessSize:87}

Date Established
{DateEstablished:93}

Years in Business Operation
Years {OperationYears:96} Months {OperationMonths:97}

Length of Service
Years {LengthYears:94} Months {LengthMonths:95}

Percentage Ownership
{PercentageOwner:88}

SSS / GSIS Number
{SSSNumber:91}

Tax Identification Number (TIN)
{TINNumber:92}

Area #
{AreaCode:6481}

Office Phone Number
{OfficeNumber:6430}

Area #
{AreaCode:6482}

Fax Number
{FaxNumber:6431}

Office Email Address
{OfficeEmailAddress:103}

Previous Employer / Business Name
{PrevEmployer:107}

Length of Service
Years {LengthYears2:99} Months {LengthMonths2:100}

Position
{PositionPrev:108}

STEP 4: FAMILY / SPOUSE INFORMATION

First Name
{FamilyFirstName:111}

Middle Name
{FamilyMiddleName:112}

Last Name
{FamilyLastName:113}

Employer/Business Name
{FamilyEmployerBusinessName:114}

Position
{FamilyPosition:115}

Employer/Business Address
{FamilyEmployerBusinessAddress:116}

Date of Birth
{FamilyBirthday:117:dmy}

Area #
{AreaCode:6483}

Office Phone Number
{FamilyOfficePhoneNumber:6432}

Mobile Phone Number
{FamilyMobilePhoneNumber:6347}

E-mail Address
{FamilyEmailAddress:121}

STEP 5: OTHER INFORMATION

Personal Reference Name 1
{PR1Name:122}

Relation to Borrower
{PR1Relation:6497}

Area #
{AreaCode:6485}

Telephone Number
{PR1TelNum:6443}

Home Address
{PR1Address:6443}

Personal Reference Name 2
{PR2Name:127}

Relation to Borrower
{PR2Relation:6498}

Area #
{AreaCode:6486}

Telephone Number
{PR2TelNum:6434}

Home Address
{PR2Address:130}

Personal Reference Name 3
{PR3Name:131}

Relation to Borrower
{PR3Relation:6499}

Area #
{AreaCode:6488}

Telephone Number
{PR3TelNum:6435}

Home Address
{PR3Address:134}

Credit Card Issuing Bank 1
{CCBank:6448}

Card Number
{CCNumber:6310}

Credit Limit
{CCNumber:6311}

Expiry Date
{ExpiryMonth:6312} / {ExpiryYear:6313}

Credit Card Issuing Bank 2
{CCBank2:6465}

Card Number
{CCNumber2:6466}

Credit Limit
{CCNumber2:6467}

Expiry Date
{ExpiryMonth2:6458} / {ExpiryYear2:6459}

Credit Card Issuing Bank 3
{CCBank3:6460}

Card Number
{CCNumber3:6461}

Credit Limit
{CCNumber3:6462}

Expiry Date
{ExpiryMonth3:6463} / {ExpiryYear3:6464}

Other Loan Accounts 1
(Bank / Loan)
{OtherLoans:6314}

Type of Loan
{CCTypeLoan:6315}

Outstanding Balance
{OLBalance:6316}

Monthly Payment
{OLMonthlyPayment:6317}

Other Loan Accounts 2
(Bank / Loan)
{OtherLoans2:6465}

Type of Loan
{CCTypeLoan2:6466}

Outstanding Balance
{OLBalance2:6467}

Monthly Payment
{OLMonthlyPayment2:6468}

Other Loan Accounts 3
(Bank / Loan)
{OtherLoans3:6469}

Type of Loan
{CCTypeLoan3:6470}

Outstanding Balance
{OLBalance3:6471}

Monthly Payment
{OLMonthlyPaymen3t:6472}

Business Loan Application

Data Processing Consent

Undertaking

STEP 1: LOAN INFORMATIONNote: Put N/A if the field is not applicable to you.

STEP 2: PERSONAL INFORMATIONNote: Put N/A if the field is not applicable to you.

STEP 3: BUSINESS INFORMATIONNote: Put N/A if the field is not applicable to you.

STEP 4: FAMILY / SPOUSE INFORMATIONNote: Put N/A if the field is not applicable to you.

STEP 5: OTHER INFORMATIONNote: Put N/A if the field is not applicable to you.

STEP 6: DOCUMENTARY REQUIREMENTS

REVIEW BUSINESS APPLICATION

STEP 1: LOAN INFORMATION

STEP 2: PERSONAL INFORMATION

STEP 3: BUSINESS INFORMATION

STEP 4: FAMILY / SPOUSE INFORMATION

STEP 5: OTHER INFORMATION

STEP 1: LOAN INFORMATION
Note: Put N/A if the field is not applicable to you.

STEP 2: PERSONAL INFORMATION
Note: Put N/A if the field is not applicable to you.

STEP 3: BUSINESS INFORMATION
Note: Put N/A if the field is not applicable to you.

STEP 4: FAMILY / SPOUSE INFORMATION
Note: Put N/A if the field is not applicable to you.

STEP 5: OTHER INFORMATION
Note: Put N/A if the field is not applicable to you.