HOMEPLUS LOAN APPLICATION

Application Date Application ID Generating Unit Account/Marketing Officer

ATTORNEY-IN-FACT'S INFORMATION

Nick Name Date of Birth Place of Birth

Civil Status No. of Years Mother's Maiden Name Citizenship

Zip Code Years of Residency

Owned Living with Relatives Tel No/s.

Provincial Address Zip Code E-Mail Address

Employment / Occupation EMPLOYED SELF-EMPLOYED / BUSINESS

Employer's / Business Name

Office / Business Address

Telephone No.

Position

Yrs. in Employment/Business

GSIS/SSS No. Nature of Business DTI Registration No.

ATTORNEY-IN-FACT'S DEPENDENTS Name Age School / Company Level / Year Employed

SPOUSE'S INFORMATION

Nick Name Date of Birth Place of Birth

Employment / Occupation EMPLOYED SELF-EMPLOYED / BUSINESS

Employer's / Business Name

Office / Business Address

Telephone No.

Position

Yrs. in Employment/Business

GSIS/SSS No. Nature of Business DTI Registration No.

AGREEMENT

Attorney-in-Fact (Signature over Printed Name

Tax Identification No.:

Name (Last Name / First Name / Middle Name)

No. of Dependents

Present Home Address

Renting for P _____________ Presently Mortgaged for P _____________

Previous Employer (if less than 2 years in current employment)

Name (Last Name / First Name / Middle Name)

Previous Employer (if less than 2 years in current employment)

I/We affirm that each of the statements made in this application is true and correct and the signatures appearing herein are genuine. I/We agree to notify China Banking Corporation (the Bank) of any changes affecting the information contained herein. I/We further confirm that I/we do not have any outstanding civil or criminal case filed against me/us and that I/we do not have any arrearages/past due with any bank or financial institution. I/We authorize the Bank to obtain and verify such information as may be required covering this application from the above references or any other sources. For this purpose, I/we hereby waive my/our rights in the confidentiality of client information. A photocopy of this authorization shall be effective and valid as the original. I/We agree that any information obtained by the Bank shall remain its property whether or not the loan is granted.

I/We confirm that I/we do not have any relative within the first degree of consanguinity or affinity working in the Bank. I/We agree that this loan application shall be subject to Bangko Sentral ng Pilipinas regulations including those pertaining to directors, officers, stockholders and related interests of the Bank. I/We further agree and understand that, should this application be denied, the Bank is not obliged to furnish the reason for denial.

I/We fully understand that any material misrepresentation or failure to disclose information on my/our part as required herein, may cause disapproval of my/our loan application; and the Bank at any time, shall have the right to cancel the loan approval and/or declare the loan due and demandable.

FILING FEE In connection with this application, I (We) agree to pay the Bank a non-refundable Filing Fee of P1,500

Single MarriedWidow/er AnnulledSeparated

Attach latest

2x2 photo

Community Tax Certificate No.:

Date Issued / Place of Issue: