Apply for your

Security Bank Personal Loan

in 4 simple steps:
View our checklist to see what documents you
need to apply.
Print and fill out the application form on the
following page - dont forget to sign it!
Take a picture (you can use your phone) or
scan your application form, proof of
identification, and a proof of income.
Email the scan or picture of your application
form, and required documents to
plonlineapp@securitybank.com.ph
Prefer to apply in person? You can also
bring your completed application to any
Security Bank branch - search for the branch
nearest you at www.securitybank.com/map

Sourcing Data:

PERSONAL REFERENCES

SPOUSE INFORMATION

Channel Source:

Source Code: _____________________________________________

Referror / Account Officer / DSA: ______________________________________________________________

APPLICATIONS WITH INCOMPLETE DOCUMENTS AND INFORMATION WILL NOT BE PROCESSED.

Mr.

Spouse:
Name:
First

Mrs.

Date of Birth (mm/dd/yyyy):

PERSONAL LOAN DETAILS

With previous or existing Security Bank Personal Loan?
Desired Loan Amount

Yes

12

Loan Purpose:

Appliance

18

Tuition Fees

24

36

Relationship

Telephone No.

2.

Educational Attainment:
High School
Vocational

College

Others: __________________

Business / Employer:

Payment term (Months)

Address

Last

Post Graduate

No

PHP

Name
1.
Middle

Position:

CREDIT CARD DETAILS

Business / Employer Address (Floor, Street, Brgy./Village, Subdivision, City/Municipality, Province):

Zip Code:

Credit Card
1.

Credit Limit

Card No.

Expiry Date

Personal Consumption

Others: ____________________________
2.

Mode of Loan Release:

Via Manager s Check
Credit to my Security Bank Account:

Office Phone No.:

Branch: _____________________________

Number of Dependents:
Children:

Account Type: ____________________________

Others:

(Relationship:________________)

MY WORK AND FINANCES

Acct. No.

Employment Type:
Position:

PERSONAL INFORMATION
Title:
Name:
First

Mr.

Mrs.

Rank and File

Government

Private

Junior Officer

Ms.

Gender:
Middle

Bank / Company
1.

Self-Employed

Supervisor

Assistant Manager / Senior Assistant Manager

Manager / Senior Manager

Permanent:
Y
N

Assistant Vice President / Senior Assistant Vice President

Last

Civil Status:

Educational Attainment:

Car Ownership:

Home Ownership:

Single

Legally Separated

Married

Annulled

Date of Birth (mm/dd/yyyy):

Citizenship:

High School

Vocational

Others: __________________

College

Personal, monthly amortization (PHP ____________)

Company Provided

Both

None

Owned

Living with relatives

Rented, PHP______________/mo.

Mortgage

Length of Stay: __________ years

Company-Owned

Present Home Address (No., Street, Brgy./Village, Subdivision, City/Municipality, Province)*:

Date of Hire:

Length of Service:

TIN:

SSS/GSIS/UNIFIED ID Number:

Business / Employer:

Business / Employer Address (Floor, Street, Brgy./Village, Subdivision, City/Municipality, Province):

Fax No.:

Best Time / Day to Call:

Mobile Phone No.:

Zip Code:

Zip Code:

Office Phone No.:

Home Phone No.:

Gross Monthly Income:

Telephone No.:

E-mail Address:
Immediate Supervisor / HR Contact Person:

Permanent Home Address (No., Street, Brgy./Village, Subdivision, City/Municipality, Province)*:

Type of Loan

Monthly Payment

2.

UNDERTAKING

Nature of Business:

Widow/Widower

Place of Birth:

Post Graduate

Outstanding Balance

Vice President / First Vice President / Senior Vice President / Executive Vice President
President / Chief Executive Officer / Director / Chairman

Mother s Maiden Name

OTHER LOAN ACCOUNTS

Zip Code:

I hereby certify that all information herein are true and correct based on my own knowledge and further authorize
the Bank to obtain information as it may require concerning my loan application and agree that it shall remain the
Banks property whether my loan is approved or not. Any information given by me or other persons I authorized
which is not true or accurate, will automatically cause the Bank to reject my loan or cancel its approval.
I hereby willingly, voluntarily, and with full knowledge of my right under the law, waive the right to confidentiality
of information and authorize the Bank to disclose, divulge and reveal any such information relating to the account of
the Borrower/Mortgagor, including events of default, for the purpose of, among others, client evaluation, credit
reporting or verification and recovery of the obligation due and payable to the Bank under the terms and conditions
of this agreement.
In view of the foregoing, the Bank may disclose, divulge and reveal the aforementioned information to third
parties, including but not limited to my employer, the Banks affiliates, subsidiaries, agents or services providers, the
Bankers Association of the Philippines Credit Bureau (BAP CB) or to any similar central monitoring entity or
recipients as 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.
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 Personal Loan or any part(s) thereof shall be deemed to have been availed on
the date when the funds are transferred to my bank account maintained with the Bank, or upon receipt of the
Managers Check, reflecting the amount of the loan less the applicable fees, charges and taxes.
I further authorize the Bank to deduct from my Loan proceeds all fees including, but not limited to, processing
fees, documentary stamp tax, notarial fees and interest accruals should the first 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 Banks sole discretion. My
acceptance of the credit card or the proceeds of any loan released pursuant thereto shall be conclusive proof of my
acknowledgement 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.

Name of Previous Employer:

Previous Home Address (No., Street, Brgy./Village, Subdivision, City/Municipality, Province)*:

Borrower's Signature Above Printed Name

Zip Code:

FOR BANKS USE ONLY

Length of Service:

Preferred Billing / Mailing Address:

Home

Business / Employer

Total Years at Work / in Business:

Date