Indicators of Reputation

__ Good relations with the community, family, and friends

__ Applicant holds position in the community or any organization
__ Applicant has not been convicted of any crime
__ Applicant is clear from legal cases in the barangay

Residency & ties with the community

__ Living in present address for atleast 5 years
__ Permanent Address is same as present address
__ Permanent Address is within the Province
__ Home owner
__ Living with parents/ relatives
__ Renting an apartment

Lifestyle
__ Conservative or manageable lifestyle
__ Extravagant lifestyle

Age and Health Conditions

__ Good health, young or middle aged
__ Poor health, young or middle aged, have suffered nor sustained any illness or injury, consulted a physician or been
Hospitalized during the past five (5) years.
__ Near 65 years of age but possess sound health and free from any disease or injury.

Indicators of stability/resources

Employment:
1
Employed with: ______________________________________________________________
Office Address: _______________________________________________________________
Years in service: ___________ Gross Salary: ____________ Latest Net Pay: ___________
Employment Status: ( ) Permanent ( ) Job Order ( ) Co-Terminous
Proof: ( ) Latest Payslip ( ) Cert. of Employment ( ) Form 2316 / ITR

Farming:
1
Type of Crops: ( ) Corn: Area __________________ Location: ______________________
( ) Rice: Area __________________ Location: ______________________
( ) Sugarcane: Area _____________ Location: ______________________
Proof: ( ) Photos ( ) Certificate of Actual Tillage ( ) Photocopy of TD/TITLE
 Business:
1
Type of Business: ( ) Sari- Sari Store ( ) Mini-Grocery ( ) RTW
( ) Construction ( ) General Merchandise
( ) Others: ________________________________________________
Years in Service: ________________________________________
Business Address: ______________________________________
in fixed location? ___ Yes ___ No
Proof: ( ) Business Permit ( ) Photos of Stocks and Stall

Hog Fattening: Proof: ( ) Photos of Hogs.

1
Remittances: Proof: ( ) Latest Remittance Receipts.
1
( ) Bank Statement, if thru Bank deposit (atleast 3 mos.)

Pension: Proof: ( ) Bank Statement/ Snapshots of Transaction on pension acct.

1 Atleast latest three (3) months.

1 PUJ/PUV/TRICYCLE OPERATION: Proof: ( ) Copy of Franchise

( ) Photos of Vehicle for hire

1Others: Specify _____________________________________________________________

______________________________________________________________

Other Properties & Investments: Mode of Acquisition

1. ___________________________ __________________________________
2. ___________________________ __________________________________
3. ___________________________ __________________________________

Banking Relationships:
__ Client of the bank for atleast 1 year with satisfactory credit records.
__ Old client of the bank with incidence of past due loan in the bank but already fully paid.
__ Old Client of the bank but frequently non-compliant in requirements/agreements.
__ New account or does not have yet credit dealings or savings account in the bank
__ Satisfactory credit relations with other lending institutions

With deposit account to other financial institutions:

 Land Bank of the Philippines ( LBP )/ Branch: ______________________________________________
 Development Bank of the Philippines (DBP)/ Branch: ______________________________________________
 Philippine National Bank (PNB) Branch: ______________________________________________
 Metro bank Branch: ______________________________________________
 Others (Specify) ____________________________________________
 Savings/Current Account
 Current Account
 Checking Account
 Time Deposit
 WHAT TO VERIFY AND VALIDATE DURING CREDIT AND BACKGROUND CHECKING:

PROFILE:
( ) Name of Applicant: _________________________________________________________________________
( ) Contact No. _______________________________________________________________________________

HOME ADDRESS:
1. Present Address: __________________ ______________ __________________ ____________ ___________
Street Purok City/ Municipality Province Code
2. Permanent Address: __________________ ______________ ___________________ ____________ ___________
Street Purok City/ Municipality Province Code

 Landmark/Reference Point near the property vicinity:
1. ______________________________________
2. ______________________________________
3. ______________________________________
4. ______________________________________
Approximate distance to the property:
_____________________________
_____________________________
_____________________________
_____________________________

RESIDENCE VICINITY/SKETCH PLAN:

W E

AUTHORITY TO CONDUCT CREDIT INVESTIGATION & ACCOUNT VERIFICATION:

_________________________ ____________________________ ___________________________

_________________________ ____________________________ ___________________________
_________________________ ____________________________ ___________________________

Sir/ Madam:

This is to authorize RURAL BANK OF RIZAL (K-A), INC. or any of its authorized representative to conduct Credit Investigation and any bank
dealings to validate all informations and obtain additional data required of the undersigned in your bank in connection with my loan application. This
is to further authorize you to disclose any information relative to my account/s with you.
This will be valid for 20 working days from date of signing.

Thank You.

By:

_____________________________
Depositor/ Borrower
Date: _________________

BANK CHECKING:
Name of Bank Type of Account Status Informant

CREDIT CHECKING:
Name of Bank Type of Loan Balance Status Informant

CHARACTER CHECKING:

Informants: Relationship Findings