APPLICANT PERSONAL DATA

Last Name First Name Middle Name Birthdate Sex Civil Status Nationality Mother's Maiden Name No. of Dependents Home Address Zip Code Years of Stay Home Ownership Previous Address Billing Address Provincial Address No. of Vehicles 1

OPPURA LALAINE RUBI

04/26/1984

FEMALE SINGLE FILIPINO LOURDES OCON RUBI Ages 5 PRK 5 SAN ROQUE, MACO 8806 17 OWNED

PRK 5 SAN ROQUE MACO COMPOSTELA VALLEY Owned Mortgaged

E-mail Address T.I.N. Telephone Number Cellphone Number Pager Number

oppurae@yahoo.com 408268099

09474589875/ 09297841460

APPLICANT EMPLOYMENT DATA

Employer/Name of Business Position Nature of Business Office Address Zip Code Telephone Number Fax Number Years in Business Other Income Source

OWN COCONUT BUSINESS OWNER AGRICULTURE

8806

4 ALLOTTED

SPOUSE PERSONAL DATA

Last Name First Name Middle Name Birthdate T.I.N. Nationality

,

CO-BORROWER/ ADMINISTRATOR PERSONAL DATA

Last Name First Name Middle Name

OPPURA LUIS MARTINEZ

Birthdate T.I.N. Nationality

08/25/1941

04687924 FILIPINO

SPOUSE EMPLOYMENT DATA

Employer/Name of Business Position Nature of Business Office Address Zip Code Telephone Number Fax Number Years in Business Other Income Source

CO-BORROWER/ ADMINISTRATOR EMPLOYMENT DATA

Employer/Name of Business Position Nature of Business Office Address Zip Code Telephone Number Fax Number Years in Business

OPPURA STORE OWNER GENERAL MERCHANDISE MACO PUBLIC MARKET 8806

Other Income Source

PENSION

MONTHLY INCOME

Currenc Borrow Currenc Spous Currenc y er y e y Salaries Business Income Allowances Commissions Rental Income Others 84,000 PHP 10,000 PHP

Co-Borrower/ Administrator

156,000

2,000

APPLICATION DETAILS

Type of Application Amount of Loan Equity Ratio Term

HOUSING IMPROVEMENT PhP 800,000 % 3 years

EXISTING DEPOSITS

Bank/Branch BPI DIRECT BPI DIRECT BPI DIRECT

Account Type SAVINGS SAVE UP CHECKING

Account Number

Current Balance

EXISTING CREDIT CARDS

Credit Card Company

Card Number

Credit Limit (PhP)

Expiry

ALL EXISTING LOANS AND FINANCING

Creditor MR. FRANCIS GALOTERA

Loan Type MORTGAGE

Current Balance (PhP) 145,200

Monthly Payments 8,400

TRADE REFERENCES (For Self-Employed Clients Only)

Name of Supplier/Customer

Address/Telephone Nos.

PERSONAL REFERENCES

Name (Last/First/Middle) VICE MAYOR ATTY SAPILAN MARIO BRADLEY STAUP

Address/Telephone Nos. PRK 3 SAN ROQUE MACO etstaup@netscape.net

COLLATERAL DATA

Type of Collateral Title in the name of Property Address

REAL ESTATE LALAINE OPPURA PRK 5 SAN ROQUE, MACO COMPOSTELA VALLEY

Please provide details only if you have been referred by an employee of the Bank.

Branch/BERC Office Name of Employee

Not Appraisal Fee is PHP 3,000.00 only. This will cover appraisal and credit investigation e: expenses.

AGREEMENT

I(We) affirm that the statements made in this application form are true and correct and agree to notify BPI Direct* of any material changes affecting the information contained herein. I(We) authorize BPI Direct to obtain and verify such information as may be required covering this application from above references or any other sources. By submitting this form, I(We) certify that any material misrepresentation or falsity therein shall be construed as an act to defraud BPI Direct for which civil and/or criminal liability can be pursued against me(us). In case of disapproval of my(our) application, BPI Direct is under no obligation to provide me(us) with the reason for such decision. I(We) agree that all information obtained by BPI Direct shall remain its property whether or not the loan application is approved. *All approved online applications will be booked with BPI Direct. However, BPI Family Bank, as the Service Agent of BPI Direct, will be handling the processing of your loan. Therefore, all communication regarding your loan application shall be with BPI Family Bank in behalf of BPI Direct. Please wait for the application confirmation page to appear to confirm that your application has been received.