Previous Home Address

Use black ink and complete all fields.

If a field is not applicable, please write ‘N.A.’
Lot/Blk. No. House/Unit No. Floor No./Building Name Subd./Compound Name
LOAN DETAILS
Desired Loan Amount Street City/Province Zip Code
(Subject to Bank’s approval)
Yrs./Months at Yrs. Mos. Yrs./Months at Yrs. Mos.
Desired Loan Term Present Address Previous Address
† 12 months † 18 months † 24 months † 36 months Provincial Home Address
Purpose of Loan
† Appliance † Health / Hospitalization † Travel
† Balance Transfer † Home Improvement † Others Lot/Blk. No. House/Unit No. Floor No./Building Name Subd./Compound Name
† Education † Livelihood / Working Capital ___________________________
PERSONAL INFORMATION
Street City/Province Zip Code
Existing Loan Customer? † Yes † No
Provincial Contact Number
Area Code Phone 1 Phone 2

First Name Middle Name Last Name Mobile Fax Email

Other Name (Alias) Ttile † Mr. † Mrs. † Ms.

Sex Date of Birth (dd/mm/yyyy)

WORK AND FINANCES
† Male † Female Present Employment
Permanent? † Yes † No Part Owner? † Yes † No
Marital Status † Single † Married † Widowed † Separated †
Spouse Name Spouse Working? Company Type † Private † Government † Others
† Yes † No __________________
Nature of Business
No. of Children No. of Dependents
Position Rank

Employer/Business Name
Mother’s First Name Mother’s Middle Name Mother’s Last Name
Philippine Resident? † Yes † No Nationality Employer’s Address

Educational Attainment † High School † College Graduate † Others

† College Level † Post Graduate ____________ Lot/Blk. No. House/Unit No. Floor No./Building Name Subd./Compound Name
SSS No. TIN No.

Residence Type Street City/Province Zip Code

† Owned (Not Mortgaged) Office Contact Number
Amortization/Month Area Code Phone 1 Phone 2
† Owned (Mortgaged) P_____________
† Rented Rent/Month P____________ Mobile Fax Email
† Used Free/Staying with Relatives
† Others ____________________________________________ Previous Employment
Current Home Address Employer/Business Name

NEED CASH FAST? Lot/Blk. No. House/Unit No. Floor No./Building Name Subd./Compound Name
Previous Employer’s Address

Lot/Blk. No. House/Unit No. Floor No./Building Name Subd./Compound Name

Street City/Province Zip Code
Get a low interest loan with Residence Contact Number
Area Code Phone 1 Phone 2 Street City/Province Zip Code
Chinatrust’s Salary Stretch. Mobile Fax Email
Office Contact Number
Area Code Phone 1 Phone 2
 Mobile Fax Email BASIC REQUIREMENTS
Give your paying power
Yrs./Months at Yrs. Mos. Yrs./Months at Yrs. Mos. † Completely filled out application form
that needed boost Present Company Previous Company
† Photocopy of latest ITR/form 2316
to finally get Monthly Income and Expenses (based on one month payslip)
Basic Allowance Deduction
† Photocopy of ID issued by the employer with photo and signature
† Photocopy of one (1) month latest pay slip (original copy may be required prior
what you’ve always wanted! to loan release)
SPOUSE DETAILS † Other documents (may be required from the applicant to process the loan)
Employer/Business Name
Boost your paying power! All applicants with incomplete information and lacking requirements will not be
Renovating your house? Throwing a debut party for your daughter? Designation/Title/Rank Department processed. Any alteration requires the full signature of the applicant.
Thinking of taking that long-overdue family vacation? Eyeing that Upon approval, applicants will be required to issue post-dated checks for payment.
new digital camera? Office Contact Number Post-dated checks should be under the name of the borrower.
Chinatrust’s Salary Stretch is a multi-purpose loan that lets you make Area Code Phone 1 Phone 2 Handling Fee: P1,500.00 (automatically deducted from loan proceeds)
the most of your monthly salary with convenient payment terms.
Mobile Fax Email NO FEE IS COLLECTED BY THE BANK OR ANY REPRESENTATIVE
UPON APPLICATION.
Widen your payment options!
OTHER DETAILS UNDERTAKINGS/AUTHORIZATION
Salary Stretch provides you with easy payment options of 12, 18, 24,
and 36 months to choose from, with the lowest interest rates! Bank References
Bank Name Branch Account Type Account Number I hereby certify that all information herein and in all supporting documents submitted
with this application, are true and correct. I hereby authorize the bank and/or its
Get that loan fast! representative to verify any and all information furnished by me including previous credit
_____________________ _____________ _____________ ______________________
Qualifying for Salary Stretch is simple and easy. transactions with other institutions. In this connection, I hereby waive any and all
statutory and regulatory provisions governing confidentiality of such information if
If you are:
_____________________ _____________ _____________ ______________________ applicable. I fully understand that any misrepresentation or failure to disclose
• Currently employed with a minimum gross monthly salary of
information on my part as required in this application, may cause the disapproval of my
P15,000 and
application.
• With a minimum one year work experience _____________________ _____________ _____________ ______________________
Upon acceptance of my application, I legally bind to the terms and conditions of
You can get fast Salary Stretch approval! Credit Card Owned
Credit Card No. Issuer’s Name Member Since Card Expiry Card Limit Chinatrust including but not limited to joint and several liability for all charges, fees, and
(mm/yyyy) (mm/yyyy) obligations incurred, and shall execute the necessary documents.
Complete the attached form now! In case of disapproval of my loan application, I understand that the bank is not
obligated to disclose the reasons for such disapproval.
_____________ _________________ ____________ ___________ ___________
Call: 811-8999 Once I have received the loan proceeds, either via Manager's Check, Cash,
E-mail: salarystretch@chinatrust.com.ph Electronic Fund Transfer or the Cash Card, at the Bank's options, I am deemed to have
_____________ _________________ ____________ ___________ ___________ fully examined the Documents and have waived any and all objections thereto.

 _____________ _________________ ____________ ___________ ___________

Acknowledgement Personal Reference
Name Landline Mobile Number
____________________________ ____________
Documents submitted (Please check appropriate boxes) Applicant’s Printed Name and Signature Date
A________________________ _______________________ _______________________
† Completely filled out application form
FOR BANK USE ONLY
† Photocopy of latest ITR/form 2316
B________________________ _______________________ _______________________ Date (dd/mm/yyyy) Application No.
† Photocopy of ID issued by the employer with photo and signature
† Photocopy of one (1) month latest pay slip (original copy may be required Approval Center Product
prior to loan release) C________________________ _______________________ _______________________
† Other documents (may be required from the applicant to process the loan) Personal Reference Channel Code Sales Officer
Relationship Address
_________________________________________________________________
Agency Name Agent Code
A_________________________ _________________________________________________
Received by: Agency Code Agent Name
B_________________________ _________________________________________________
___________________________________________ ________________ Agent’s Signature
Signature Above Printed Name Date
C_________________________ _________________________________________________