DATE: SEPT.

17, 2019
PROFITFLEET INCORPORATED
MG MARILAO AUTO LOAN APPLICATION FORM
VEHICLE TO BE PURCHASED
Unit/Model Selling Price Amount to be Fina
MG ZS ALPHA AT 998,888
Dealer/Agent Down Payment Terms
MGE-Centris/ JOY LONOSA 20%
Employment/Occupation COMPANY NAME

Employer's Business Name BJV BUSINESS EXPRESS INC. be

B43 L11 PHASE 8E GRAND ROYALE SUBD. BULIHAN MALOLOS
Office/ Business Address BULACAN

Telephone Numbers 0917-520-0323

CONTACT PERSON TO VERIFY BERNARDO I. TOLENTINO

Years in Employment/ Business 5 YRS

Monthly Income 300,000

Tax Identification Number Previous Employer (if less than 2yrs incurred employment)
245-329-857
BANK ACCOUNT
Bank/Branch Type of Account Account Number Card Company
BDO SAVINGS

TRADE AND BUSINESS REFERENCES

Name Contact Person Telephone Number

AGREEMENT
I/We affirm that each of the statements we made in ths application is true and correct and the signature apprearing herein are geniune.
I/We agree to notify the Bank of any change affecting the information cantained herein. I/We authorize the Bank to obtain and verify
such information as many be required covering this application from the above reference or any other source.

GROUP RETAIL MANAGER UNIT COLOR CLIENT SIGNATURE

 BRANCH:
MARILAO

ORM
t to be Finance
80%

60 MO.
EMAIL ADDRESS

berns.tolentino@bjvt.com.ph

Nature of Business DTI Reg No

CREDIT CARD OWNER

Credit Limit Expiry Date

Nature of Transaction/ Volume

F&I SIGNATURE