Business Loan Application Form 1”x1” COLORED
All items must be filled out completely and accurately ID PICTURE
by the applicant or an authorized representative. (Paste Here)
All erasures must be countersigned by the applicant.
HOW CAN WE HELP?
How much do you think you’ll need? Preferred payment term? What is the purpose of your loan application?
PERSONAL INFORMATION
Principal Borrower’s Last Name First Name Middle Name Date of Birth (MM-DD-YYYY) Gender
Male Female
Place of Birth Primary Email Address Active Mobile Number
Present Address (House/ Unit no., Floor & Bldg./ Street, Lot/Blk, Brgy/ Village)
Rent Owned Mortgaged
SSS/GSIS Number TIN Nationality Civil Status Highest Educational Attainment and School
Spouse’s Last Name First Name Middle Name Spouse’s Active Landline/Mobile Number
Co-Borrower’s Last Name First Name Middle Name Co-Borrower’s Active Landline/Mobile Number Relationship to Principal Borrower
DEPENDENT’S INFORMATION
Dependent’s Last Name First Name Middle Name Date of Birth (MM-DD-YYYY) School/Company
Dependent’s Last Name First Name Middle Name Date of Birth (MM-DD-YYYY) School/Company
BUSINESS INFORMATION
Registered Business Name
Main Office Address (No., Street, District/Town, City/ Province, Zip Code)
Address of Operations (No., Street, District/Town, City/ Province, Zip Code)
Describe Your Product/Service Business Contact Details No. of Branches No. of Employees
Business Nationality (Domestic/Foreign) Date Business Started Business SSS/GSIS Business TIN
Other Sources of Funds Income From Other Businesses Average Monthly Sales Average Monthly Cost of Sales Average Monthly Net Income
TRADE REFERENCES: MAJOR SUPPLIERS
Business Name Contact Person Contact Number
Business Name Contact Person Contact Number
Business Name Contact Person Contact Number
WHO IS YOUR SALES AGENT?
Managing Sales Partner Sales Partner Sales Affiliate
BANK INFORMATION/ FINANCIAL INSTITUTION
Bank/Financial Institution and Brand Account Number Account Name Date Opened Contact Details
Bank/Financial Institution and Brand Account Number Account Name Date Opened Contact Details
Bank/Financial Institution and Brand Account Number Account Name Date Opened Contact Details
AUTHORITY TO VERIFY BANK INFORMATION
I/We authorize Zenith Capital Credit Group and its representatives to enter and inspect my/our residence, main office, and operation facility/ies as part of
their credit evaluation. I/We hereby certify that all information disclosed here are true and correct and shall form part of the loan documents and the
signatures indicated here are genuine.
SIGNATURE OVER PRINTED NAME OF PRINCIPAL BORROWER DATE SIGNED
AUTHORITY TO VERIFY AND DECLARED OF VERACITY
I/We authorize Zenith Capital Credit Group or any of its authorized representatives to verify our account with the details as follows. Please disclose to the
authorized any information they would require regarding our account.
BANK AND BRANCH ACCOUNT NUMBER ACCOUNT NAME
SIGNATURE OVER PRINTED NAME OF PRINCIPAL BORROWER DATE SIGNED
APPLICATION REQUIREMENTS
SOLE PROPRIETORSHIP PARTNERSHIP
• Latest original 3 months bank statements and bank certification * Articles of partnership
• Copy of Mayor’s and Barangay Business permit
• Copy of DTI Permit CORPORATION
• Photocopy of at least 2 Government-issued IDs • SEC registration with Article of Incorporation & By Laws
• 1”x1” ID Picture • General Information Sheet
• Pictures of the business and/or inventory • Secretary’s Certificate with Board Resolution
• Proof of billing for your business and residence (i.e. electricity, water, cable) (Authority to obtain loan in his/her personal capacity)
• Hand-drawn sketch of your business and residence location • Income Tax Return with Audited Financial Statements