HOUSING LOAN APPLICATION
Source
Do you want a UCPB Credit Card?
CIF Number
Branch ______________________________
Others ______________________________
Yes
No
TO BE FILLED UP BY THE BORROWER
LOAN DETAILS
Date of Application
Amount Applied for
Term
Purpose
Equity Available
Mailing Instruction
Cash
Lot
For delivery to the office
Others _____________________
COLLATERAL DETAILS
Type of Property
TCT / CCT Number
Area
Condominium Unit
Lot
House and Lot
Townhouse
Others _________________________
Address of Property
TCT / CCT in the Name of
PERSONAL INFORMATION
Name of Borrower
Mother’s Maiden Name
(Last Name, First Name, Middle Name)
Birthday
Birthplace
Civil Status
Age
Nationality
Number of Dependents
(mm-dd-yy)
Single
Present Home Address
ZIP Code
Length of Stay
(No., Street, Village/Municipality/Barangay, City/Town/Province. If without house no., please provide sketch of residence.)
Permanent Home Address
ZIP Code
Length of Stay
(No., Street, Village/Municipality/Barangay, City/Town/Province. If without house no., please provide sketch of residence.)
Residence
TIN
SSS / GSIS Number
Owned
Rented
Owned by Parents
Others __________________________
Telephone Number
Facsimile Number
Mobile Phone Number
E-mail Address
Name of Present Employer / Business
Date of Employment / Incorporation
Position
Business Address
Industry
Business Telephone Number
SPOUSE / CO-BORROWER
Name of Co-Borrower
Mother’s Maiden Name
(Last Name, First Name, Middle Name)
Birthday
Birthplace
Civil Status
Age
Nationality
Number of Dependents
(mm-dd-yy)
Single
Present Home Address
ZIP Code
Length of Stay
(No., Street, Village/Municipality/Barangay, City/Town/Province. If without house no., please provide sketch of residence.)
Permanent Home Address
ZIP Code
Length of Stay
(No., Street, Village/Municipality/Barangay, City/Town/Province. If without house no., please provide sketch of residence.)
Residence
TIN
SSS / GSIS Number
Owned
Rented
Owned by Parents
Others __________________________
Telephone Number
Facsimile Number
Mobile Phone Number
E-mail Address
Name of Present Employer / Business
Date of Employment / Incorporation
Position
Business Address
Industry
Business Telephone Number
OTHER PERSONAL DETAILS
Highest Educational Attainment
Applicant
Spouse / Co-Borrower
School
Course
Year Graduated
DEPENDENTS
Name
Age
Relationship
School / Employer
UCPB Form No. 7-8021 Revised 9/2010