This form contains 284 fields organized into 86 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Affiliations - Director/Stockholder/Employee (Relative)
Director/Stockholder/Employee (Relative) - No Checkbox
Check this box if you are NOT a director, stockholder, or employee of China Bank.
Director/Stockholder/Employee (Relative) - Yes Checkbox
Check this box if you ARE a director, stockholder, or employee of China Bank.
Relative Relationship Text
Specify your relationship to the director, stockholder, or employee named in this section (e.g., spouse, parent, sibling). Fill only if 'Director/Stockholder/Employee (Relative) - Yes' is 'Yes'.
Depends on: Director/Stockholder/Employee (Relative) - Yes
Relative Affiliation Name/Unit Text
Enter the name and unit/department of your relative who is a director, stockholder, or employee. Fill only if 'Director/Stockholder/Employee (Relative) - Yes' is 'Yes'.
Depends on: Director/Stockholder/Employee (Relative) - Yes
Affiliations - Director/Stockholder/Employee (Self)
Self - No (Not a Director/Stockholder/Employee) Checkbox
Check this box if you are NOT a Director, Stockholder, or Employee of China Bank.
Self - Yes (Director/Stockholder/Employee) Checkbox
Check this box if you are a Director, Stockholder, or Employee of China Bank.
Self Employee Number Text
Enter your employee number for the organization where you are a director, stockholder, or employee. Fill only if 'Self - Yes (Director/Stockholder/Employee)' is 'Yes'.
Depends on: Self - Yes (Director/Stockholder/Employee)
Affiliations - Government/International Organization Connection
Government/International Organization Connection - No Checkbox
Check this box if you are NOT and are NOT related to/associated with a person who currently or formerly held a position in any branch of the Philippine or foreign government or an international organization.
Government/International Organization Connection - Yes Checkbox
Check this box if you are or are related to/associated with a person who currently or formerly held a position in any branch of the Philippine or foreign government or an international organization.
Relationship Type - Occupying Checkbox
Check this box if the relationship is that you yourself are the government/international organization personnel occupying (or having occupied) the position. Fill only if 'Government/International Organization Connection - Yes' is 'Yes'.
Depends on: Government/International Organization Connection - Yes
Relationship Type - Relative Checkbox
Check this box if the government/international organization personnel is your relative. Fill only if 'Government/International Organization Connection - Yes' is 'Yes'.
Depends on: Government/International Organization Connection - Yes
Relationship Type - Associate Checkbox
Check this box if the government/international organization personnel is your associate (not a relative). Fill only if 'Government/International Organization Connection - Yes' is 'Yes'.
Depends on: Government/International Organization Connection - Yes
Government/International Organization Connection - Position and Department Text
Enter the position title and department/office of the government or international organization personnel you are related to or associated with. Fill only if 'Government/International Organization Connection - Yes' is 'Yes'.
Depends on: Government/International Organization Connection - Yes
Attorney-in-Fact - Address
Attorney-in-Fact Address Text
Enter the complete address of the Attorney-in-Fact (e.g., unit/floor, building/house number, street, subdivision/village, barangay, city/municipality, province, and zip code).
Attorney-in-Fact - Civil Status
Attorney-in-Fact Civil Status - Single Checkbox
Check this box if the attorney-in-fact is single.
Attorney-in-Fact Civil Status - Married Checkbox
Check this box if the attorney-in-fact is married.
Attorney-in-Fact Civil Status - Separated Checkbox
Check this box if the attorney-in-fact is legally separated.
Attorney-in-Fact Civil Status - Annulled Checkbox
Check this box if the attorney-in-fact's marriage has been annulled.
Attorney-in-Fact Civil Status - Widowed Checkbox
Check this box if the attorney-in-fact is widowed.
Attorney-in-Fact - Contact Info
Attorney-in-Fact Mobile Phone Number Text
Enter the attorney-in-fact's mobile phone number.
Attorney-in-Fact Personal Email Address Text
Enter the attorney-in-fact's personal email address.
Attorney-in-Fact - Government ID Numbers
TIN Checkbox
Check this box if the Attorney-in-Fact’s government ID number being provided is a TIN (Tax Identification Number).
SSS Checkbox
Check this box if the Attorney-in-Fact’s government ID number being provided is an SSS number.
GSIS No. Checkbox
Check this box if the Attorney-in-Fact’s government ID number being provided is a GSIS number.
Attorney-in-Fact Government ID Number (TIN/SSS/GSIS) Text
Enter the attorney-in-fact’s government identification number, such as their TIN, SSS number, or GSIS number.
Attorney-in-Fact - Name and Date of Birth
Attorney-in-Fact Name Text
Enter the attorney-in-fact's full name (last name, first name, and middle name).
Attorney-in-Fact Date of Birth Date
Enter the attorney-in-fact's date of birth.
Attorney-in-Fact - Relationship to Borrower and Nationality
Relationship to Borrower Text
Enter the attorney-in-fact's relationship to the borrower (e.g., spouse, parent, sibling, authorized representative).
Nationality - Filipino Checkbox
Check this box if the Attorney-in-Fact’s nationality is Filipino.
Nationality - Foreign National Checkbox
Check this box if the Attorney-in-Fact is not Filipino (i.e., a foreign national).
Nationality Text
Enter the attorney-in-fact's nationality or citizenship.
Automobile Details
Vehicle Year Text
Enter the year of the automobile.
Vehicle Make Text
Enter the manufacturer (make) of the automobile.
Vehicle Model Text
Enter the model name of the automobile.
Estimated Market Value Number
Enter the estimated current market value of the automobile.
Borrower - Birth, Gender, and Mother's Maiden Name
Borrower Date of Birth Date
Enter the borrower's date of birth.
Gender - Male Checkbox
Check this box if the borrower is male.
Gender - Female Checkbox
Check this box if the borrower is female.
Borrower Place of Birth Text
Enter the borrower's place of birth (city and country).
Place of Birth (Country) - Philippines Checkbox
Check this box if the borrower was born in the Philippines.
Place of Birth (Country) - Other (specify) Checkbox
Check this box if the borrower was born in a country other than the Philippines, and specify the country on the provided line.
Borrower Country of Birth (If Not Philippines) Text
If the borrower was born outside the Philippines, enter the country of birth.
Borrower Mother's Maiden Name Text
Enter the borrower's mother's maiden name (first name, middle name, and last name).
Borrower - Civil Status
Borrower Civil Status - Single Checkbox
Check this box if the borrower is currently single (not married).
Borrower Civil Status - Married Checkbox
Check this box if the borrower is currently married.
Borrower Civil Status - Separated Checkbox
Check this box if the borrower is currently separated from a spouse.
Borrower Civil Status - Annulled Checkbox
Check this box if the borrower's marriage has been annulled.
Borrower Civil Status - Widowed Checkbox
Check this box if the borrower is widowed (spouse is deceased and not remarried).
Borrower - Highest Educational Attainment
High School Checkbox
Check this box if the borrower’s highest educational attainment is High School.
Undergraduate Checkbox
Check this box if the borrower’s highest educational attainment is Undergraduate.
College Checkbox
Check this box if the borrower’s highest educational attainment is College.
Post-Graduate Checkbox
Check this box if the borrower’s highest educational attainment is Post-Graduate.
Highest Educational Attainment (unlabeled option) Checkbox
Check this box only if it corresponds to the borrower’s highest educational attainment option indicated by the form for this unlabeled checkbox.
Highest Educational Attainment - Other (Specify) Text
Enter the borrower’s highest educational attainment if it is not one of the listed options (e.g., specify the degree or level attained).
Borrower - Home/Permanent Address and Housing Status
Home/Permanent Address Text
Enter the borrower’s complete home/permanent address (unit/floor, building, house number, street, subdivision/village, barangay, city/municipality, province, and zip code).
Owned Checkbox
Check this box if you own the home at your home/permanent address.
Living with Relatives Checkbox
Check this box if you are living with relatives at your home/permanent address.
Renting Checkbox
Check this box if you rent the home at your home/permanent address (and provide the monthly rent amount in PHP if asked).
Monthly Rent Amount (PHP) Number
Enter the amount of rent paid if the borrower is renting the home/permanent residence. Fill only if 'Renting' is 'Yes'.
Depends on: Renting
Presently Mortgaged Checkbox
Check this box if your home/permanent address is currently mortgaged (and provide the mortgage amount in PHP if asked).
Monthly Mortgage Payment Amount (PHP) Number
Enter the amount of the current mortgage payment if the home/permanent residence is presently mortgaged. Fill only if 'Presently Mortgaged' is 'Yes'.
Depends on: Presently Mortgaged
Years of Residency (Home/Permanent) Text
Enter how many years the borrower has lived at the home/permanent address.
Telephone Number (Home/Permanent) Text
Enter the telephone number for the borrower’s home/permanent address.
Borrower - Mobile Phone
Borrower - Mobile Phone Number Text
Enter the borrower's mobile phone number.
Borrower - Name and Title
Application Date Text
Enter the date when you are submitting the loan application.
Application ID Text
Provide the unique identifier for your loan application, if available.
Generating Unit Text
Specify the unit or department responsible for generating this application.
Account/Marketing Officer Text
Enter the name of the account or marketing officer handling your application.
CIF No Text
Provide your Customer Information File (CIF) number if you are an existing CBC customer.
Not a CBC Customer upon Application Date Checkbox
Check this box if you are not a CBC customer at the time of application.
Title - Mr. Checkbox
Check this box if the borrower's title is Mr.
Title - Ms. Checkbox
Check this box if the borrower's title is Ms.
Title - Mrs. Checkbox
Check this box if the borrower's title is Mrs.
Title - Dr. Checkbox
Check this box if the borrower's title is Dr.
Title - Atty. Checkbox
Check this box if the borrower uses the title Atty.
Title - Engr. Checkbox
Check this box if the borrower uses the title Engr.
Title - Other (specify) Checkbox
Check this box if the borrower uses a different title not listed and will specify it on the provided line.
Borrower Title (Specify) Text
Enter the borrower's title to be used if it is not one of the preprinted options (e.g., Mr., Ms., Mrs., Dr., Atty., Engr.).
Borrower Full Name Text
Enter the borrower's complete legal name (last name, first name, and middle name) as it should appear on the loan application.
Borrower Nicknames/Aliases/Other Names Text
Enter any nicknames, aliases, maiden name, or other names the borrower has used.
Borrower - Nationality
Nationality - Filipino Checkbox
Check this box if the borrower’s nationality is Filipino.
Nationality - Other (specify) Checkbox
Check this box if the borrower’s nationality is not Filipino and write the nationality on the line provided.
Borrower Nationality (Specify) Text
Enter the borrower's nationality if it is not Filipino, as it should appear on official records.
Borrower - Number of Dependents
Borrower - Number of Dependents Text
Enter the total number of dependents the borrower financially supports.
Borrower - Personal Email
Borrower Personal Email Address Text
Enter the borrower's personal email address.
Borrower - Present Address
Present Address - Same as Home / Permanent Address Checkbox
Check this box if the borrower's present address is the same as the Home/Permanent Address provided above.
Present Address Text
Enter the borrower's current complete residential address. Fill only if 'Present Address - Same as Home / Permanent Address' is 'No'.
Depends on: Present Address - Same as Home / Permanent Address
Present Address - Years of Residency Text
Enter the number of years the borrower has lived at the present address.
Present Address - Telephone No. Text
Enter the telephone number for the borrower at the present address.
Borrower - Previous Address
Previous Address - Same as Home / Permanent Address Checkbox
Check this box if your previous address is the same as your Home/Permanent Address, so you do not need to fill in a different previous address.
Borrower Previous Address Text
Enter the borrower's complete previous residential address. Fill only if 'Previous Address - Same as Home / Permanent Address' is 'No'.
Depends on: Previous Address - Same as Home / Permanent Address
Borrower Previous Address Years of Residency Text
Enter the number of years the borrower resided at the previous address.
Borrower - Source(s) of Funds
Source(s) of Funds - Salary/Profession Checkbox
Check this box if your funds will come from your salary or professional income.
Source(s) of Funds - Business Checkbox
Check this box if your funds will come from business income or profits.
Source(s) of Funds - Remittance Checkbox
Check this box if your funds will come from remittances (e.g., from family or overseas).
Source(s) of Funds - Others (Specify) Checkbox
Check this box if your funds will come from another source not listed and specify the source on the line provided.
Borrower - Other Source of Funds (Specify) Text
Enter the other source of funds if you selected the option for an alternative source not listed (e.g., salary/profession, remittance, or business). Fill only if 'Source(s) of Funds - Others (Specify)' is 'Yes'.
Depends on: Source(s) of Funds - Others (Specify)
Borrower Work Info - Employer/Business Name
Employer/Business Name (Employed) Text
Enter the full name of the borrower’s current employer (company/organization) if the borrower is employed.
Employer/Business Name (Self-Employed/Business) Text
Enter the registered name of the borrower’s business or trade name if the borrower is self-employed or operating a business.
Borrower Work Info - Nature of Employment/Business
Employed - Nature of Employment Text
Enter the borrower’s nature of employment (e.g., industry/sector and type of work) for their employed work information.
Self-Employed/Business - Nature of Business Text
Enter the borrower’s nature of business (e.g., type of business activity/industry) for their self-employed or business information.
Borrower Work Info - Occupation/Designation/Position/Title
Occupation/Designation/Position/Title (Employed) Text
Enter your current job title or position with your employer.
Occupation/Designation/Position/Title (Self-Employed/Business) Text
Enter your role or position in your own business (e.g., owner, proprietor, partner, manager).
Borrower Work Info - Office/Business Address
Office/Business Address (Employed) Text
Enter your current employer’s office address, including unit/floor, building, street, barangay, city/municipality, province, and zip code.
Office/Business Address (Self-Employed/Business) Text
Enter your business office address, including unit/floor, building, street, barangay, city/municipality, province, and zip code.
Borrower Work Info - Previous Employer and DTI Registration
Previous Employer Name Text
Enter the name of your previous employer if you have been in your current employment for less than 2 years. Fill only if 'Borrower Years in Employment (Employed)' is less than 2 years.
Depends on: Borrower Years in Employment (Employed)
DTI Registration Number Text
Enter the Department of Trade and Industry (DTI) registration number for your business, if applicable.
Borrower Work Info - Telephone Number
Borrower Work Telephone Number (Employed) Text
Enter the borrower’s telephone number for their employed workplace.
Borrower Work Telephone Number (Self-Employed/Business) Text
Enter the borrower’s telephone number for their self-employed business or workplace.
Borrower Work Info - TIN/SSS/GSIS Number
TIN Checkbox
Check this box if the number you are providing is your Tax Identification Number (TIN).
SSS Checkbox
Check this box if the number you are providing is your Social Security System (SSS) number.
GSIS No. Checkbox
Check this box if the number you are providing is your Government Service Insurance System (GSIS) number.
Borrower TIN/SSS/GSIS Number Text
Enter the borrower's tax or government identification number (TIN, SSS, or GSIS), whichever is applicable.
Borrower Work Info - Years in Employment/Business
Borrower Years in Employment (Employed) Text
Enter the number of years the borrower has been employed in their current employment.
Borrower Years in Business (Self-Employed/Business) Text
Enter the number of years the borrower has been operating their current business or self-employment.
Collateral - Location and Title (Address, TCT/CCT)
Property Address / Location Text
Enter the complete address or location details of the collateral property.
TCT / CCT No. Text
Enter the Transfer Certificate of Title (TCT) or Condominium Certificate of Title (CCT) number for the collateral property.
Collateral - Size, Type, and Property Features
Lot Area Number
Enter the property’s lot area.
Property Type - Residential Checkbox
Check this box if the collateral/property is classified as residential.
Property Type - Commercial Checkbox
Check this box if the collateral/property is classified as commercial.
Type of Improvement Text
Describe the type of improvement present on the property (e.g., house structure, renovations, additions).
Number of Storeys Text
Enter the number of storeys/floors of the property structure.
Floor Area Number
Enter the total floor area of the property.
Year Built Text
Enter the year the property was built.
Credit Card Details
Credit Card Issuer Text
Enter the name of the bank or company that issued the credit card.
Credit Card Number Text
Enter the credit card number.
Credit Limit Number
Enter the total credit limit for this credit card.
Current Balance Number
Enter the current outstanding balance on this credit card.
Dependent Information - First Dependent
First Dependent Name Text
Enter the full name of the first dependent.
First Dependent Age Text
Enter the age of the first dependent.
First Dependent School or Company Text
Enter the name of the school or company of the first dependent.
First Dependent Level or Year Employed Text
Enter the current level (e.g., grade/year) or year employed for the first dependent.
Dependent Information - Second Dependent
Second Dependent Name Text
Enter the full name of the second dependent.
Second Dependent Age Text
Enter the age of the second dependent.
Second Dependent School/Company Text
Enter the name of the school or company the second dependent is associated with.
Second Dependent Level/Year Employed Text
Enter the second dependent’s grade level/year level or year employed, as applicable.
Dependent Information - Third Dependent
3rd Dependent Name Text
Enter the full name of the third dependent.
3rd Dependent Age Text
Enter the age of the third dependent.
3rd Dependent School or Company Text
Enter the name of the school or company where the third dependent is currently studying or affiliated.
3rd Dependent Level or Year Employed Text
Enter the third dependent’s grade/year level in school or year employed at their company, as applicable.
Deposit Account Details
Deposit Account Bank/Branch Text
Enter the name of the bank and specific branch where the deposit account is maintained.
Deposit Account Date Opened Date
Enter the date the deposit account was opened.
Deposit Account Type / Account Number Text
Enter the type of deposit account and the account number.
Deposit Account Balance Number
Enter the current balance of the deposit account.
FATCA - U.S. Citizen/Green Card/Substantial Presence
FATCA - Yes (U.S. citizen/Green Card/Substantial Presence) Checkbox
Check this box if you are a U.S. citizen, a Green Card holder, or you meet the U.S. Substantial Presence Test. Fill only if 'Government/International Organization Connection - Yes' is 'Yes'.
Depends on: Government/International Organization Connection - Yes
FATCA - No (not U.S. citizen/Green Card/Substantial Presence) Checkbox
Check this box if you are not a U.S. citizen, not a Green Card holder, and you do not meet the U.S. Substantial Presence Test.
FATCA - U.S. Indicia (Records in the U.S.)
FATCA - U.S. Indicia (Records in the U.S.) - YES Checkbox
Check this box if you have any of the listed records in the U.S. (e.g., U.S. birth, U.S. residence/address, U.S. telephone number, or standing instructions to transfer funds to U.S. accounts).
FATCA - U.S. Indicia (Records in the U.S.) - NO Checkbox
Check this box if you do not have any of the listed records in the U.S.
Financial Info - Monthly Expenses (Credit Cards/Insurance/Others)
Monthly Expenses - Credit Cards/Insurance/Others Amount Number
Enter the total amount you pay each month for credit cards, insurance, and any other expenses not covered by the categories above.
Financial Info - Monthly Expenses (Education)
Monthly Education Expense Number
Enter the total amount you spend per month on education-related costs (e.g., tuition, school fees, supplies, or other education expenses).
Financial Info - Monthly Expenses (Living Expenses)
Living Expenses (Monthly) Number
Enter your total monthly living expenses amount.
Financial Info - Monthly Expenses (Monthly Amortization)
Monthly Amortization Expense Number
Enter the total amount you pay each month for loan amortizations.
Financial Info - Monthly Expenses (Rent and Utilities)
Monthly Expenses - Rent and Utilities Number
Enter your total monthly amount spent on rent and utilities.
Financial Info - Monthly Expenses (Total)
Monthly Expenses Total Number
Enter the total amount of all monthly expenses listed in the Monthly Expenses section.
Financial Info - Monthly Expenses (Transportation)
Monthly Transportation Expense Number
Enter your total average monthly transportation expenses (e.g., fuel, commuting fares, parking, tolls, and vehicle-related transport costs).
Financial Info - Monthly Income (Allowances)
Monthly Income - Allowances (Borrower) Number
Enter the borrower's total monthly allowances income amount.
Monthly Income - Allowances (Spouse/Co-Borrower) Number
Enter the spouse or co-borrower's total monthly allowances income amount.
Monthly Income - Allowances (Total) Number
Enter the combined total monthly allowances income amount for the borrower and spouse/co-borrower.
Financial Info - Monthly Income (Basic Salary)
Monthly Income (Basic Salary) - Borrower Number
Enter the borrower's gross monthly basic salary income amount.
Monthly Income (Basic Salary) - Spouse/Co-Borrower Number
Enter the spouse or co-borrower's gross monthly basic salary income amount, if applicable.
Monthly Income (Basic Salary) - Total Number
Enter the total gross monthly basic salary income amount for borrower and spouse/co-borrower combined.
Financial Info - Monthly Income (Business Income)
Business Income (Borrower) Number
Enter the borrower's monthly income earned from business activities.
Business Income (Spouse/Co-Borrower) Number
Enter the spouse's or co-borrower's monthly income earned from business activities, if applicable.
Business Income (Total) Number
Enter the combined total monthly business income for the borrower and spouse/co-borrower.
Financial Info - Monthly Income (Others)
Other Monthly Income (Borrower) Number
Enter the borrower's monthly income amount from other sources not listed above.
Other Monthly Income (Spouse/Co-Borrower) Number
Enter the spouse or co-borrower's monthly income amount from other sources not listed above.
Total Other Monthly Income Number
Enter the combined total monthly income from other sources for the borrower and spouse/co-borrower.
Financial Info - Monthly Income (Rental Income)
Rental Income (Borrower) Number
Enter the borrower’s average monthly rental income amount.
Rental Income (Spouse/Co-Borrower) Number
Enter the spouse/co-borrower’s average monthly rental income amount, if applicable.
Rental Income (Total) Number
Enter the combined total average monthly rental income amount for borrower and spouse/co-borrower.
Financial Info - Monthly Income (Total)
Monthly Income Total - Borrower Number
Enter the borrower’s total monthly income amount (sum of all monthly income sources).
Monthly Income Total - Spouse/Co-Borrower Number
Enter the spouse/co-borrower’s total monthly income amount (sum of all monthly income sources), if applicable.
Monthly Income Total - Combined Number
Enter the combined total monthly income amount for the borrower and spouse/co-borrower.
First Trade/Business Reference
First Trade/Business Reference Name Text
Enter the name of the first trade or business reference.
First Reference Contact Person Text
Enter the name of the contact person for the first trade or business reference.
First Reference Nature of Transaction / Volume Text
Describe the nature of transactions with the first trade or business reference and the transaction volume.
First Reference Contact Number Text
Enter the contact telephone number for the first trade or business reference.
Loan Amount and Payment Details
Selling Price / Estimated Cost Number
Enter the total selling price or estimated cost of the property in Philippine pesos.
Desired Loan Amount Number
Enter the total loan amount you want to borrow in Philippine pesos.
Borrower’s Equity Number
Enter the amount of your own funds to be applied to the purchase or project in Philippine pesos.
Desired Monthly Payment Number
Enter the monthly payment amount you want to pay in Philippine pesos.
Loan Term (Years)
Loan Term (Years) Text
Enter the desired loan term length in years.
Loans (Last 3 Years) Details
Loan Bank / Branch Text
Enter the name of the bank or branch where the loan was obtained.
Loan Purpose Text
Enter the purpose of the loan.
Loan Collateral Text
Enter the collateral provided to secure the loan.
Date Granted Date
Enter the date the loan was granted or approved.
Maturity Date Date
Enter the date the loan is due to mature or be fully paid.
Loan Balance Number
Enter the current outstanding balance of the loan.
Monthly Amortization Number
Enter the monthly payment amount for the loan.
Purpose of Loan - Acquisition (Lot/House/Townhouse/Condominium)
Acquisition Checkbox
Check this box if the purpose of the loan is to acquire (purchase) a property.
Acquisition - Lot Checkbox
Check this box if the property being acquired is a lot.
Acquisition - Townhouse Checkbox
Check this box if the property being acquired is a townhouse.
Acquisition - House Checkbox
Check this box if the property being acquired is a house.
Acquisition - Condominium Checkbox
Check this box if the property being acquired is a condominium unit.
Purpose of Loan - Construction (House/Apartment)
Construction Checkbox
Check this box if the purpose of the loan is to finance the construction of a property.
Construction - House Checkbox
Check this box if the construction loan is for a house.
Construction - Apartment Checkbox
Check this box if the construction loan is for an apartment unit.
Purpose of Loan - Others (Details)
Others (please provide details) Checkbox
Check this box if the purpose of the loan is not covered by the listed options and you will provide the details in the space provided.
Other Loan Purpose Details Text
Enter the specific purpose of the loan if you selected “Others” under Purpose of Loan. Fill only if 'Others (please provide details)' is 'Yes'.
Depends on: Others (please provide details)
Purpose of Loan - Refinancing/Reimbursement
Refinancing Checkbox
Check this box if the purpose of the loan is to refinance an existing loan or mortgage.
Reimbursement Checkbox
Check this box if the purpose of the loan is to reimburse you for eligible expenses you already paid related to the property or project.
Purpose of Loan - Renovation/Home Improvement
Construction - Townhouse Checkbox
Check this box if the purpose of the loan is construction of a townhouse.
Renovation/Home Improvement Checkbox
Check this box if the loan will be used for renovating or improving an existing home.
Rate Fixing Period (Years)
Rate Fixing Period - 1 year Checkbox
Check this box if you want the loan interest rate fixed for 1 year.
Rate Fixing Period - 2 years Checkbox
Check this box if you want the loan interest rate fixed for 2 years.
Rate Fixing Period - 3 years Checkbox
Check this box if you want the loan interest rate fixed for 3 years.
Rate Fixing Period - 5 years Checkbox
Check this box if you want the loan interest rate fixed for 5 years.
Rate Fixing Period - 10 years Checkbox
Check this box if you want the loan interest rate fixed for 10 years.
Real Estate Details
Real Estate Location Text
Enter the location or address of the real estate property.
Real Estate Lot Area Number
Enter the total lot area of the real estate property.
Real Estate Estimated Market Value Number
Enter the estimated current market value of the real estate property.
Referred by Broker/Agent
Referred by Broker/Agent? - Yes Checkbox
Check this box if you were referred to apply by a broker or agent.
Referred by Broker/Agent? - No Checkbox
Check this box if you were not referred to apply by a broker or agent.
Broker/Agent Name Text
Enter the full name of the broker or agent who referred the borrower. Fill only if 'Referred by Broker/Agent? - Yes' is 'Yes'.
Depends on: Referred by Broker/Agent? - Yes
Broker/Agent Contact Number Text
Enter the contact phone number of the referring broker or agent. Fill only if 'Referred by Broker/Agent? - Yes' is 'Yes'.
Depends on: Referred by Broker/Agent? - Yes
Second Trade/Business Reference
Second Trade/Business Reference Name Text
Enter the name of the second trade or business reference (company or individual).
Second Trade/Business Reference Contact Person Text
Enter the name of the contact person for the second trade or business reference.
Second Trade/Business Reference Nature of Transaction / Volume Text
Describe the nature of transactions and the approximate transaction volume with the second trade or business reference.
Second Trade/Business Reference Contact Number Text
Enter the phone number or other contact number for the second trade or business reference.
Shares of Stock Details
Company Name Text
Enter the name of the company in which the shares of stock are held.
Number of Shares Number
Enter the total number of shares of stock owned for this company.
Estimated Market Value Number
Enter the estimated current market value of the shares owned in this company.
Signatures - Borrower / Spouse-Co-Borrower / Attorney-in-Fact
Borrower Signature Text
Enter the borrower’s signature (or typed full name if completing electronically) as it should appear on the application.
Spouse / Co-Borrower Signature Text
Enter the spouse’s or co-borrower’s signature (or typed full name if completing electronically) as it should appear on the application.
Attorney-in-Fact Signature Text
Enter the attorney-in-fact’s signature (or typed full name if completing electronically) as it should appear on the application.
Spouse/Co-Borrower - Date of Birth, Gender, and CIF No.
Spouse/Co-Borrower - Male Checkbox
Check this box if the spouse/co-borrower’s gender is male.
Spouse/Co-Borrower - Female Checkbox
Check this box if the spouse/co-borrower’s gender is female.
Spouse/Co-Borrower Date of Birth Date
Enter the spouse/co-borrower’s date of birth.
Spouse/Co-Borrower CIF No. Text
Enter the spouse/co-borrower’s Customer Information File (CIF) number, if applicable.
Spouse/Co-Borrower - Not a CBC Customer upon Application Date Checkbox
Check this box if the spouse/co-borrower is not a Chinabank (CBC) customer as of the application date.
Spouse/Co-Borrower - Highest Educational Attainment
High School Checkbox
Check this box if the spouse/co-borrower’s highest educational attainment is high school.
College Checkbox
Check this box if the spouse/co-borrower’s highest educational attainment is college.
Post-Graduate Checkbox
Check this box if the spouse/co-borrower’s highest educational attainment is post-graduate (graduate studies).
Undergraduate Checkbox
Check this box if the spouse/co-borrower’s highest educational attainment is undergraduate (some college but not completed).
Other (specify) Checkbox
Check this box if the spouse/co-borrower’s highest educational attainment is not listed and will be specified in the space provided.
Spouse/Co-Borrower Highest Educational Attainment (Other - Specify) Text
Enter the spouse/co-borrower’s highest educational attainment if it is not covered by the listed options (e.g., specify the degree or level).
Spouse/Co-Borrower - Mobile Phone and Email
Spouse/Co-Borrower Mobile Phone Number Text
Enter the spouse/co-borrower’s mobile phone number.
Spouse/Co-Borrower Personal Email Address Text
Enter the spouse/co-borrower’s personal email address.
Spouse/Co-Borrower - Mother's Maiden Name
Spouse/Co-Borrower Mother's Maiden Name Text
Enter the spouse or co-borrower’s mother’s maiden name (first name, middle name, and last name).
Spouse/Co-Borrower - Name and Title
Spouse/Co-Borrower Title - Mr. Checkbox
Check this box if the spouse/co-borrower’s title is Mr.
Spouse/Co-Borrower Title - Ms. Checkbox
Check this box if the spouse/co-borrower’s title is Ms.
Spouse/Co-Borrower Title - Mrs. Checkbox
Check this box if the spouse/co-borrower’s title is Mrs.
Spouse/Co-Borrower Title - Dr. Checkbox
Check this box if the spouse/co-borrower’s title is Dr.
Spouse/Co-Borrower Title - Atty. Checkbox
Check this box if the spouse/co-borrower’s title is Atty.
Spouse/Co-Borrower Title - Engr. Checkbox
Check this box if the spouse/co-borrower’s title is Engr.
Spouse/Co-Borrower Title - Other Checkbox
Check this box if the spouse/co-borrower uses a different title and you will specify it on the provided line.
Spouse/Co-Borrower - Title (Other) Text
Enter the spouse/co-borrower’s title if it is not one of the pre-listed options (e.g., Mr., Ms., Mrs., Dr., Atty., Engr.).
Spouse/Co-Borrower - Full Name Text
Enter the spouse/co-borrower’s complete name (last name, first name, and middle name).
Spouse/Co-Borrower - Nationality
Filipino Checkbox
Check this box if the spouse/co-borrower is a Filipino national.
Other (specify) Checkbox
Check this box if the spouse/co-borrower is not Filipino and write the nationality on the line provided.
Spouse/Co-Borrower Nationality (Specify if not Filipino) Text
Enter the spouse/co-borrower’s nationality if it is not Filipino.
Spouse/Co-Borrower Place of Birth - Country (Specify if not Philippines) Text
Enter the country of birth of the spouse/co-borrower if it is not the Philippines.
Spouse/Co-Borrower - Place of Birth
Spouse/Co-Borrower Place of Birth Text
Enter the spouse/co-borrower’s place of birth (city and country).
Philippines Checkbox
Check this box if the spouse/co-borrower’s place of birth (city/country) is in the Philippines.
Other (specify) Checkbox
Check this box if the spouse/co-borrower was born outside the Philippines and write the city/country on the line provided.
Spouse/Co-Borrower - Source(s) of Funds
Salary/Profession Checkbox
Check this box if the spouse/co-borrower’s source of funds comes from salary or professional income.
Business Checkbox
Check this box if the spouse/co-borrower’s source of funds comes from business income.
Remittance Checkbox
Check this box if the spouse/co-borrower’s source of funds comes from remittances.
Other (specify) Checkbox
Check this box if the spouse/co-borrower’s source of funds is not listed and specify it on the line provided.
Spouse/Co-Borrower Source(s) of Funds - Other Text
Enter the spouse/co-borrower’s other source of funds if it is not covered by the listed options (e.g., salary/profession, remittance, or business). Fill only if 'Other (specify)' is 'Yes'.
Depends on: Other (specify)
Spouse/Co-Borrower Work Info - DTI Registration Number
Spouse/Co-Borrower DTI Registration Number Text
Enter the Department of Trade and Industry (DTI) registration number for the spouse/co-borrower’s business (if applicable).
Spouse/Co-Borrower Work Info - Employer/Business Name
Spouse/Co-Borrower Employer/Business Name (Employed) Text
Enter the spouse/co-borrower’s current employer or company name if they are employed.
Spouse/Co-Borrower Employer/Business Name (Self-Employed/Business) Text
Enter the spouse/co-borrower’s business or trade name if they are self-employed or operating a business.
Spouse/Co-Borrower Work Info - Gross Monthly Income
Spouse/Co-Borrower Gross Monthly Income (Employed) Number
Enter the spouse/co-borrower’s gross monthly income from employment (before deductions).
Spouse/Co-Borrower Gross Monthly Income (Self-Employed/Business) Number
Enter the spouse/co-borrower’s gross monthly income from self-employment or business (before deductions).
Spouse/Co-Borrower Work Info - Nature of Employment/Business
Spouse/Co-Borrower Nature of Employment Text
Enter the spouse/co-borrower’s nature of employment (e.g., industry or type of work) for the employed section.
Spouse/Co-Borrower Nature of Business Text
Enter the spouse/co-borrower’s nature of business (e.g., type of business or industry) for the self-employed/business section.
Spouse/Co-Borrower Work Info - Occupation/Designation/Position/Title
Spouse/Co-Borrower Occupation/Position (Employed) Text
Enter the spouse/co-borrower’s occupation, designation, position, or job title for their employed work.
Spouse/Co-Borrower Occupation/Position (Self-Employed/Business) Text
Enter the spouse/co-borrower’s occupation, designation, position, or title for their self-employed or business activity.
Spouse/Co-Borrower Work Info - Office/Business Address
Spouse/Co-Borrower Office/Business Address (Employed) Text
Enter the spouse/co-borrower’s employer office address, including unit/building, street, barangay/subdivision, city/municipality, province, and ZIP code.
Spouse/Co-Borrower Office/Business Address (Self-Employed/Business) Text
Enter the spouse/co-borrower’s business office address, including unit/building, street, barangay/subdivision, city/municipality, province, and ZIP code.
Spouse/Co-Borrower Work Info - Previous Employer
Spouse/Co-Borrower Previous Employer Text
Enter the name of the spouse/co-borrower’s previous employer (if the spouse/co-borrower has been in the current employment for less than 2 years). Fill only if 'Spouse/Co-Borrower Years in Employment' is less than 2 years.
Depends on: Spouse/Co-Borrower Years in Employment
Spouse/Co-Borrower Work Info - Telephone Number
Spouse/Co-Borrower Employer Telephone Number Text
Enter the spouse/co-borrower’s work telephone number for their employed job (employer).
Spouse/Co-Borrower Business Telephone Number Text
Enter the spouse/co-borrower’s work telephone number for their self-employed or business activity.
Spouse/Co-Borrower Work Info - TIN/SSS/GSIS Number
TIN Checkbox
Check this box if the Spouse/Co-Borrower will provide a Taxpayer Identification Number (TIN) as the applicable ID number.
SSS Checkbox
Check this box if the Spouse/Co-Borrower will provide a Social Security System (SSS) number as the applicable ID number.
GSIS No. Checkbox
Check this box if the Spouse/Co-Borrower will provide a Government Service Insurance System (GSIS) number as the applicable ID number.
Spouse/Co-Borrower TIN/SSS/GSIS Number Text
Enter the spouse/co-borrower’s applicable identification number (TIN, SSS number, or GSIS number) as provided by the issuing agency.
Spouse/Co-Borrower Work Info - Years in Employment/Business
Spouse/Co-Borrower Years in Employment Text
Enter the number of years the spouse/co-borrower has been employed in their current job.
Spouse/Co-Borrower Years in Business Text
Enter the number of years the spouse/co-borrower has been operating their current self-employed business.
Third Trade/Business Reference
Third Trade/Business Reference Name Text
Enter the name of the third trade or business reference.
Third Reference Contact Person Text
Enter the name of the contact person for the third trade or business reference.
Third Reference Contact Number Text
Enter the contact phone number for the third trade or business reference.
Third Reference Nature of Transaction / Volume Text
Describe the nature of transactions and/or typical volume of business with the third trade or business reference.