SEM In-house Financing Form

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APPLICATION FOR CREDIT LINE
(IN-HOUSE FINANCING)

Desired Credit Line

Applicant Type*

Corporate

Individual

Terms

Registration Type*

Corporation

Partnership

Individual

Association

Others

Location Use

Plant

Branch

Address this location

BASIC INFORMATION

Company*

Name of Industry

First Name*

Last Name*

Principal Office Address

Province

City or Municipality*

Phone*

Email*

FOR CORPORATION

SEC Registration Date

Date Operation

% Filipino Ownership

Annual Sales

Company Officers

1.

2.

3.

4.

5.

6.

7. Position

FOR INDIVIDUAL

Date Registered

Date Operation

Employed

Yes

No

Nationality

Birthdate

Net Worth

Annual Sales

Civil Status

Phone*

Employeer*

Enployeer Address

Position

SPOUSE INFORMATION

Name of Spouse*

Employed

Yes

No

Birthdate

Annual Income

Phone*

Employeer*

Enployeer Address

Position

CREDIT REFERENCES

Trade

1.

2.

3. Banks

1.

2.

3. AFFILIATED/ASSOCIATED COMPANIES

1.

2.

3.

REQUIRED DOCUMENTS TO SUBMIT:

1. Last 3 yrs Audited Financial Statement w/ BIR stamp

2. SEC Registration

3. Secretary's Certificate on authorized signatory(ies)

4. Articles of Incorporation and By-laws

5. At least one(1) copy of recent proof of purchase and payment for all suppliers above referred

6. Authorization and Specimen signature card

7. Checklist for processing of payment