Apply for a loan through our online loan application form and get fast and efficient application assessment to determine your eligibility or qualification for a loan.

IMPORTANT: Please complete the information required in the loan application form below, otherwise your application will not be taken into consideration.

LOAN INFORMATION

Amount of Loan*

Type of Loan*

Term of Loan*

6 months12 months24 months36 months

PERSONAL INFORMATION

First Name*

Middle Name*

Last Name*

Place of Birth*

Date of Birth*

Age*

Gender*

Civil Status*

Citizenship*

Education*

Tax Identification Num (TIN)*

SSS/GSIS No.

Present Address*

Zip Code*

Home Ownership*

Years of Stay*

Permanent Address*

Zip Code*

Home Phone (with area code)

Mobile Phone*

Best Time to Call (Day/Time)

Email Address*

No. of Dependents*

No. of Cars Owned*

WORK & FINANCIAL INFORMATION

Employment*

Other

Employer/Business Name*

Nature of Present Business*

Employer/Business Address*

Zip Code*

Business Phone*

Business Email Address

Position/Title*

Position*

Other

Years with Present Employer*

Total No. of Years Working*

Monthly Salary*

Other Sources of Income

SPOUSE INFORMATION

First Name

Middle Name

Last Name

Date of Birth

Home Phone

Mobile Phone

Employment

Other

Employer/Business Name

Nature of Present Business

Employer/Business Address

Zip Code

Business Phone

Business Email Address

Position/Title

Position

Other

Years with Present Employer

Total No. of Years Working

Monthly Salary

Other Sources of Income

FINANCIAL INFORMATION

CREDIT CARD EXPENSES

1) Credit Card Company

Credit Card No.

Credit Limit

2) Credit Card Company

Credit Card No.

Credit Limit

3) Credit Card Company

Credit Card No.

Credit Limit

LOAN EXPENSES

1) Loan Agency/Bank

Loan Amount

Monthly Payment

2) Loan Agency/Bank

Loan Amount

Monthly Payment

3) Loan Agency/Bank

Loan Amount

Monthly Payment

REAL ESTATE, CHATTEL OWNED AND INVESTMENTS IN STOCKS/BONDS

1) Kind

Description

Location

Assessed Value/Cost

2) Kind

Description

Location

Assessed Value/Cost

3) Kind

Description

Location

Assessed Value/Cost

BANK REFERENCES

Current Account

Savings Account

By clicking on the "Submit" button, I hereby certify that the foregoing information and statements are true and correct and are made for the purpose of obtaining credit, and that the signatures appearing thereon are genuine. I agree to notify Conglomerate Savings and Financing Corporation of any material change in the information contained herein that may affect any loan based thereon. I also authorize Conglomerate Savings and Financing Corporation to obtain such information as it may require concerning the statements made in this application and that sources to which it may apply are authorized to provide any information relative to this application. I further agree that this application may remain the custody of Conglomerate Savings and Financing Corporation whether the credit is granted or not.