☐ New Application ☐ Additional Loan ☐ Renewal ☐ Restructuring

In case of loan renewal or restructuring, are there any updates from previous
submission? Yes ☐ No (If yes, kindly provide details)

BUSINESS LOAN APPLICATION FORM

☐ I n di vi dual ☐ S ol e- Pro p ri e tor s hi p
(Please mark the appropriate boxes and indicate N/A if not applicable)
A. BORROWER AND BUSINESS INFORMATION1
Name of Borrower:

(First Name) (Middle Name) (Last Name) (Suffix, if applicable)

Civil Status: ☐ Single ☐ Widow/er Date of Birth:(mm/dd/yyyy) Place of Birth: (Municipality/City, Province) Sex: ☐ Male
☐ Married ☐ Annulled ☐ Female
☐ Separated Citizenship:
Name of Spouse: Date of Birth: (mm/dd/yyyy)

(First Name) (Middle Name) (Last Name) (Suffix, if applicable)

Home Address: (Unit #, Building/House #, Street, Subdivision/ Barangay/ District, Home ☐ Owned (unencumbered) ☐ Rented
Municipality/ City, Province, Zip Code) address ☐ Owned (mortgaged) ☐ Living with relatives
ownership:
Length of Stay in Location: _______ years
Landline No. (Area Code, Number): Mobile No.: Email Address:
(____)-
Other Government-issued ID (Please specify type/number):
TIN: PhilSys:

Mother’s Maiden Name:

(First Name) (Middle Name) (Last Name) (Suffix, if applicable)

Registered Business Name (Trade Name):
Principal Business Address: (Unit #, Building/ House #, Street, Subdivision/ Barangay/ District, Business address ownership: Years the Business has
Municipality/City, Province, Zip code) been in operation:
Owned (unencumbered)
Is this similar to Home Address? Yes No (If no, kindly provide the details) Owned (mortgaged) _______ years
Rented Number of branches:
_______
Website/social media (Business): Indicate whether the business has:2
Female Manager/s
Female head officer for operations/administrative services
Nature of Business (Based on PSIC reference): Please specify business activity:

Business registration Date of Business Registration Expiry Date of Registration

Registration Number
(Check all that apply) (mm/dd/yyyy) (mm/dd/yyyy)
DTI
BIR
Barangay/Mayor’s Permit
Others (Please specify):
____________________________________________
_
Firm Size3 (Total assets exclusive of the land on which the business entity’s office, plant and equipment are situated) 4
Micro (not more than Php 3M) Small (Php3,000,001 to 15M) Medium (Php15,000,001 to 100M)
Annual Sales or Revenue: Number of employees: (Please indicate all paid employees and/or directly involved in business operations)
Php ___________________________ Full-time: _________________ Part-time/Contractual: _________________
Top Trade References (use additional sheet if necessary)
Goods Supplied/ Services
Name of Top Suppliers Contact Person Contact Number
Rendered

Name of Top Customers Goods Purchased/Services Availed Contact Person Contact Number

B. LOAN APPLICATION INFORMATION

Loan amount applied for (subject to the approval of the bank): Php ________________________ Tenor: ______ months
Proposed frequency of repayment5: Weekly Monthly Quarterly Annually Lump sum Others (Please specify): ________________
Loan ✔ Credit Line Loan Working capital (including receivables and inventory financing) Business expansion
Facility: Term Loan Purpose: Construction/Development of real estate Purchase of equipment/motor vehicles
Others (Please specify): Acquisition of real estate Purchase of biological asset
______________________ Loan takeout/refinancing Others (Please specify): ____________________

1
Additional borrower information such as but not limited to the following may be obtained using a separate sheet/form: co-borrower, dependents, questionnaire on
politically exposed person (PEP) and Foreign Account Tax Compliance Act (FATCA)
2
This information will solely be used to monitor information on business ownership/management in the country. Responses in this part will not affect the assessment and
approval of your loan application.
3
Subject to bank verification
4
The size of the firm is being collected for the BSP’s monitoring purposes.
5
As may be applicable
 Type of Unsecured Loan If secured, collateral/s and/or surety/ies offered:
Loan: Secured Loan Loan secured by real estate (e.g., land, building)
Loan secured by movable property
Receivables & any other claims to payment Intellectual Property
Equipment Others (Please specify):
Title documents (e.g., warehouse receipt, bill of lading)
Financial assets (e.g., deposits, tradable securities, Inventory _____________________________
company shares)
Loan backed by third party credit guarantee/continuing suretyship
C. FINANCIAL INFORMATION
Source of Funds for Revenue Inheritance
Repayment of Asset Sale Salary/Allowance
Loans: Savings and/or Investment Others (Please specify): ____________________________________
Existing Deposit and E-money Accounts (please indicate top 3 in terms of outstanding balance size, use additional sheet if necessary) :
Name of Financial Year
Type of Account Type of Account Ownership
Institution Opened
Savings Checking E-wallet Others (Please specify) Personal Business/ Merchant

Savings Checking E-wallet Others (Please specify) Personal Business/Merchant

Savings Checking E-wallet Others (Please specify) Personal Business/Merchant

Existing Loans (please indicate top 3 in terms of loan amount, use additional sheet if necessary) :

Outstanding Collaterals offered

Date Granted Maturity Date
Name of Financial Institution Loan amount (If applicable, indicate if real estate,
(mm/yyyy) (mm/yyyy) Balance movable property, etc.)

Existing Credit Cards (please indicate top 3 in terms of credit limit, use additional sheet if necessary) :
Name of Financial Institution Credit Limit Outstanding Balance Type of Ownership
Personal Business
Personal Business
Personal Business
D. UNDERTAKING/DECLARATION
I/We hereby confirm that all information and supporting documents provided herein are true, accurate and complete and I/we ag ree to notify the financial institu tion of
any ch anges in any of the inform ation supplied. The financial institution can withdraw or cancel any loan approval if any m ajor inform ation an d supporting documents
are found to be materially inaccurate.
I/We authorize the financial institution to obtain relevant inform ation as it may require concerning this application.
I/We understand and agree that additional undertaking/declaration, not stated in this form, may be required by the financial institution.
I/We hereby agree that this application shall be subject to applicable laws (BSP circulars, rules and regulations) and policies of _______________________________ .
E. DATA PRIVACY CONSENT
In compliance with the requirements of the Data Privacy Act (DPA), I/we hereby authorize and give my/our consent to _______________________________ on the general use
and sharing of information obtained in the course of any transaction/s pursuant to m y ban king relationship with it. Personal information and sensitive person al
information 6 may be collected, processed, stored, updated, or disclosed by the bank:
a. for legitim ate bank-related purposes and requests;
b. to implem ent transactions which the borrower re quests, allows, or authorizes;
c. to comply with the bank's internal policies and its reporting obligations to governmen t au thorities under applicable laws; an d
d. to offer and provide new or related products and services of the bank, its affiliates and subsidiaries through mail, email, SMS or other means of
communication.
I/We confirm that I/we am/are aware that, in case of unlawful acquisition, inaccuracy, and error, I/we have the right to acce ss, update, dispu te, block, or correct certain
personal information, or withdraw my/our consent to the use of any information provided herein, subject to the righ ts and limitations under the DPA.
I/We understand that this consent shall continue to be in effect for ____ years or until expiration of the records retention limits set by applicable banking laws,
whichever comes later.
I/We furth er warrant that, prior to submitting to the financial institution any inform ation (including personal information) of an individu al; I/we have obtained all
necessary authorizations and consents as may be required by applicable confidentiality and data privacy laws or agreement to en able th e bank to process such
information.
I/We understand that should I/we wish to access, update, dispute, block, or correct certain information, or withdraw consent to th e use of any of the inform ation
provided herein, subject to the rights and limitations under the DPA, I/we may communicate with the ____________________________ 's Data Protection Officer at
____________________________ , and may lodge complaints with, and/or seek assistance from the Nation al Privacy Commission.
I/We understand that my/our basic credit data, as well as any regular updates or corrections thereof, are mandated to be subm itted to th e Credit Inform ation
Corporation (CIC) pursuant to R.A. 9150 and its Implementing Rules and Regulations for consolidation and disclosure as may be authorized by the CIC. Consequently,
my/our basic credit data m ay thus be shared with other lenders authorized by th e CIC, and other reporting agencies duly accredited by the CIC, for the purpose of
establishing my/our creditworthiness.
I/We understand and agree that additional data privacy provisions, not stated in this form, m ay be required by the fina ncial institution.
I/We h ave read and understood and consent to be bound by all the term s and conditions stated above.

Signature above Printed Name of Date Signature above Printed Name of Date
Borrower Co-Borrower/Spouse

Third party credit guarantor and/or security grantor (i.e., a person or entity who grants a security interest in collateral to secure the obligation of the borrower)
Contact Information
Printed Name Affiliation Relationship with Borrower
(address, contact number)
1.
2.
3.

6
Name, address, gender, age, marital status, contact details, birthday, SSS/GSIS, TIN, education, employment or financial or medical information, spouse details, preferences,
behavior, and other information classified as "personal data", "personal information", or "sensitive personal information" under the DPA, and those of the Borrower's
authorized representative/s, as well as accounts, transactions, and communications.
Classification: GENERAL
Business Information
Plant Address: (Lot no./Block no./Street no./Subdivision/Barangay/City/Town/Province) ZIP Code:

Business Contact Information

Business Landline: Business Mobile No.: Business Email Address:

Owner's Information
Name of Borrower: Date of Birth: (mm/dd/yyyy) Gender:
Male Female
(First Name) (Middle Name) (Last Name)
Citizenship: TIN: Civil Status: Married Widow/er Duration of Stay in
Single Separated Annulled Present Address: __________years
Home Address: (Unit #, Building/House #, Street, Subdivision/ Barangay/District, Mother's Maiden Name:
Municipality/ City, Province, ZIP Code)
(First Name) (Middle Name) (Last Name)
Other Information
Home Owned Rented Others Educational High School College No. of Dependents:
Ownership: Mortgaged Living with relatives Attainment:
Post-Graduate Technical/Vocational No. of Cars owned:
Spouse Information (Applicable if Primary Borrower is Married)
Name: Gender: Date of Birth: (mm/dd/yyyy)

(First Name) (Middle Name) (Last Name)

Male Female
Mother's Maiden Name: Citizenship:

(First Name) (Middle Name) (Last Name)

Business Financial Information
Net Income Last Year:
Business Owners/Management
Name (Last, First, Middle) Years in role Position % Ownership

Collateral Details
Real estate (attach additional documents for multiple collaterals)
Property address: (Bldg. no., Street, Subdivision/Brgy., Municipality, City/Province, ZIP Code)

Present registered owner: TCT/CCT no.:

Contact person: Telephone no.: (Area Code, Number) Property type:
(____)-
Deposit placement (for hold-out deposit)
Type of account: Outstanding balance: Branch:
Loan/Credit Accounts
Bank Loan Amount Monthly Payment Maturity Date (mm/dd/yyyy) Loan Type

Co-borrower/Surety Information
Full Name Birthday (mm/dd/yyyy) Civil Status Address TIN/Valid ID

Bank Information (Security Bank Relationship)

Account number/s Relationship since
Existing Security Bank client?
Yes No
If YES, what type of relationship?
Payroll Loans
Deposit/Investment

Role in business
Position (latest on top) Duration of role (yyyy-yyyy) % of Business ownership

Years in company Years in industry

For Bank use only

Customer basic no. Sales ID Broker name (if applicable)

Branch/Unit Employee name Broker code (if applicable)

 Grant of Authority and Waiver of Confidentiality

1. Authority to inspect and verify. That I/we ___________________ undersigned is/are the owner/s of the following property(ies):

Title/Property description

Collateral type

Address

2. That I/we hereby authorize the appraisers of Security Bank Corporation or its accredited external appraisal companies to do the following activities in connection
with the above-stated property(ies):

a. Conduct site inspection, actual area measurements and picture-taking for purposes of appraisal.
b. Conduct verification and/or requests for certified true copy(ies) of documents related to the above properties from the appropriate government agencies.
c. Conduct verification on payment of realty taxes, association dues (as applicable), etc.

Property contact person

Contact number

Preferred date and

time of visit

3.. II/We
e hereby certify that all information herein are true and correct based on my/our own knowledge and further authorize SBC to obtain information as it may
require concerning my/our application to subscribe to this program and agree that it shall be retained by the Bank subject to the Bank's data retention policy,
whether my/our application is approved or not. Any information given by me/us or other persons I/we authorize, which is not true or accurate, will
automatically cause the Bank to reject my/our loan or cancel its approval.

4.. II/We
e hereby willingly, voluntarily, and with full knowledge of my/our right under the law, waive the right to confidentiality of information and authorize SBC to
disclose, divulge and reveal any such information relating to the account of the Borrower/Mortgagor, including events of default, for the purpose of, among
others, client evaluation and profiling, credit reporting or verification and recovery of the obligation due and payable to the Bank under the Terms and
Conditions of this agreement.

5.. In view off the foregoing, SBC may disclose, divulge and reveal the aforementioned information to third parties, including but not limited to my/our employer,
its affiliates, subsidiaries, agents or services providers, the Bankers' Association of the Philippines - Credit Bureau (BSP - CB) or to any similar central monitoring
entity or recipients as provided for by law and required by competent authority.

6. I/We further authorize SBC as my Attorney-in-Fact, to conduct random verification with the Bureau of Internal Revenue (the "BIR") in order to establish the
authenticity of my/our Tax Statements (the "ITR") and the accompanying financial statements/documents submitted to the Bank in accordance with banking
regulatory requirements.

7.. II/We
e also agree that the appraisal report will be forwarded directly to the Bank for its sole use only.

8.. II/We
e hold SBC free and harmless from any and all liabilities, claims and demands of whatever kind or nature in connection with or arising from the
aforementioned disclosure or reporting.

9. I/We hereby acknowledge that the Loan or any part(s) thereof shall be deemed to have been availed on the date on which funds are transferred to my/our bank
account maintained with the Bank, or receipt of the Manager's Check reflecting the amount of the loan less applicable fees, charges and taxes.

e likewise authorize the Bank to provide me/us with a consumer loan or additional bank product/s (such as but not limited to auto, personal loan, credit
0. I/We
10.
card and other products suited to my situation) at the Bank’s sole discretion. My/Our acceptance of the credit card or the proceeds of any loan released
pursuant thereto shall be conclusive proof of my/our acknowledgement of my/our additional obligations and/or indebtedness to the Bank under the
Terms and Conditions set forth by the Bank and prevailing at the time the credit card is issued or the additional loan is approved.

11. I/We hereby agree that should my/our application be denied, SBC has no obligation to furnish the reason for such rejection or to return my/our application
and other submitted documents.

2. I/We
12. e further certify that the proceeds of the loan, if this application is approved, will be used solely for the purpose stated in this application.

3. The foregoing
13. egoing shall continue to be in full force and effect until my/our loan obligation with the Bank, has been fully extinguished. This authority shall also
cover subsequent renewals, extensions, increase and availments and/or re-availments of my/our loan accommodation with the Bank.

4. I/We
14. e also legally bind myself/ourselves to the Terms and Conditions of the Promissory Note, Disclosure Statement and other relevant documents that I/we
shall execute in favor of SBC.

15. I/We guarantee that I/we have obtained the consent of any or all persons named herein as co-maker, guarantor, surety, past employer, supplier, seller of the
property, or personal reference, for all purposes necessary to this loan agreement. Any information given by me/us or other persons I/we authorize, which is
not true or accurate, will automatically cause SBC to reject my/our loan or cancel its approval.

6. I/We
16. e have read SBC’s privacy notice (www.securitybank.com/security-information) and understand that SBC recognizes my/our rights as data subject under
the Data Privacy Act of 2012.

7. I/We
17. e hereby give consent to the processing of my/our personal data for purposes of obtaining the loan and all other ancillary services necessary for the
maintenance of my/our account/s and collection of payment; and for audit and account balance confirmation (which shall include disclosure to external
auditors) and allow them to contact me/us for this purpose (i.e. by email, telephone, text, etc.). Subject to remain in effect for five (5) years after account closure.

8. I/we
18. e hereby give my/our consent for SBC to share and process my/our information relating to my/our account/s to any member of the SBC Group (SBC and its
affiliates and subsidiaries reported as part of SBC’s conglomerate map group structure as defined under BSP Circular 749) and Bancassurance companies or their
authorized Service Providers and representatives, for purposes of cross-selling products and services.

No, I/we do not agree to have my/our account/s used for purposes of cross-selling products, including any profiling and credit evaluation/ reference checks
related to such cross-selling activity/ies.
 CHECKLIST OF SUPPORTING DOCUMENTS

The checklist enumerates the types of supporting documents that the borrower may present to facilitate the financial institution’s
evaluation of the loan application. Borrowers are not expected to provide all the listed documents but only those that are
applicable to the loan application.

After the initial loan application screening, additional information (using separate sheet or form) may be requested to further
evaluate the loan application and the security being offered. The financial institution may also require additional documents, as
deemed necessary.

For the financial institution to better consider the application, additional post-approval documents not specified in the list may be
required, as applicable.
Basic Documents Security Documents (Please check applicable item/s)
Filled-out and signed application form Photocopy of Transfer Certificate of Title (TCT)/
Clear copy of one (1) valid government-issued ID Condominium Certificate of Title (CCT)
Photocopy of Tax Declaration (for land and
Marriage contract, if applicable
Improvement)
Location/Vicinity Map
Proof of business registration: (Please check applicable item/s) Land Transportation Office (LTO) Official Receipt (OR)/

Certificate of Registration with Bureau of Internal Certificate of Registration ( CR) or Deed of Sale of Motor
Revenue (BIR) Vehicle
Certificate of Registration with Department of Trade Reservation Agreement or Contract to Sell or
and Industry (DTI) Statement of Account (for Deed of Assignment (DOA)
Certificate of Registration with Securities and accounts only)
Exchange Commission (SEC)
Certificate of Registration with Farmers and
Fisherfolk Enterprise Development Information System If secured by a Continuing Suretyship:
(FFEDIS) Basic Documents (as enumerated in this form) of the
Surety
Barangay Permit
Income Documents (as enumerated in this form) of the
Mayor’s Permit
Surety

Personal Income Documents (Please check applicable item/s) If construction loan

Latest Income Tax Return (ITR) or BIR Form 2316 Building/Floor plan of proposed improvement
Latest payslip for the past 2 months Bill of materials
Certificate of Employment (COE) with salary or Specification of proposed finishes
Employment Contract Building permit
Latest crew contact (for seafarers)
Proof of remittance for the past 6 months If refinancing/loan take out
Bank statements or photocopy of passbook for the Statement of Account from current lender and official
past 6 months receipts for the past 3 months
Lease contract (for rental income) Others
Proof of other income: Appraisal fee
_________________________________________ Additional security documents (please specify):
______________________________________________
Business Documents (Please check applicable item/s)
Photocopy of Audited Financial Statements for the Post-approval requirements for real estate collateral-backed
past 3 years with latest ITR or Photocopy of in -house loans
financial statements or pre-operating financial statements (Please check applicable item/s)
Business Plan/Business Proposal Original owner’s copy of TCT/CCT
Photocopy of franchise agreement, if any Original Tax Clearance
Business background/Company profile Certified true copy of latest Tax Declaration
Photocopy of purchase agreement Insurance policy/ies (for properties with
Others (please specify): improvements)
____________________________________ Master Deed of Declaration (for condominium only)
Photocopy of latest full year Real Estate Tax Receipt
(RETR)
Price quotation of the property (for property
Other Pre-application Requirements
acquisition)
Billing statement of utilities for the past 3
Affidavit of Consent to Mortgage Family Home
months
Others (please specify): ________________________________
Statement of Account from current lender and
official receipts for the past 3 months (if loan
Other post-approval requirements
purpose is refinancing/loan takeout)
General Information Sheet (GIS), if applicable
Others (please specify): _______________
Special Power of Attorney, if applicable
Certificate of Ownership for movable property (e.g.,
motor vehicles, etc.)

Security Bank Corporation is regulated by the Bangko Sentral ng Pilipinas. For inquiries or complaints, you may contact Security Bank
at (+632) 8887-9188 or the BSP Financial Consumer Protection Department at (+632) 8708-7087.

Classification: GENERAL
For bank reference only

Philippine Standard Industrial Classification (PSIC)

A – Agriculture, forestry and fishing
B – Mining and quarrying
C – Manufacturing
D – Electricity, gas steam and air-conditioning supply
E – Water supply, sewerage, waste management and remediation activities
F – Construction
G – Wholesale and retail trade; Repair of motor vehicles and motorcycles
H – Transportation and storage
I – Accommodation and food services activities
J – Information and communication
K – Financial and insurance activities
L – Real estate activities
M – Professional, scientific and technical activities
N – Administrative and support service activities
O – Public administration and defense; Compulsory social security
P – Education
Q – Human health and social work activities
R – Arts, entertainment and recreation
S – Other service activities
T – Activities of household as employers; Undifferentiated goods-and-services-producing activities
of households for own use
U – Activities of extraterritorial organizations and bodies