(GLOBAL DOMINION LOAN Source: Loan Consultant: Dealer: GDFI Page 1 of 6 APPLICATION FORM DATE (MM/DDIYYYY): Employee: Type of loan applied for: Collateral — CINon-collateral If with Collateral, what type? Loan purpose: Loan amount applied: Loan term: How did you know about GDF? (Walk-in Client (2 GDFI Website Co GDFI Employee © Loan Consultant © Social Media First-time Borrower of GDFI? © Yes CINo For the complete list of products offered by GDF, please go to hitos://adii,com.ph/ Collateral Details: For Vehicles: Year: Make/Model: Color: Plate No. Mileage (Kms): Place of Registration For Real Estate: TCT Ni CTC No. Location: Note: - For Vehicles:_All details SHOULD match with the vehicle's Official Receipt and Certificate of Registration (OR/CR) For Real Estate: The property is located in selected areas nationwide." GDFI will perform the necessary investigation to determine if the declared collateral is free from any and encumbrances as of the date of this loan application. BORROWER'S PERSONAL INFORMATION (MANDATORY) (Last Name, First Name, Middle Name, Suffix) Civil Status Full Name Co single OO Married Date of Birth/ | (MM/DD/YYYY) (City/Municipality) | Gender (Male or Female) Place of Birth Present Length of Stay Address ___year/s _month/s Permanent Length of Stay Address jear/s _month/s Provincial Length of Stay Address ___ year/s __month/s Contact Details | Pfiaty Phone Number Mobile Number E-mail Address/es Citizenship or Nationality Filipino 2 Others If “Others”, please specify: TIN/ SSS/GSIS Number TIN SSS No. GSIS No. School Name: School Last . Attended Grade / Level / College course: Year Graduated (last year of stay): GDFI Loan Application Form — April 2024Page 2 of 6 Ti Owned (Not mortgaged) CiRented: If "Rented" (PHP/month) [=] Owned (Mortgaged) If *Mortgaged” — (PHP/month) Used Free Howes * If Rented”, from whom? Individual/Bank/Company): Pp * If’Mortgaged”, from whom? (Individual/Bank/Company): * If Free’, owned by whom? (Individual/Bank/Company). J Owned (Not mortgaged) CiRented: If Rented’ (PHP/month) (Owned (Mortgaged) If *Mortgaged" — (PHP/month) House Ownership of | Used Free Provwiciel’ of * If “Rented”, from whom? Individual/Bank/Company): "Adlivena * If"Mortgaged”, from whom? (Individual/Bank/Company): * IfFree”, owned by whom? (Individual/Bank/Company): Name of Ruicionsiin wan Dependents ‘elationship wit! (Not married or | A9® School Last Attended the Borrower employed) INCOME INFORMATION er Name of Employer: Name of Business: © Not Applicable: Employer / , i Length of stay: Business Monthly Income: Saas _months en Business Tel. No. pusiness Professional Regulation Commission (PRC) License No. (if applicable), Source of, Employment [Remittance C] Pension/Retirement (] Commissions Income/Funds | “jBusiness Interest Income [Sale of Assets (Tick all applicable) (4. Agriculture / Animal Farming 13. Finance/insurance/Securities (2. Food Services/Food Processing | C1] 14, Manufacturing (3. Real Estate / Leasing 15. Utilities (4. Business Process Outsourcing 7116 Foreign Exchange / Knowledge Process Outsourcing Dealer/Money (15. Government Service Changer/Remittance Agent PESO WON | Els, Tamia (217.Maritime / Shipping usiness i (7. Casino/Gaming Club 118. Foundation C8. IT/ Software (2119. Medical / Health Services (9. Transportation [120.0thers __ © 10.Construction (J 11.Law / Accounting/Auditing Firm 12.Wholesale / Retail Trade Doyouowna | Year: Make / Model: Color: TGIF Plate No. vehicle/s? Mileage (Kms). Place of Registration: (Not used as[Year: Make/Model: Color: Collateral for this loan | Plate Ni application) Mileage (Kms): Place of Registration: Do you own a bank account? [] Yes (_] No (if “Yes”, please fill out BORROWER'S BANK ACCOUNTS details) CHARACTER REFERENCES (not living in the same household) Name ‘Address Contact number/s GDFI Loan Application Form — April 2024Page 3 of 6 ‘TRADE REFERENCES (Client / Supplier) Name / Business Name Address Contact number/s ‘SPOUSE or CO-BORROWER INFORMATION (Last Name, First Name, Middle Name, Suffix) Full Name Date & Place of | (MM/DD/YYYY) (Gity/Municipality) | Gender (Male or Female) Birth Present Length of Stay Address jear/s __month/s Permanent Length of Stay Address jear/s__month/s. Provincial Length of Stay Address jear/s_month/s Contact Detaits | P*™aty Phone Number Mobile Number E-mail Address/es Citizenship or | CJFilipino _ (JOthers if*Others”, please specify: Nationality TIN/ SSS /GSIS | TIN ‘SSS No. GSIS No. Number ‘School Last ‘School Name: Attended / Year | Grade/Level/College course: Year Graduated (last year of stay): Graduated TJ Owned (Not mortgaged) CiRented: If Rented” (PHP/month) (Owned (Mortgaged) If "Mortgaged” — (PHP/month) Used Free * If Rented”, from whom? Individual/Bank/Gompany): + If Mortgaged”, from whom? (Individua/Bank/Company): «If “Free”, owned by whom? (Individual/Bank/Company): 1 Owned (Not mortgaged) CiRented: If "Rented" (PHP/month) [Owned (Mortgaged) If "Mortgaged” — (PHP/month) Used Free * If Rented”, from whom? Individual/Bank/Company): Provincial Address, « If "Mortgaged’, from whom? (Individual/Bank/Company): « If Free’, owned by whom? (Individual/Bank/Company): Name of Name of Employer: Name of Business: TI Not Applicable: Employer / Tenure of employment Business Monthly Income: 2 of employment’ Business Tel. No. Employer / Business Address BORROWER'S BANK ACCOUNTS BANK/ DATE ‘ACCOUNT Branca ACCOUNT NAME OPENED | (savincs; | ACCOUNT NUMBER ammo) | SuRRENT) GDFI Loan Application Form — April 2024Page 4 0f 6 BORROWER'S AUTHORIZATION TO VERIFY BANK DETAILS To: (Bank / Branch) In compliance with Section 2 of Republic Act No. 1405, “AN ACT PROHIBITING DISCLOSURE OF OR INQUIRY INTO, DEPOSITS WITH ANY BANKING INSTITUTION AND PROVIDING PENALTY THEREFOR.” Otherwise stated, consider this as my written permission in favor of GLOBAL DOMINION FINANCING, INC. (GDF), or its authorized representative, to verify my savings/checking account with your bank. You are allowed to disclose the date of opening of my/our/savings/checking account and the Average Dally Balance (ADB) for the last six (6) months from the date of this loan application, ‘ACCOUNT NAME OF BANK/S / ACCOUNT TYPE BRANCH BRANCH NUMBER (SAVINGS / CURRENT) ‘Thank you very much for your kind assistance. Borrower Spouse / Co-Borrower (Signature over printed name / Date) (Signature over printed name / Date) SPECIMEN SIGNATURES Name of Borrower Name of Spouse / Co-Borrower 1 1 2. 2. 2. 3 GDFI Loan Application Form — April 2024Page 5 of 6 BORROWER AND SPOUSE’S / CO-BORROWER’S UNDERTAKING (We hereby certify that all the information furnished in this Loan Application Form (LAF) is true, correct, and complete. !/We further certify that the signatures affixed herein are true and genuine. We hereby authorize GDF to obtain such information, as may be required, concerning the validity and veracity of the information provided in this application. /We agree that this LAF, all supporting documents and any other information obtained by GDFI relative to this application, shall remain as the property of GDFI whether or not the loan is granted. We consent to the forfeiture of the processing fee that I/we paid to GDFI in case l/we cancel, withdraw or terminate my/our loan application without the fault of GDF. I/We agree that any false statement or concealment of information that may be discovered after the loan has been granted shall be sufficient basis for GDF to consider the loan as due and demandable. GDFI branches DO NOT accept cash payments. Payments of any kind must be settled directly at GDFI- accredited payment centers. Please refer to httos://adfi.com.ph for GDFI's list of accredited payment centers. We further understand that a cooling-off period of three (3) business days shall be applied following the execution of this transaction. You may cancel this transaction without penalty; however, nothing herein prevents GDFI from recovering the processing costs incurred, ‘That in case the present Loan Application will be granted by GDF, I/We hereby consent to be contacted before 6:00 A.M. or after 10:00 P.M., solely for collection purposes of the subject loan when past due for more than fifteen (15) days. Borrower ‘Spouse / Co-Borrower (Signature over printed name / Date) (Signature over printed name / Date) DATA PRIVACY CONSENT FORM. The privacy and security of your personal data ("Personal Information’) that GDF collects is important to us. It is equally important that you understand how GDF handles this data. In conducting our business, we must collect your “Personal Information”. It will be strictly used to administer your account to provide the products and services you have requested from us and to further meet your needs and the standard procedures of GDFI's business. We will treat your “Personal Information” as confidential data. It will only be disclosed, subject to our permission, to GDF''s affiliates and partners such as credit bureaus, collection companies, and other financial institutions for the purpose of assisting you in your financial needs and for the effective handling of your account. For the proper assessment of your loan application, you hereby allow GDFI directly or through its partners, to collect, retrieve, process, use, and store your “Personal Information” such as name, age, Photographs, mobile number/s, employment details, income, financial data, financial profile, credit standing, loan payment history, other means of positive identification such as photograph, signature, and/or such other identifiable features, and other information required in the application form for the purpose of reviewing and processing your loan application. For the list of GDFI's Affiliates and Partners, please go to this link: https://adfi.com.ph/partners-and- affiliates! Or scan this code: Further, you hereby give consent to the collection of your personal data from telecommunication companies, banks, credit bureaus, payment platforms, airlines, utility companies, suppliers, and employers for credit evaluation purposes. Furthermore, in case of restructuring your loan obligation, you are giving consent and allowing GDFI to disclose and collect information from the above-mentioned institutions and people. Throughout the processing of your “Personal Information”, your rights under the GDFI Loan Application Form — April 2024Page 6 of 6 Data Privacy Act of 2012, such as the (1) right to be informed, (2) right to object, (3) right to access, (4) right to rectification, (5) right to erasure or blocking, and (6) right to damages, shall be upheld. For your complete rights as a data subject, please visit https:/www.privacy.qov.ph/data-privacy-act/ For further information regarding GDFI's privacy policy, you may visit our website at www.adfi.com.ph. All personal information collected will be stored in a secured location; and retained in accordance with GDF''s retention policies; and only authorized employees will have access to them. If you think that your personal data was mishandled in terms of confidentiality or integrity, or if someone tampered with your personal data without your consent, please do not hesitate to contact our Data Protection Officer through the following Data Protection Officer Unit 201 Jollibee Plaza Condominium, Emerald Ave., Ortigas, Pasig City Mobile Number: (63) 917 826 2931 E-mail Address: adfidpo@ adfi.ph Borrower ‘Spouse / Co-Borrower (Signature over printed name / Date (Signature over printed name / Date) FOR GDFI USE ONLY: | certify that by exercising due diligence: - [have verified the information stated in this LAF against the documents submitted by the Borrower to be true and correct: - Ihave collected all the required Know-Your-Client requirements from the Borrower and shall proceed with the loan application process in compliance with GDFI's existing policies as of the loan application date; and - In case the original document of the Borrower is not available for verification, | will ensure that these are presented for verification prior to the release of the loan proceeds. Verified by: GDFI Officer / Associate Checked by: Branch Head (Signature over printed name / Employee No. / Date) (Signature over printed name / Employee No. / Date) = Nothing follows — GDFI Loan Application Form — April 2024