Online Application Form

Loan Information

Desired Loan Amount *

Desired Loan Term/s *

Date of Application *

Borrower's Contact No. *

Int'l Roaming No.

Loan Classification *

Agency Name *

Agency Contact Person *

Agency Contact No. *

Borrower's Overseas Employment Position *

Salary *

Duration of Contract *


Personal Information

Last Name *

First Name *

Middle Name *

Age *

Date of Birth *

Place of Birth *

Marital Status *

Citizenship *

Email Address *

Telephone No. *

Mobile No. *


Address Information

Current Home Address

Complete Address *
(House No, Street, Brgy, Municipality/City)

Ownership * (Check all that applies)

Length of Stay *

If renting please provide Landlord Information (Full Name, Contact Nos., Complete Address)

Last Name

First Name

Middle Name

Telephone No.

Mobile No.

Provincial Address

Complete Provincial Address *
(House No, Street, Brgy, Municipality/City)

Ownership * (Check all that applies)

Length of Stay *


Spouse's Information

Last Name

First Name

Middle Name

Occupation

Company Name

Department/Branch

Length of Service

No. of Dependents

Dependent's Information

Name

Age

School/Employer

Contact No.

Name

Age

School/Employer

Contact No.

Name

Age

School/Employer

Contact No.

Name

Age

School/Employer

Contact No.


Parent's Information

Father

Last Name *

First Name *

Middle Name *

Contact No. *

Mother

Last Name *

First Name *

Middle Name *

Contact No. *

Complete Address *
(House No, Street, Brgy, Municipality/City)


Character References

Name *

Contact No. *

Relationship *

Address *

Name *

Contact No. *

Relationship *

Address *

Name *

Contact No. *

Relationship *

Address *


Employment Record

Present/Previous Employer *

Employer Address *

Contact No. *

Website / Email *

Position *

Department/Branch *

Length of Service *

Salary *

SSS No. *

TIN-BIR No. *


Credit Information

Credit Cards

Card Issue

Credit Card No.

Credit Limit

Member Since

Card Issue

Credit Card No.

Credit Limit

Member Since

Existing Loans & Financing

Institution

Loan Amount

Terms of Loan

Monthly Amortization

Institution

Loan Amount

Terms of Loan

Monthly Amortization


Must agree and click the checkbox to submit

I hereby certify that all data and information in this application are complete and accurate. Any false information, data or statement indicated in this loan application shall automatically give rise to rejection or denial of the loan for or cancel its approval, if there is any, by Zazu Lending Investor Corporation. Furthermore, I likewise agree that this loan application may remain to be the corporation's property whether the loan is granted or not.