BUSINESS EXPRESS LOAN

APPLICATION FORM

Existing Security Bank Client? If YES, what type of relationship?

Account Type Account number/s Relationship Since
YES NO Payroll
Deposit/Investment

Loans

LOAN DETAILS
LOAN AMOUNT LOAN PURPOSE
Working Capital Requirements Hiring new employees
Purchase Equipment / Fixed Assets Marketing/Advertising
LOAN TENOR Purchase / Remodel Workspace Refinancing / Take-out
12 mos 24 mos Business Expansion (start new Others: _____________
18 mos 36 mos businesses / product lines)

BORROWER INFORMATION
TYPE OF BORROWER Sole-Proprietorship Partnership Corporation
BUSINESS INFORMATION
BUSINESS NAME / COMPANY NAME FAMILY BUSINESS? TIN NUMBER

YES NO
YEARS IN BUSINESS NUMBER OF EMPLOYEES NATURE OF BUSINESS

OFFICE ADDRESS ZIP CODE

BLDG NO. STREET SUBDIVISION/BRGY. MUNICIPALITY CITY/PROVINCE

PLANT ADDRESS (if applicable) ZIP CODE

BLDG NO. STREET SUBDIVISION/BRGY. MUNICIPALITY CITY/PROVINCE

TEL. NO/S MOBILE NO EMAIL ADDRESS / WEBSITE

BUSINESS OWNERS/MANAGEMENT
IF APPLICABLE

NAME (LAST, FIRST, MIDDLE) YEARS IN ROLE POSITION % OWNERSHIP

BUSINESS FINANCIAL INFORMATION

LATEST YEAR NET INCOME
BANK / DEPOSIT ACCOUNTS
BANK DATE OPENED (mm/dd/yyyy) OUTSTANDING BALANCE (PHP) BANK STATEMENT?

LOAN / CREDIT ACCOUNTS

BANK LOAN AMOUNT MONTHLY PAYMENT MATURITY DATE (mm/dd/yyyy)
BUSINESS TRADE REFERENCES (List at least 2 suppliers and 2 customers)
MAJOR SUPPLIERS
ANNUAL
% OF TOTAL
COMPANY NAME CONTACT PERSON CONTACT NO CREDIT TERMS PURCHASES
PURCHASES
(PHP)

MAJOR CUSTOMERS
ANNUAL SALES % OF TOTAL
COMPANY NAME CONTACT PERSON CONTACT NO CREDIT TERMS
(in PHP) SALES

OWNER INFORMATION
NAME GENDER MOTHER'S MAIDEN NAME
MALE
LAST NAME FIRST NAME MIDDLE NAME FEMALE
BIRTHDAY (mm/dd/yyyy) PLACE OF BIRTH CITIZENSHIP TIN

EMAIL ADDRESS EDUCATIONAL ATTAINMENT CIVIL STATUS

HIGH SCHOOL POST-GRADUATE SINGLE WIDOWED

LANDLINE NO
COLLEGE TECHNICAL/VOCATIONAL MARRIED DIVORCED
MOBILE NO # OF CARS OWNED # OF DEPENDENTS

HOME ADDRESS DURATION OF HOME OWNERSHIP

STAY (in years)

OWNED LIVING WITH

MORTGAGED RELATIVES

BLDG NO. STREET SUBD/BRGY. MUNICIPALITY CITY/PROVINCE RENTED OTHERS

SPOUSE INFORMATION (if applicable)
NAME GENDER MOTHER'S MAIDEN NAME
MALE
LAST NAME FIRST NAME MIDDLE NAME FEMALE
BIRTHDAY (mm/dd/yyyy) PLACE OF BIRTH CITIZENSHIP TIN

CREDIT CARD INFORMATION

Do you have an
CARD NUMBER CARD NUMBER
existing credit ISSUING BANK CREDIT LIMIT
1ST 6 DIGITS LAST 4 DIGITS
card/s?

YES NO

ROLE IN BUSINESS
POSITION (latest on top) DURATION OF ROLE (YYYY-YYYY) % OF BUSINESS OWNERSHIP

YEARS IN COMPANY YEARS IN

INDUSTRY
PRODUCT FEATURES AND CHARGES
PRODUCT FEATURES
Loan Facility Unsecured / Clean Term Loan

Loan Amount PHP 1,000,000 (MIN); PHP 3,000,000 (MAX)

Loan Terms 12, 18, 24 OR 36 months

INTEREST RATE
TERM (in mos) Monthly Addon Rate Annual Effective Rate
12 1.40% 34%
18 1.50% 37%
24 1.80% 44%
36 1.85% 44%

OTHER FEES
Processing Fee PHP 2,000 (charged at loan booking)

PHP 1 for every PHP 200 of the principal loan amount, subject to applicable
Documentary Stamp Tax (DST)
laws and regulations

Notarial Fee PHP 200 for Sole Proprietorships and Partnerships; PHP 400 for Corporations

Early Closure Fee 3% of unbilled principal component that is being paid in advance

Penalty Fees 3% of unpaid amortization for the month (non-cumulative)

CHECKLIST OF REQUIREMENTS

SOLE PROPRIETORSHIP PARTNERSHIP / CORPORATION

Completely filled out and signed app
Completely filled out and signed app form
form
Clear copy of two valid IDs (photo- Clear copy of two valid IDs (photo-bearing,
bearing, government issued of government issued of borrower/authorized
borrower/authorized signatory) signatory)
Bank Statements (latest 3 months) Bank Statements (latest 3 months)
Income Tax Return (1701 for sole Income Tax Return (1702 for corporation) with
proprietary owner) latest 1 year Audited Financial Statements
Latest 1 year Audited Financial
Latest 1 year Audited Financial Statement
Statement
Company profile: background, owners, key
Certificate of Business Registration
officers SEC Registration and General
with DTI (sole proprietorship)
Information Sheet
PRE-BOOKING REQUIREMENTS
Authorization letter / Board Resolution
(indicating final signatories and other loan
handling details)
Continuing Suretyship Agreement
GRANT OF AUTHORITY & WAIVER OF CONFIDENTIALITY

I hereby certify that all information herein are true and correct based on my own knowledge and further authorize the Bank to
obtain information as it may require concerning my loan application and agree that it shall remain the Banks property whether my
loan is approved or not. Any information given by me or other persons I authorized which is not true or accurate, will automatically
cause the Bank to reject my loan or cancel its approval.

I hereby willingly, voluntarily, and with full knowledge of my right under the law, waive the right to confidentiality of information and
authorize the Bank 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, credit reporting or
verification and recovery of the obligation due and payable to the Bank under the terms and conditions of this agreement.

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

I further authorize the Bank, 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 Tax Statements (the "ITR") and the accompanying financial statements/documents
submitted to the BANK in accordance with banking regulatory requirements.

I hold the Bank 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.

I 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 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.

I further authorize the Bank to deduct from my Loan proceeds all fees including, but not limited to, processing fees, documentary
stamp tax, notarial fees and interest accruals should the first due date be over 30 days from the release of my loan and other related
charges.

I likewise authorize the Bank to provide me with a consumer loan or additional bank product/s (such as but not limited to auto,
personal loan, credit card and other products suited to my situation) at the Bank's sole discretion. My acceptance of the credit card or
the proceeds of any loan released pursuant thereto shall be conclusive proof of my acknowledgement of my 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.

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

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

The foregoing 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.

I also legally bind myself to the Terms and Conditions of the Promissory Note, Disclosure Statement and other relevant
documents that I shall execute in favor of the Bank.

PRINTED NAME AND SIGNATURE OF PRINTED NAME AND SIGNATURE OF DATE

BORROWER OR AUTHORIZED BORROWER OR AUTHORIZED SIGNATORY
SIGNATORY
Security Bank Corporation is regulated by the Bangko Sentral ng Pilipinas. For inquiries or complaints, you may contact Security
Bank at 88-791-88 or the BSP Financial Consumer Protection Department at 708-7087.

FOR EMPLOYEE USE

CUSTOMER BASIC NO. SALES ID
BRANCH/UNIT EMPLOYEE NAME