Credit Application Form

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1 basic information
2 employment
3 for reference
4 REQUIREMENTS
Down Payment:
Monthly Installment:
Delivery Date:requested date
Time:Best time to call
Seller's Name:your seller's name
Last Name:your last name
First Name:your first name
Middle Name:your middle name
Birthdate
Citizenship
Home ownership(please attach proof of billing like Meralco, Water bill, Telephone bill, etc.)
Home Addressplease indicate complete address
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No. of Dependent (s)
Contact No.
Length of stay
Name of Spouse

SOURCE OF INCOME

Primarypick one!
Company name
Company address
Job position
Telephone number
Length of service
Your monthly income
Other source/s of income
Amount (Others)

MONTHLY EXPENSES

Rent
Utilities (electricity and water)
Food, Education and Medical
Miscellaneous (gas, transportation)
Amortization (Car / House)
Other Loan(s)

BANKS

Bank Name / Branch
Bank Name
Account Number
Branch

CREDIT CARD

Credit Card Company
Card Number
Credit Limit
Nameyour full name

FOR OUR REFERENCE

How many bottles of water do you buy weekly?

Consumption(1 bottle = 5 gallons) Brand

How much do you spend on bottled water weekly?

Amountindicate amount per week

What brand of water do you buy regularly?

Brandindicate brand (refilling stations, bottled water etc.)

REQUIREMENTS:

PICTURE

ID (COMPANY OR GOVERNMENT ISSUED ID)

PROOF OF BILLING (UPDATED BILLING STATEMENT)

PROOF OF INCOME (LATEST PROOF OF INCOME)


WATERS E-MAIL ADDRESS:

credit@waters.com.ph

Preferred Payment
Proof of Identification(Company or Government Issued ID)
Upload ID
Proof of Billing(Electric Bill, Water Bill, Credit Card Statement etc.)
Upload Billing
Proof of Income(1 Month payslip, ITR, remittances, ITR etc.)
Upload Payslip
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