Name Relationship Age School School Address

Salary Business Income Other Income GROSS INCOME

bank/lending/financial institution type of loan loan amount monthly installment term date granted maturity date
name relationship address contact details
REQUIREMENTS



In compliance with the Data Privacy Act (DPA) of 2012 and its Implementing Rules and Regulations (IRR), I allow the Motorcentral Group of Companies, its subsidiaries, affiliates, and other authorized representatives to collect, transfer, share, retail and use my personal information for sales and marketing purposes.