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Agri Loan

I. PERSONAL INFORMATION
Applicant's Photo (Latest)
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Please upload the latest photo!
Name of Applicant
Your Full Name
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Birthdate
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Age
Your Age
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Occupation
Your Occupation
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Contact No.
Your Phone Number
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Religion
Your Religion
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Years Residing in Present Address
Years
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Present Home Address
Your Address
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Provincial Address
Your Provincial Address
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Home Ownership
  • Select your home ownership
  • Owned
  • Rented
  • Shared/Borrowed
  • Mortgaged
Select your home ownership
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Gender
  • Select your gender
  • Male
  • Female
Select your gender
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Civil Status
  • Select your civil status
  • Single
  • Married
  • Separeted
  • Widow/er
  • Common-law
Select your civil status
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Name of Spouse
(Last, Given, Middle Name)
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Birthdate
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Birth Place
Spouse Birth Place
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Occupation
Spouse Occupation
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Minority Community
  • - select a option -
  • Small
  • Tenant
  • Agri. Labourer
  • Others
- select a option -
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Mother's Maiden Name:
(Last Name, Given, Middle Name)
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Father's Name
(Last Name, Given, Middle Name)
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Area of Assignment
  • Select your area
  • Tagbina
  • Toril
  • Panabo
  • Quirino
  • Davao/Calinan
  • T\\\\\\\\\\\\\\\'Boli
  • Matalam
  • Others
Select your area
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Where do you want us to deposit your loan proceeds?
  • Select your preferred deposit
  • ATM
  • SAVINGS
  • BANK TRANSFER
  • digiCOOP
  • GCASH
  • Others
Select your preferred deposit
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Bank Name
  • Select Bank Name
  • BPI
  • BDO
  • UNION BANK
Select Bank Name
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Account Name
Your Account Name
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Account Number
Your Account Number
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II. ASSET OWNED
Existing Land & Buildings
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Description
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Value in Peso
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Livestock
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Description
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Value in Peso
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Farm Machinery and Equipt.
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Field is required!
Description
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Value in Peso
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Cash on Hand/Banks, etc.
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Description
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Value in Peso
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Other Investments
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Description
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Value in Peso
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III. EXISTING BANK/LOAN FACILITIES AND LIABILITIES, if any
Bank/Financial Institution
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Loan Acct. No.
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Purpose
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Date/Year of Availment
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Amount
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Overdue
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Where land Revenue & Other taxes have been paid up to date?
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Farm location/Address
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Your farm location/Address
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Farm Size
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Your farm size
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Other grown crops
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Your other grown crops
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Annual Income
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Your annual income
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Experience in Farming (in years)
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Your experience in farming (in years)
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IV. DETAILS OF FINANCIAL REQUIREMENTS
Crop
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Target Month of Planting
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Total Area to Be Cultivated (has.)
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Description (Established, plantea, rehab/rejuv)
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Details Of Financing Needs
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Amount
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V. CREDIT REFERENCES
Name
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Address
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Contact No.
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VI. AUTHORIZATION
I confirm that the above information is true and correct to the best of my knowledge. I am aware that any false statement may be an immediate cause for denial of this loan application. I hereby authorize MAGSIGE MPC to obtain such other information as may be required. This authorization includes obtaining information from government and non-government offices, commercial, thrift and savings, rural and cooperative banks, and all other creditors while releasing these institutions from liability under any and all bank secrecy laws.
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Signature over Printed Name of Applicant
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Select a date
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Place
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Signature of Borrower's Co-maker:
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Select a date
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Place
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Submit Your Application
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