Professional Documents
Culture Documents
RHED Financing Application Form 1
RHED Financing Application Form 1
2” x 2” Colored ID
LOAN INFORMATION
Picture (Attach/
glue/paste here)
APPLICANT's INFORMATION
Name: ________________________________________________________________________________________________________________
FIRST NAME MIDDLE NAME LAST NAME
BUSINESS INFORMATION
Name of Business: _______________________________________________________ Years in Operation: __________
TIN: _________________________________ SSS: ________________________________
SPOUSE's INFORMATION
TRADE REFERENCES
Major Customers Contact Person/Position Contact No.
BANK/s INFORMATION
As the loan applicant, you affirm that all information provided in this application form are true and correct, and all supporting documents submitted
directly to Esquire Financing Inc. and HRRA or its official sales channels are legitimate, genuine and legally obtained from the issuing government
agencies/private entities. Any incorrect or misleading information and misrepresentation will result to disapproval of the application. In case of
disapproval, Esquire Financing Inc. and HRRA are under no obligation to disclose the reason/s for such disapproval. In furtherance of your application,
you hereby give consent to the following circumstances: (1) Entrance and inspection of your residence, main/principal place of business and operations
facility/ies by duly authorized representatives of Esquire Financing Inc. and HRRA as part of its credit evaluation and in order to validate all the
information disclosed by you in this Application Form and in any supporting documents submitted by you to Esquire Financing Inc. and HRRA;
(2)Verification of any information provided herein and in any supporting documents hereto with any applicable banks, credit bureaus, private or
government agencies and other institutions, as may be indicated in this application form, or with any entities/individuals you have additionally indicated in
this application form; (3) Release or disclosure of any relevant information by such holder, controller, and processor of the information to confirm, release
and verify the existence, truthfulness, and/or accuracy of any information provided to Esquire Financing Inc. and HRRA (4) Processing of your
information under the Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes, and disclose any and all information as required by
relevant authorities; and (5) Receipt by you from Esquire Financing Inc. and HRRA, its affiliates, and third-party vendors or partners of Short Messaging
Services (SMS), mobile and/or email alerts/messages for the purpose of confirming your application and its status. You hereby expressly waive any and
all statutory and regulatory provisions governing confidentiality of client information with respect to any information you entered in this Application Form
and in any supporting documents hereto insofar as it is necessary to disclose appropriate information to verify such other information provided in this
Application Form and in any supporting documents hereto. You hereby agree to indemnify and hold Esquire Financing Inc. and HRRA, its affiliates,
officers, directors, employees, consultants, contractors, agents and representatives free and harmless from any and all third party claims, losses, liability,
damages and costs arising from any liabilities that may arise due to inaccurate representation of any information indicated herein.
____________________________________________________
Signature of Applicant over Printed Name
DOCUMENTARY REQUIREMENTS