WORK & FINANCES

Employment

Private SectorGov'tSelf Employed

*Employer / Business Name

*Position / Title

*Business Address

*Business Tel.

Nature of Business

*Employer and Employee Email Add

*Length of Stay

*Monthly Income

CO MAKER/ SPOUSE DEATILS

*FIRST NAME

*MIDDLE NAME

*LAST NAME

*DATE OF BIRTH

*What is your Relationship with the BORROWER

*TIN Number

*Employer / Business Name

*Position / Title

*Business Address

*Business Tel.

Nature of Business

*Email Add

*Mobile #

*Length of Stay

*Monthly Income

VEHICLE DETAILS & Financing Preference

MAKE / MODEL

SRP

DOWN PAYMENT

—Please choose an option—20%30%40%50%Others

AMOUNT FINANCED

—Please choose an option—20%30%40%50%60%70%80%

TERM

—Please choose an option—12 Months24 Months36 Months48 Months60 Months

PURPOSE

I/We certify that all the above information are true and correct to the best of my/our knowledge. I/We authorize you to verify and investigate the above information from whatever sources you may consider appropriate. In addition, I/We hereby expressly and unconditionally Authorize NISSAN COMMONWEALTH to disclose to any of its subsidiary, affiliate and accredited financing companies any information regarding me/us.

For Employed

2 Valid ID's
COE
Latest 3 Months Payslip

For Self Employed

2 Valid ID's
Latest 6 months Bank Statement
ITR/ AFS

For OFW

2 Valid ID's
Latest Contract
Proof of Remittance