6-Column Layout - Flexbox
TAG
APPLICATION CODE
APPLICATION DATE
LOAN AMOUNT REQUEST (PHP)*
LOAN PURPOSE *
CLIENT INFORMATION
FIRST NAME *
MIDDLE NAME *
type NA if not applicable
LAST NAME *
NAME EXTENSION (IF ANY)
DATE OF BIRTH *
/ /
GENDER *
CIVIL STATUS *
PRESENT ADDRESS *
PERMANENT ADDRESS
MOBILE NUMBER 1 *
MOBILE NUMBER 2 (if any)
CONTACT NUMBER 3 (if any)
EMAIL ADDRESS
FACEBOOK / OTHER
EMPLOYMENT INFORMATION
MANNING AGENCY *
VESSEL *
POSITION *
EXPECTED DEPARTURE DATE *
/ /
MONTHLY WAGE (US $) *
CONTRACT DURATION * (IN MOS.)
CO-MAKER INFORMATION
FIRST NAME *
MIDDLE NAME *
type NA if not applicable
LAST NAME *
NAME EXTENSION (IF ANY)
DATE OF BIRTH *
/ /
GENDER *
CIVIL STATUS *
ADDRESS
MOBILE NUMBER 1 *
MOBILE NUMBER 2
RELATIONSHIP TO CLIENT*
EMAIL ADDRESS
FACEBOOK / OTHER
AUTHORIZED REPRESENTATIVE 1 INFORMATION
FIRST NAME *
MIDDLE NAME *
type NA if not applicable
LAST NAME *
NAME EXTENSION (IF ANY)
DATE OF BIRTH *
/ /
GENDER *
CIVIL STATUS *
ADDRESS
MOBILE NUMBER 1 *
MOBILE NUMBER 2
RELATIONSHIP TO CLIENT*
EMAIL ADDRESS
FACEBOOK / OTHER
AUTHORIZED REPRESENTATIVE 2 INFORMATION
FIRST NAME *
MIDDLE NAME *
type NA if not applicable
LAST NAME *
NAME EXTENSION (IF ANY)
DATE OF BIRTH *
/ /
GENDER *
CIVIL STATUS*
ADDRESS
MOBILE NUMBER 1 *
MOBILE NUMBER 2
RELATIONSHIP TO CLIENT*
EMAIL ADDRESS
FACEBOOK / OTHER
REQUIREMENTS
PASSPORT
Invalid Input
SEAMAN'S BOOK
Invalid Input
LATEST POEA CONTRACT
Invalid Input
LATEST 2x2 PICTURE
Invalid Input
PROOF OF BILLING (LAST 6 MOS.)
Invalid Input
GOVERNMENT ID 1
Invalid Input
GOVERNMENT ID 2
Invalid Input
ADDITIONAL DOCUMENT 1
Invalid Input
ADDITIONAL DOCUMENT 2
Invalid Input
ADDITIONAL DOCUMENT 3
Invalid Input


By clicking "SUBMIT", I agree to the following statements below:
1. I certify that the information provided in this application is true and accurate.
2. I understand that withholding of information or giving false information will result to immediate disapproval.
3. I understand that accomplishing this application does not guarantee an approval. I understand that my application is subject to evaluation of the credit committee.
4. I agree to conform to the policies and procedures of Nfinit.
Nfinit Lending Corporation

SEC Registration No.: CS200809669
Certificate of Authority to Operate No.: 148

 
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