A Commercial Bank

MOTORCYCLE LOAN APPLICATION

AUTO LOAN APPLICATION FORM FORM For Individuals and and
For Individual Single Proprietorships
Single Proprietorship
Type of Unit: No.
Application Dealer Salesman Date
Brand New

Brand and Model Brand/Model SRP Mode of Payment OTC Auto Debit
Brand New Used/Repossessed
PDCs

Purpose Term of Payment (in months/years) Downpayment Amount Financed

Private Use Business Use
Public Utility Others _____________

APPLICANT/BENEFICIARY
BORROWER' S INFORMATION
INFORMATION
Last Name First Name Middle Name Civil Status Gender

Birthday Place of Birth Nationality Age TIN/SSS or GSIS Number

Permanent Address (House/Street No., Street Name, Barangay/Locality, Town, City, Province/State, Country, Zip Code)

Present Address (House/Street No., Street Name, Barangay/Locality, Town, City, Province/State, Country, Zip Code)

Mailing Address Length of Stay Monthly rent/mortgage

Present Permanent Rented Owned Living with Relative Mortgaged Php _____________/monthly
Home Phone No. Mobile No. Fax No. Email Address

INCOME DETAILS

Source of Funds
Employed - Private Employed - Govt. Employed - OFW/Immigrant Self Employed with Business Self Employed Professional Others _____________________
Employer Name/Name of Business Nature of Work

Office Address Telephone No.

Present Position Length of Stay Other Source of Funds Monthly Total

FAMILY INFORMATION
Name of Spouse Date of Birth
Employed Self Employed

Employer/Business Name Business Address

Spouse’s Source of Income Contact No. Email Address

INFORMATION OF DEPENDENTS
Bank Name of Children/Dependents Maturity
Age

1.

2.

3.

CO-BORROWER
BORROWER'
INFORMATION
S INFORMATION
(OTHER THAN SPOUSE)
Last Name First Name Middle Name Civil Status Gender

Birthday Place of Birth Nationality Age TIN/SSS or GSIS Number

Permanent Address (House/Street No., Street Name, Barangay/Locality, Town, City, Province/State, Country, Zip Code)

Present Address (House/Street No., Street Name, Barangay/Locality, Town, City, Province/State, Country, Zip Code)

Mailing Address Length of Stay Monthly rent/mortgage

Present Permanent Rented Owned Living with Relative Mortgaged Php _____________/monthly
Home Phone No. Mobile No. Fax No. Email Address

INCOME DETAILS

Source of Funds
Employed - Private Employed - Govt. Employed - OFW/Immigrant Self Employed with Business Self Employed Professional Others _____________________
Employer Name/Name of Business Nature of Work

Office Address Telephone No.

Present Position Length of Stay Other Source of Funds Monthly Total

Please sketch location of your residence in relation to the nearest transportation line at the box below.

Robinsons Bank Corporation is supervised by Bangko Sentral ng Pilipinas (BSP). For any concerns, you may contact us at (02) 8637-2273 and [email protected]. MLAF-Version October 2021
You may also contact BSP Financial Consumer Protection Department at (02) 8708-7087 and [email protected].
MEMBER: PDIC. DEPOSITS ARE INSURED BY PDIC UP TO PHP 500,000 PER DEPOSITOR.
 CREDIT
LOAN INFORMATION
REFERENCES
Amount/Type
Bank Bank Bank Branch Branch Account No.
Bank Balance Tel. No.
Current Account

Savings Account

Time Deposit

Card Name Card Number Credit Limit Personal Reference Tel. No.

CREDIT CARD

Kind Location Year Acquired Personal Reference Tel. No.

ASSET

Card Name Card Number Credit Limit Personal Reference Tel. No.

LIABILITIES

To facilitate processing, please provide the following:

• If you are employed • If you are self-employed
Certificate of Employment (COE) with compensation payslip Audited Financial Statement (AFS)
Latest Income Tax Return (ITR) Business Registration Papers
Proof of Billing Six (6) months Bank Statement
CERTIFICATION & AUTHORIZATION (FOR CONSUMER LOANS AND OTHER PRODUCTS AND SERVICES)

By signing this form, I/we hereby certify that the information provided herein are true, accurate, and complete in connection with my/our Motorcycle Loan (the
“Product”) with Robinsons Bank Corporation (the "Bank"). I/We agree to notify/update the Bank of any change in any of the information supplied in this form.

l/we hereby authorize the Bank to conduct business, deposit, employment verifications, credit checking including but not limited to telecommunications and
utility credit scoring, property inspections, and other such related inquiries relative to information indicated in this application. I/we understand and authorize
the Bank to verify and investigate the same from whatever source it may consider appropriate. Furthermore, l/we understand that my/our falsification of any of
the information, including the enclosed/attached documents, if any, is sufficient ground for legal action(s) against me/us and the rejection of my/our loan
application. I/We further understand that should my/our loan application be denied, the Bank has no obligation on its part to furnish me/us with reason for such
rejection and/or to return my/our application form and documents.

I/We hereby authorize the Bank to disclose and report to the U.S. Internal Revenue Service (IRS)/Bureau of Internal Revenue (BIR) the pertinent information
as required under FATCA, if applicable.

I/We acknowledge to have read, understood and agreed to be bound by the terms and conditions governing the Product of the Bank which I/we opened or
availed of, and which were provided to me/us, received by me/us, and/or available to me/us via www.robinsonsbank.com.ph, as the same may be amended
from time to time. That by voluntarily entering into this transaction with the Bank, I/we am/are fully aware that I/we are considered indebted to the Bank upon
receipt of the loan proceeds.

I/we agree to indemnify and hold the Bank, its directors, officers and employees free of any claims l/we may have against the broker-referror who referred me/us
for the Bank's financing. I/We agree to comply with any and all rules, regulations, and laws pertaining to Anti-Money Laundering measures, laws, and
regulations and hereby unconditionally agree to hold the Bank free and harmless from any and all damages, suits, costs, and expenses related directly or
indirectly, with your compliance with such laws and/or regulations.

I/We hereby acknowledge that I/we have read, fully understand, consent to and agree to be governed by the attached Privacy Consent and Notice (PCN) as
well as the provisions of Republic Act No. 10173 or the Data Privacy Act of 2012.

This certification and authorization remains valid, effective, and subsisting until otherwise revoked or cancelled in writing by me/us.

Signature of Borrower over Printed Name and Date Signature of Spouse/Co-Borrower over Printed Name and Date

TIN No. ____________________________________ TIN No. ____________________________________

SSS No. ___________________________________ SSS No. ___________________________________

CREDIT CARD APPLICATION

By signing the space provided below, I/we hereby apply for Robinsons Bank (RBank) Credit Card and I/we undertake to submit documents as may be deemed
necessary by the Bank. I/We authorize the Bank to conduct random verification with government agencies or third parties to establish the authenticity of the
information declared and/or documents submitted and I/we hereby waive the confidentiality of the rules and laws as applicable in order to facilitate the random
verification. I/We further understand that the issuance of RBank Credit Card shall be subject to credit evaluation and discretion of the Bank and terms and
conditions applicable to RBank Credit Card. I/We likewise agree to be bound by the terms and conditions of the Undertaking.

Signature of Borrower over Printed Name and Date Signature of Spouse/Co-Borrower over Printed Name and Date

FOR BANK’S USE ONLY

Account Officer Conditions

Approved Declined Pending

This approval is valid for ___________ days only.

MLAF-Version October 2021

 PRIVACY CONSENT AND NOTICE
I. Introduction 5. Data analytics that will help Robinsons Bank design and develop new or improve
existing products, services, and customer experience and assistance;
Robinsons Bank seriously commits itself to the protection of your privacy rights. This Privacy 6. Services that would assist compliance with Robinsons Bank’s operational, audit,
Consent and Notice (“PCN”) reflects our commitment to ensure that data subjects from administrative, credit and risk management processes, policies and procedures, the
whom we collect and process financial and personal data about, are adequately informed of terms and conditions governing our products, services, facilities and channels,
the organization’s activities with respect to such data. In relation thereto, we endeavor to Robinsons Bank's rules and regulations, legal and regulatory requirements of
obtain your informed consent to continue processing your personal data under the terms government regulators, judicial and supervisory bodies, tax authorities or courts of
provided hereunder. competent jurisdiction, as the same may be amended or supplemented from time to
time.
II. Collection/Processing of Personal Data
Robinsons Bank will remain responsible over the personal data disclosed to such third parties.
As a condition for the use of Robinsons Bank’s facilities, products and services, we collect As such, we will ensure that such third parties are contractually obligated to comply with the
financial and personal data directly from you through your account opening/application and requirements of the Data Privacy Act and shall process your data strictly in accordance with the
as described through our Terms and Conditions. We process your information only for the purposes enumerated above. You may request for additional information on the identities of
following purposes: these parties from the Office of the Data Protection Officer.

• Fulfillment, delivery, support, and maintenance of Robinsons Bank facilities, products We also have legal obligation to disclose relevant and necessary personal data to government
and services; regulatory agencies in accordance with reportorial requirements established by law.
• approve, facilitate, administer and process applications and transactions;
• respond to queries, requests and complaints and improve how we interact with you; We will not share or disclose your personal data to unauthorized third parties without your
• communicate with you, including sending of your statements and/or billings, consent unless we are legally required to do so.
administrative communications about any account you may have with us or about
future changes to this privacy statement; We reserve the right to use or disclose any information as needed in order to comply with
• design new or enhance existing products and services provided by us; applicable laws and regulations; to protect the integrity of our system, products and services and
• perform demographic and behavioral analysis to understand market's needs, wants in the provisioning of the same; to fulfill your request; or when required to cooperate in any law
and trends to be able to improve and recommend suitable products and services; enforcement investigation or in instances involving public safety subject to appropriate
• personalize the appearance of our websites or mobile app and include procedures for verification, due diligence, and authentication.
location-based services such as finding the ATMs or branches nearest to you;
• communicate with you regarding Robinsons Bank’s products and services IV. Retention and Disposition of Personal Data
information, including offers, promotions, discounts, rewards, advisories, notices,
and for personalizing your experience with our various touch points such as We will keep your data only for as long as is necessary for the fulfillment of the declared,
branches, ATM, telemarketing, email, SMS, Chat Messaging Service (CMS), Social specified, and legitimate purposes mentioned above. After which, we shall dispose of it in a
Networking Service (SNS), and other marketing and communication channels; lawful and secure manner that would keep your personal data from being further processed
• perform certain protective safeguards against improper use or abuse of our products and/or accessed by unauthorized parties in accordance with the organization’s retention and
and services including fraud prevention; disposal policy.
• to utilize data analytics that will help the organization improve and develop customer
experience and assistance; In relation thereto, we would like to inform you that it is the organization’s policy to retain the
• comply with our operational, audit, administrative, credit and risk management personal data you shared with us, even when the said application with us proves unsuccessful.
processes, policies and procedures, the terms and conditions governing our We maintain such application database solely to introduce future offerings better suited for you
products, services, facilities and channels, Robinsons Bank's rules and regulations, and/or to process additional products and services you may wish to avail.
legal and regulatory requirements of government regulators, judicial and supervisory
bodies, tax authorities or courts of competent jurisdiction, as the same may be V. Your Rights as a Data Subject
amended or supplemented from time to time;
• comply with applicable laws of the Philippines and those of other jurisdictions 1. The Right to be Informed – This PCN honors your right to be informed of whether personal
including the United States Foreign Account Tax Compliance Act (FATCA), the laws data pertaining to you will be, are being, or were processed, including its disclosure to third
on the prevention of money laundering including the provisions of Republic Act No. parties, if any. As you will see above, we endeavored: i) to provide you with a description of the
9160 (Anti-Money Laundering Act of 2001, as amended (AMLA) and the personal data we collect and process pursuant to purposes enumerated above; ii) to obtain your
implementation of know your customer (KYC) process/procedures and sanction consent; iii) to explain the scope and method of the collection and sharing; and iv) the recipients
screening checks; of the personal data collected and shared;
• comply with legal and regulatory trequirements such as submission of data to credit
bureaus, credit information companies, the Credit Information Corporation (CIC) 2. The Right to Object – You shall have the right to object to the sharing of your data. Should
(pursuant to RA No. 9510 and its implementing rules and regulations), responding to there be any changes in the information provided to you in this PCN, you shall be informed of
court orders and other instructions and requests from any local or foreign authorities such changes and your consent thereto is to be obtained before such changes are implemented.
including regulatory, governmental, tax and law enforcement authorities or other
similar authorities; 3. The Right to Withdraw Consent Anytime – You shall have the right to withdraw your
• background checks through character reference verification; and consent to this PCN anytime.
• perform other such activities permitted by law or with your consent.
4. The Right to Access, Rectification, Erasure and/or Blocking – You shall have the right to
Further, if you already are, become, or apply to become a client of our parent company request for a copy of any personal data we hold about you, including the sources from which
and/or any of our subsidiaries and affiliates, Robinsons Bank Corporation including its such data was collected and to whom the same is shared, if any. You may ask it from us through
parent company and the subsidiary/ies and/or affiliate/s concerned have the option, but not the contact information provided below and we will provide it in a machine-readable format. You
the obligation, to rely upon, use, and share your relevant personal data and/or account shall have the right to have it corrected or revised if you think it is inaccurate or incomplete,
information for any of the following purposes: subject to the submission of sufficient proof establishing the same. You shall have the right to
suspend, withdraw or order the blocking, removal or destruction of your personal data should
• to facilitate and integrate your account opening or application with the concerned you a) discover that it is incomplete, outdated, false, unlawfully obtained, used for an
subsidiary/ies or affiliate/s; unauthorized purpose, no longer necessary for the abovementioned purposes; b) withdraw your
• to validate, consolidate or update your customer information records and/or credit consent thereto; or c) discover violations of your right as a data subject.
history;
• to provide consolidated billings, deposit or investment summaries or other reports as VI. Contact Us
you may request;
• to send you advisories, reminders, announcements, promotions, offers, invitations If you have any questions or concerns about this PCN or with our personal data processing
and other notifications; activities, please reach us through the following contact information:
• for market and financial research purposes, including sharing of data analytics results
to design banking, financial, securities and investment or other related products or DATA PROTECTION OFFICER
services Robinsons Bank Corporation
for your use as well as to improve customer experience and assistance; 17th Floor Galleria Corporate Center
• additional background checks through character reference verification; EDSA corner Ortigas Avenue
• to comply with a legal obligation to which Robinsons Bank or the concerned Quezon City Philippines
subsidiary/ies or affiliate/s is subject.
VII. Amendment
III. Personal Data Sharing / Disclosures
Robinsons Bank Corporation may change this PCN from time to time by notifying you the
Internal Disclosures updated version of the PCN and to secure your consent when necessary. You are also
encouraged to visit Robinsons Bank’s official website frequently to stay informed about how
We will also encode your personal data into our electronic client database stored in our local Robinsons Bank Corporation uses your personal information.
data centers as well as via third-party cloud storage facilities/systems. These data centers
and systems are covered by appropriate physical, technical, and organizational measures VIII. Conformity
to ensure your privacy is adequately protected. Only authorized personnel within the
organization are allowed access to your data and only for the purposes we’ve mentioned. This PCN, with your written conformity below, serves as an indication that you have been fully
informed of Robinsons Bank’s customer personal information processing activities, that you
Third Parties completely understand the terms thereof, that you freely consent thereto.

We allow access to your personal data to trusted and authorized third-party companies, You likewise warrant that you have notified and obtained the consent of any third party whose
businesses and vendors engaged with Robinsons Bank who provide services including, personal data you have shared with us.
among others:

1. Cloud storage facilities/systems to meet the Robinsons Bank’s storage management

requirements;
2. Utilize Electronic Communication Services including among others, SMS, CMS,
SNS, email and similar communication channels; and Non-Electronic
Communication channels such as but not limited to printed letter(s) for the intent of ______________________________________________________
customer info updating, promotions and other related materials.
3. Implementation of protective safeguards against improper use or abuse of our (Full Name and Signature)
products and services including the prevention of fraud and all forms of unauthorized
access to your personal and financial services;
4. For fulfillment and support of Robinsons Bank’s contractual obligations in delivering
its products and services to you;

RBank PCN-Version February 2021