LOAN APPLICATION FORM

6050 Savings Club • Since 2021

Your Partner in Saving, Your Help in Time of Need.

Please provide complete and accurate information. Approval, loan terms, video verification, and releasing remain subject to 6050 Savings Club review and rules.

I. PERSONAL INFORMATION

Full Name *

Date of Birth

Gender

Civil Status

Complete Address *

Contact Number *

Valid ID Presented *

ID Number *

Loan Type *

Member ID

Date Member Since

Total Savings

Average Monthly Savings

Referred By

II. LOAN INFORMATION

Desired Loan Amount *

Loan Term *

Purpose of Loan *

Preferred Payment Schedule *

III. LOAN TERMS SUMMARY

Member:

• Application Fee: ₱0.00

• Processing Fee: 1.00%

• Interest Rate: 5.00% per month — Flat / Add-on

• Penalty Rate: 5.00%

Non-Member:

• Application Fee: ₱500.00

• Processing Fee: 2.50%

• Interest Rate: 10.00% per month — Diminishing Balance

• Penalty Rate: 10.00%

Grace Period: 3 days

These are the current 6050 Savings Club loan settings. Final terms are subject to evaluation and approval.

IV. LOAN DISBURSEMENT / RELEASE

How will you receive the loan? *

Bank / E-Wallet

Account Name

Account Number / Mobile Number

V. REFERENCES

Reference 1 — Name

Relationship

Contact

Reference 2 — Name

Relationship

Contact

VI. DECLARATION

I confirm that the information provided is true and complete. * I understand that an approved loan may require a verification video before release. *

VII. FINAL ACKNOWLEDGMENT & ELECTRONIC SIGNATURE

Electronic Signature Consent. By entering my full name below and submitting this application, I confirm that the electronic signature represents my signature and agreement to this loan application.

Electronic Signature — Type Full Name *

Signature Date & Time

Loan Application Submitted

Keep this application number and your contact number for status tracking.

Track Application Status →

Post-Approval Video Portal

Use the secure link provided after your loan reaches the video-recording stage.