Cooperative/Group Vehicle Loan Application Form
A. Group/Cooperative Information
Name of Cooperative/Group
Registration Number
Address
Phone Number
Email
B. Representative/Contact Person
Name
Position
Phone Number
Email
C. Loan Details
Type of Vehicle
Number of Units
Loan Amount Requested
Repayment Period (months)
Purpose of Loan
D. Declaration
We hereby declare that the information provided above is true and correct to the best of our knowledge.
Authorized Representative Signature
Date