Waters Philippines | Credit Application for Installment

BASIC INFORMATION

Credit Product *

Type *

Leasing

Installment

Payment Mode *

With Check (with PDC)

Without Check

Payment Terms *

Best Time to Call

Requesting Delivery Date

Seller Name *

Last Name *

First Name *

Middle Name

Date of Birth *

Citizenship

Gender *

Email *

Contact No.

Home Status

Own House

Living with relatives

Renting

Address Street *

Barangay *

Province

City

Country

Zip code

Length of Stay

Marital Status *

No of Dependent(s)

EMPLOYMENT INFORMATION

Source of Income

Allotment / Remittance

Employed

Business

Company Name

Company Address

Job Position

Length of Service

Phone

Monthly Income

REQUIREMENTS

Proof of Identification

Proof of Billing

Proof of Income

Submit