Online Loan Application

Loan Application Details

Application Status
Application Date
Application Ref No

Select Loan Type:
Desired Loan Amount:
Source Of Income
Monthly Basic Income

Personal Information

First Name
Last Name
Tax ID Number

Complete Address
City or Town
Length Of Stay:

Home Ownership:
Home Landline No. :
Mobile No.

Employment Details

Company | Business Name
Complete Company | Business Address
Sector :
Category :

Employment Status:
Length Of Service

Basic Financial Background

Your Current Primary Bank:
Account Type:
Are you an 'active' credit card holder?

Do you have a delinquent or closed credit card?
Do you have a delinquent bank loan?

Do you own a car?
Would you like to get a free auto insurance quotation from us?

How did you know about
If referred by an agent, please provide the agent's name:

Refer A Friend Program

Referral Name:
Email Address :
Mobile Number :

Terms and Conditions
By submitting this application, I hereby certify that all information herein provided are true and correct to the best of my own personal knowledge. I hereby freely and voluntarily give my consent and authorize and of Clickerwayne Enterprise to obtain information as it may require concerning my loan application. Any Information given by me or other person duly authorized by me which is NOT TRUE nor ACCURATE, will automatically cause and Clickerwayne Enterprise to reject my application.*

Further, I understand that this application is subject to bank's credit policies and procedures. In case of disapproval of my application, I fully understand that is under no obligation to disclose the reason/s for such disapproval. I understand that is not a bank nor a financial institution engaged into providing lending or financing activities. I am are fully aware that is only a Marketing and Lead Generator portal of Clickerwayne Enterprise for loans and credit products offered by its partner financial and marketing companies in the Philippines and the U.S.
I have fully read, understand and agree to Terms and Conditions.