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If you are interested in applying for one of our Instalment Plans, fill-up our Credit Application below. A sales representative will contact you regarding the status of your application.
APPLICANT'S   INFORMATION
   
Full Name
Age
Citizenship
Civil Status
No. of Dependents
Educational Attainment Post Graduate
College Graduate
Undergraduate
Home Address
Home Tel No.
E-Mail
Type of Residence Owned
Rented
College Graduate
Living with Relatives
Length of Stay yrs. months
Previous Address
*If length of stay in present residence is less than 2 yrs.
Provincial Address
 
 
Employment Information
Name of Employer
Self-employed
Business Address
Business Tel No.
Nature of
Business/Profession
Position
Years with Company
Previous Employer
Years with
Previous Company
 
 
Spouse's  Information
Full Name
Name of Employer
Self-employed
Business Address
Business Tel No.
Nature of
Business/Profession
Position
Years with Company


Do you certify that all data and statements in this application are correct and complete, and are made for the purpose of obtaining credit. Do you authorize HCKI to obtain such information as we may require concerning the statements made in this application and that the sources from which we may verify are authorized to provide any information relative to this application. Do you agree that the application may remain our property whether the credit is granted or not.
 
 
 
 
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