Page 87 - engforcommu
P. 87

English for Communication | Alvin Bersamin

                          1.  Fill in the two forms. Use your own Information.

                              You can add any information you need. (Use form 1)


                       Credit Application Form

                       _____________________________________________________________________

                                                     GMA Credit Application

                       Please provide the following information.                   Please print clearly or type.


                       First Name: …………………… Middle Name: ………….…………   Last Name: ………….……………………..


                       Marital Status: ……………………….                               ___ male    ___ female

                       Date of Birth: …………………..……..                                            Age: ……………..


                       Address: ...…………………………………………………………………………………………………………………………….

                       City: ……….……………………………………………………………….. Post Code: ……..………………………………..


                       I.D Card No.: ………………………………………………...…….. Home Phone: ……..………………………….

                       Mobile Phone: ………………………………………………………. Fax No.: ……………………………………………


                       Email Address: ………………………………………………………. Employer: .………………………………………

                       Business Address: ……....…………………………………………………………………………………………………….

                       City: ……….……..............................................................Post Code: ……………………………………….

                              Monthly Income:    ___ less than 15,000 baht            ___ 15,000 – 20,000 baht


                                                     ___ 20,000 – 25,000 baht            ___ more than 25,000 baht




                       Signature: ____________________________           Date: ...................................


                                       (…………………………………………..)

                       ___________________________________________________________________________




                                                               87
   82   83   84   85   86   87   88   89   90   91   92