Name:
Address:
Email Address:
Contact Number:
Date of Birth:
Status
Single
Married
Separated
Widow
Employer:
Pag-ibig Member?
Yes
No
How long have you been a member of Pag-ibig?
less than 2 years
2-4years
4-6years
more than 6 years
Your loan will be based on your net income, what therefore is your average Net Income per month?
less than 10,000
10,001 - 20,000
20,001 - 30,000
30,001 - 40,000
40,001 - 50,000
above 50,001
Name of Spouse
Spouses' Employer:
Spouse Date of Birth:
Pag-ibig Member?
Yes
No
How long have you been a Pag-ibig Member?
less than 2 years
2-4 years
4-6 years
more than 6 years
What's your average Net Income per month?
less than 10,000
10,001 - 20,000
20,001 - 30,000
30,001 - 40,000
40,001 - 50,000
above 50,001
What is your source of income?
Local Employment
OFW
Business
Practice of Profession
Why are you looking for a property?
Renting
Living with in-laws
Living in Flooded Areas
Living in Polluted Areas
Living in a Dangerous Neigborhood
I am an investor
Other Financing Preferred:
Bank Financing
In-house Financing
What price range are you looking for?
less than 500,000
5001,000 - 1,000,000
1,000,001 - 2,000,000
2,000,001 - 3,000,000
3,000,001 - 4,000,000
more than 4,000,000
What's your downpayment budget?
upto 50,000
50,001 - 100,000
100,001 - 150,000
150,001 - 200,000
200,001 - 250,000
250,001 up
What type of property do you prefer?
Lot only
House and Lot
Condo
What location do you prefer?
San Pedro, Laguna
Binan, Laguna
Sta. Rosa, Laguna
Calamba, Laguna
Imus, Cavite
Bacoor, Cavite
Dasmarinas, Cavite
Gen. Trias, Cavite
Carmona, Cavite
Pasay City
Ortigas City
Other location
When do you need to occupy the house?
I need a ready-for-occupancy unit
I can wait till the house is built
How many bedrooms should your house would have?
1-2 bedrooms
3-4 bedrooms
more than 4 bedrooms
How many bathrooms would you like your house to have?
1 bathroom
2 bathrooms
3 or more bathrooms
How long would you like for your loan term to be?
1-5 years
6-10years
11-15 years
16-20 years
21-25 years
25-30 years
When is your available day for site tripping?
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays
Sundays
How did you know our site?
internet browsing
tarpaulin
fliers
by a friend
by an agent
newspaper/magazine ads