
UPPER BANYANG CULTURAL & DEVELOPMENT ASSOCIATION DMV
(UPBACDA - DMV)
UPBACDA MD LOAN APPLICATION FORM
NAME OF APPLICANT: ____________________________________________________________________
DATE OF APPLICATION: _____________________________________________
AMOUNT APPLIED FOR: _____________________________________
SURETY / SURETIES: _______________________________ ____________________________________
_______________________________ ___________________________________
SIGNATURE SIGNATURE
EXPECTED PAY BACK DATE: _____________________________________
INTEREST RATE 5%: __________________________________________
DECLINED _________ APPROVED ______________
DATE: ________________________________________
__________________________________ _________________ ___________________________ ________________
SIGNATURE OF PRESIDENT DATE SIGNATURE OF APPLICANT DATE