HOME VISIT FORM FU Name: FU Code: Start time : End time: Visiting date: Client Name:TRƯƠNG NHO HÀ App ID: 5229507 Product: 292 Client Information Date of Birth: Gender: FRB no: 570147824 ID no.: 171840046 ID's DOI: Client's mobile: 841685735004 Marital status: Income: 10000000 Loan amount:12660000 Installment:918000 Tenor:24 Current address:THÔN XUÂN KỲ,.,.,XÃ LỘC TÂN,Hậu Lộc,Tỉnh Thanh Hóa Company name:XAY XÁT LÚA GẠO VÀ CHĂN NUÔI GIA Occupation: 10 SÚC General Verification 11 Found address matches registered address Y N 12 Up-to-date address (in case current address is changed): Confirmation from 3rd party 1 Client family member 2 Client relative 3 Neighbor 13 Confirmed know client 1 Y 2 N 3 Unable to confirm 14 Confirmed client is living at visiting address 1 Y 2 N 3 Unable to confirm 15 Confirmed time of client's residence 1 4 Loan Purpose 29 1 House Repair 2 Other 3 Personal Consumption 4 Shopping Finale P D Internal Code: A Pathfinding to client's house description: …………………………………… ………………………………………………………………………… ………………………………………………………………………… B Mobile on F1: 30 Reference phone/name/relationship 1: //………………………………… Reference phone/name/relationship 2: //………………………………… Reference phone/name/relationship 3: //………………………………… C Mobile of FU collect: Reference phone/name/relationship 1: ………………………………/………………………….…………/………………………………… Reference phone/name/relationship 2: ……………………………./…………………………………… /………………………………… 31 Attached documents: 32 Note (PHV): F: CM_06/07/2010 HK_23/10/2008 +xay xát lúa gạo+ chăn nuôi làm ruộng 33 Note (Guide): MB QT-UW.02 A Collecting information from customer: - Whom customer lives with: Alone - Income/month: 3-5 millions - Paid by: ATM - Costs/month: 4-6 millions Branch/ Representative office Market/ Different places 1 year Weekly Part time/ Seasonal Stable/ Unstable - Occupation of wife /husband:………………………………………………………………… Income of wife/ husband: ………….…… - Family’s income: ………………………………….… - Family income/month:…………………………………………………………………………………………………………… ……………… - Family costs: ……………………………………………………………………………………………………… …………………………… - Job description: ……………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… 3rd party’s information: 33 - Alias (if any)………………………………………… - Neighbor Name…………………………….address……………… ………………… distance………… /m Direction…………………………… …………………………………………………………………………………………………………………………………… - Neighbor Name …………………………… address ………………………………… distance ………… /m Direction…………………………… …………………………………………………………………………………………………………………………………… - Neighbor’s confirmation: ……………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… - Reason that FU cannot collect information from neighbor: …………………………………………………………………………………… ……………………………………………………………………………………………………………………………………………………… B FU's comments app ID: ……………… …………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… FU signs here: FU’s name: MB QT-UW.02 HOME VISIT FORM FU Name: FU Code: Start time : End time: Visiting date: Client Name:VŨ VĂN VỆ App ID: 5164957 Product: 296 Client Information Date of Birth: Gender: FRB no: 50U PV-HL ID no.: 171879962 ID's DOI: Client's mobile: 841649938761 Marital status: Income: 10000000 Loan amount:52750000 Installment:2387000 Tenor:36 Current address:PHÚ VƯƠNG - HƯNG LỘC,.,.,.,Hậu Lộc,Tỉnh Thanh Hóa Occupation: 10 Company name:LÁI TÀU General Verification 11 Found address matches registered address Y N 12 Up-to-date address (in case current address is changed): Confirmation from 3rd party 1 Client family member 2 Client relative 3 Neighbor 13 Confirmed know client 1 Y 2 N 3 Unable to confirm 14 Confirmed client is living at visiting address 1 Y 2 N 3 Unable to confirm 15 Confirmed time of client's residence 1 4 Loan Purpose 29 1 House Repair 2 Other 3 Personal Consumption 4 Shopping Finale P D Internal Code: D Pathfinding to client's house description: …………………………………… ………………………………………………………………………… ………………………………………………………………………… E Mobile on F1: 30 Reference phone/name/relationship 1: 841677367721/VŨ VĂN HỮU/………………………………… Reference phone/name/relationship 2: 841696306311/NGUYỄN THỊ BÌNH/………………………………… Reference phone/name/relationship 3: //………………………………… F Mobile of FU collect: Reference phone/name/relationship 1: ………………………………/………………………….…………/………………………………… Reference phone/name/relationship 2: ……………………………./…………………………………… /………………………………… 31 Attached documents: 32 Note (PHV): F:BHG_15/4/2015,25/7/2015,24/10/2015 CMND_26/08/2014 HK_22/07/2006 + KH đánh cá 33 Note (Guide): MB QT-UW.02 A Collecting information from customer: - Whom customer lives with: Alone - Income/month: 3-5 millions - Paid by: ATM - Costs/month: 4-6 millions Branch/ Representative office Market/ Different places 1 year Weekly Part time/ Seasonal Stable/ Unstable - Occupation of wife /husband:………………………………………………………………… Income of wife/ husband: ………….…… - Family’s income: ………………………………….… - Family income/month:…………………………………………………………………………………………………………… ……………… - Family costs: ……………………………………………………………………………………………………… …………………………… - Job description: ……………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… 3rd party’s information: 33 - Alias (if any)………………………………………… - Neighbor Name…………………………….address……………… ………………… distance………… /m Direction…………………………… …………………………………………………………………………………………………………………………………… - Neighbor Name …………………………… address ………………………………… distance ………… /m Direction…………………………… …………………………………………………………………………………………………………………………………… - Neighbor’s confirmation: ……………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… - Reason that FU cannot collect information from neighbor: …………………………………………………………………………………… ……………………………………………………………………………………………………………………………………………………… B FU's comments app ID: ……………… …………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… FU signs here: FU’s name: MB QT-UW.02 HOME VISIT FORM FU Name: FU Code: Start time : End time: Visiting date: Client Name:NGUYỄN THỊ NHUNG App ID: 5229563 Product: 304 Client Information Date of Birth: Gender: FRB no: 570044095 ID no.: 172680183 ID's DOI: Client's mobile: 841679334076 Marital status: Income: 4278000 Loan amount:21100000 Installment:1634000 Tenor:18 Current address:XÓM 13,.,.,XÃ XUÂN LỘC,Hậu Lộc,Tỉnh Thanh Hóa Company name:CÔNG TY TNHH IVORY VIỆT NAM - THANH Occupation: 10 HÓA General Verification 11 Found address matches registered address Y N 12 Up-to-date address (in case current address is changed): Confirmation from 3rd party 1 Client family member 2 Client relative 3 Neighbor 13 Confirmed know client 1 Y 2 N 3 Unable to confirm 14 Confirmed client is living at visiting address 1 Y 2 N 3 Unable to confirm 15 Confirmed time of client's residence 1 4 Loan Purpose 29 1 House Repair 2 Other 3 Personal Consumption 4 Shopping Finale P D Internal Code: G Pathfinding to client's house description: …………………………………… ………………………………………………………………………… ………………………………………………………………………… H Mobile on F1: 30 Reference phone/name/relationship 1: //………………………………… Reference phone/name/relationship 2: //………………………………… Reference phone/name/relationship 3: //………………………………… I Mobile of FU collect: Reference phone/name/relationship 1: ………………………………/………………………….…………/………………………………… Reference phone/name/relationship 2: ……………………………./…………………………………… /………………………………… 31 Attached documents: Note (PHV): F:H_xóm phú mỹ 1_ xuân lộc_ hậu lộc_ hóa ( field đ/c)+cmnd:23/04/2004, hk :20/07/2008 sk:26/10-11/11/2015 32 10/07-26/10/2015 33 Note (Guide): MB QT-UW.02 A Collecting information from customer: - Whom customer lives with: Alone - Income/month: 3-5 millions - Paid by: ATM - Costs/month: 4-6 millions Branch/ Representative office Market/ Different places 1 year Weekly Part time/ Seasonal Stable/ Unstable - Occupation of wife /husband:………………………………………………………………… Income of wife/ husband: ………….…… - Family’s income: ………………………………….… - Family income/month:…………………………………………………………………………………………………………… ……………… - Family costs: ……………………………………………………………………………………………………… …………………………… - Job description: ……………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… 3rd party’s information: 33 - Alias (if any)………………………………………… - Neighbor Name…………………………….address……………… ………………… distance………… /m Direction…………………………… …………………………………………………………………………………………………………………………………… - Neighbor Name …………………………… address ………………………………… distance ………… /m Direction…………………………… …………………………………………………………………………………………………………………………………… - Neighbor’s confirmation: ……………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… - Reason that FU cannot collect information from neighbor: …………………………………………………………………………………… ……………………………………………………………………………………………………………………………………………………… B FU's comments app ID: ……………… …………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… FU signs here: FU’s name: MB QT-UW.02 HOME VISIT FORM FU Name: FU Code: Start time : End time: Visiting date: Client Name:NGÔ THỊ MAI App ID: 5219879 Product: 304 Client Information Date of Birth: Gender: FRB no: 570218276 ID no.: 172084977 ID's DOI: Client's mobile: 841688638658 Marital status: Income: 3308000 Loan amount:21100000 Installment:1634000 Tenor:18 Current address:.,.,XÓM 4,XÃ NGA THANH,Nga Sơn,Tỉnh Thanh Hóa Occupation: 10 Company name:CÔNG TY TNHH WINNERS VINA General Verification 11 Found address matches registered address Y N 12 Up-to-date address (in case current address is changed): Confirmation from 3rd party 1 Client family member 2 Client relative 3 Neighbor 13 Confirmed know client 1 Y 2 N 3 Unable to confirm 14 Confirmed client is living at visiting address 1 Y 2 N 3 Unable to confirm 15 Confirmed time of client's residence 1 4 Loan Purpose 29 1 House Repair 2 Other 3 Personal Consumption 4 Shopping Finale P D Internal Code: J Pathfinding to client's house description: …………………………………… ………………………………………………………………………… ………………………………………………………………………… K Mobile on F1: 30 Reference phone/name/relationship 1: 84975162039/NGÔ VĂN KIÊN-ANH/………………………………… Reference phone/name/relationship 2: 84979168691/MAI VĂN THẾ-CHỒNG/………………………………… Reference phone/name/relationship 3: //………………………………… L Mobile of FU collect: Reference phone/name/relationship 1: ………………………………/………………………….…………/………………………………… Reference phone/name/relationship 2: ……………………………./…………………………………… /………………………………… 31 Attached documents: 32 Note (PHV): F: CM_02/11/2015 HK_25/10/2015 SK_10/08-13/10/2015 33 Note (Guide): MB QT-UW.02 A Collecting information from customer: - Whom customer lives with: Alone - Income/month: 3-5 millions - Paid by: ATM - Costs/month: 4-6 millions Branch/ Representative office Market/ Different places 1 year Weekly Part time/ Seasonal Stable/ Unstable - Occupation of wife /husband:………………………………………………………………… Income of wife/ husband: ………….…… - Family’s income: ………………………………….… - Family income/month:…………………………………………………………………………………………………………… ……………… - Family costs: ……………………………………………………………………………………………………… …………………………… - Job description: ……………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… 3rd party’s information: 33 - Alias (if any)………………………………………… - Neighbor Name…………………………….address……………… ………………… distance………… /m Direction…………………………… …………………………………………………………………………………………………………………………………… - Neighbor Name …………………………… address ………………………………… distance ………… /m Direction…………………………… …………………………………………………………………………………………………………………………………… - Neighbor’s confirmation: ……………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… - Reason that FU cannot collect information from neighbor: …………………………………………………………………………………… ……………………………………………………………………………………………………………………………………………………… B FU's comments app ID: ……………… …………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… FU signs here: FU’s name: MB QT-UW.02 MB QT-UW.02 ... name: MB QT-UW.02 HOME VISIT FORM FU Name: FU Code: Start time : End time: Visiting date: Client Name:VŨ VĂN VỆ App ID: 5164957 Product: 296 Client Information Date of Birth: Gender:... name: MB QT-UW.02 HOME VISIT FORM FU Name: FU Code: Start time : End time: Visiting date: Client Name:NGUYỄN THỊ NHUNG App ID: 5229563 Product: 304 Client Information Date of Birth: Gender:... name: MB QT-UW.02 HOME VISIT FORM FU Name: FU Code: Start time : End time: Visiting date: Client Name:NGÔ THỊ MAI App ID: 5219879 Product: 304 Client Information Date of Birth: Gender: