Tài liệu Home visit form 14

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 1 Date of Birth: Gender: 2 FRB no: 570147824 3 ID no.: 171840046 ID's DOI: 4 Client's mobile: 841685735004 5 Marital status: 6 Income: 10000000 7 Loan amount:12660000 Installment:918000 Tenor:24 8 Current address:THÔN XUÂN KỲ,.,.,XÃ LỘC TÂN,Hậu Lộc,Tỉnh Thanh Hóa Company name:XAY XÁT LÚA GẠO VÀ CHĂN NUÔI GIA 9 Occupation: 10 SÚC General Verification Y N 11 Found address matches registered address 12 Up-to-date address (in case current address is changed): Confirmation from 3rd party 1 Client family member 2 Client relative 3 Neighbor 1 Y 2 N 3 Unable to confirm 13 Confirmed know client 1 Y 2 N 3 Unable to confirm 14 Confirmed client is living at visiting address 1 <1 yrs 2 <6 mths 3 >1 yrs 4 Unable to confirm 15 Confirmed time of client's residence 1 Negative 2 Uncooperate 3 Positive 16 Third Party's Comment 1 Y 2 N 3 Unable to confirm 17 Confirmed client's employment status & current company 1 Y 2 N 3 Unable to confirm 18 Confirmed client's current job FU's Verification 1 Y 2 FA 3 N 19 Met client 1 Y 2 FA 3 N 20 Client's provided ID is the one on application 1 Y 2 FA 3 N 21 FRB number same with declared one in the application form 1 Y 2 FA 3 N 22 Employment proof 1 Y 2 FA 3 N 23 Income proof House Evaluation 1 <100m2 2 <40m2 3 >100 m2 and above 24 Estimated house space 1 Big-for car 2 Small for motorbike ony 3 Very small-only walking 25 Estimated street width 1 Owned 2 Parent's house 3 Relative's house 4 Renting 26 Residence Status 1 Appartment 2 Grade 3 and above 3 Grade 4 27 House type 2 3-4 3 >4 28 Number of dependence on client's income 1 0-2 Loan Purpose 1 House Repair 2 Other 3 Personal Consumption 4 Shopping 29 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 1. QT-UW.02 A. Collecting information from customer: - Whom customer lives with:  Alone - Income/month:  3-5 millions - Paid by:  ATM - Costs/month:  <2 millions - Working at:  Head office - Work experience:  <6 months - Income:  Monthly  Family  Other………………………………………………….  5-7 millions  > 7 millions  Cash  Other  2-4 millions  >4-6 millions  Branch/ Representative office  Market/ Different places  <1 year  >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 1 Name…………………………….address………………..…………………... distance…………../m. Direction……………………………... ……………………………………………………………………………………………………………………………………............................. - Neighbor 2 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 1. 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 1 Date of Birth: Gender: 2 FRB no: 50U PV-HL 3 ID no.: 171879962 ID's DOI: 4 Client's mobile: 841649938761 5 Marital status: 6 Income: 10000000 7 Loan amount:52750000 Installment:2387000 Tenor:36 8 Current address:PHÚ VƯƠNG - HƯNG LỘC,.,.,.,Hậu Lộc,Tỉnh Thanh Hóa 9 Occupation: 10 Company name:LÁI TÀU General Verification Y N 11 Found address matches registered address 12 Up-to-date address (in case current address is changed): Confirmation from 3rd party 1 Client family member 2 Client relative 3 Neighbor 1 Y 2 N 3 Unable to confirm 13 Confirmed know client 1 Y 2 N 3 Unable to confirm 14 Confirmed client is living at visiting address 1 <1 yrs 2 <6 mths 3 >1 yrs 4 Unable to confirm 15 Confirmed time of client's residence 1 Negative 2 Uncooperate 3 Positive 16 Third Party's Comment 1 Y 2 N 3 Unable to confirm 17 Confirmed client's employment status & current company 1 Y 2 N 3 Unable to confirm 18 Confirmed client's current job FU's Verification 1 Y 2 FA 3 N 19 Met client 1 Y 2 FA 3 N 20 Client's provided ID is the one on application 1 Y 2 FA 3 N 21 FRB number same with declared one in the application form 1 Y 2 FA 3 N 22 Employment proof 1 Y 2 FA 3 N 23 Income proof House Evaluation 1 <100m2 2 <40m2 3 >100 m2 and above 24 Estimated house space 1 Big-for car 2 Small for motorbike ony 3 Very small-only walking 25 Estimated street width 1 Owned 2 Parent's house 3 Relative's house 4 Renting 26 Residence Status 1 Appartment 2 Grade 3 and above 3 Grade 4 27 House type 2 3-4 3 >4 28 Number of dependence on client's income 1 0-2 Loan Purpose 1 House Repair 2 Other 3 Personal Consumption 4 Shopping 29 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 1. QT-UW.02 A. Collecting information from customer: - Whom customer lives with:  Alone - Income/month:  3-5 millions - Paid by:  ATM - Costs/month:  <2 millions - Working at:  Head office - Work experience:  <6 months - Income:  Monthly  Family  Other………………………………………………….  5-7 millions  > 7 millions  Cash  Other  2-4 millions  >4-6 millions  Branch/ Representative office  Market/ Different places  <1 year  >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 1 Name…………………………….address………………..…………………... distance…………../m. Direction……………………………... ……………………………………………………………………………………………………………………………………............................. - Neighbor 2 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 1. 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 1 Date of Birth: Gender: 2 FRB no: 570044095 3 ID no.: 172680183 ID's DOI: 4 Client's mobile: 841679334076 5 Marital status: 6 Income: 4278000 7 Loan amount:21100000 Installment:1634000 Tenor:18 8 Current address:XÓM 13,.,.,XÃ XUÂN LỘC,Hậu Lộc,Tỉnh Thanh Hóa Company name:CÔNG TY TNHH IVORY VIỆT NAM - THANH 9 Occupation: 10 HÓA General Verification Y N 11 Found address matches registered address 12 Up-to-date address (in case current address is changed): Confirmation from 3rd party 1 Client family member 2 Client relative 3 Neighbor 1 Y 2 N 3 Unable to confirm 13 Confirmed know client 1 Y 2 N 3 Unable to confirm 14 Confirmed client is living at visiting address 1 <1 yrs 2 <6 mths 3 >1 yrs 4 Unable to confirm 15 Confirmed time of client's residence 1 Negative 2 Uncooperate 3 Positive 16 Third Party's Comment 1 Y 2 N 3 Unable to confirm 17 Confirmed client's employment status & current company 1 Y 2 N 3 Unable to confirm 18 Confirmed client's current job FU's Verification 1 Y 2 FA 3 N 19 Met client 1 Y 2 FA 3 N 20 Client's provided ID is the one on application 1 Y 2 FA 3 N 21 FRB number same with declared one in the application form 1 Y 2 FA 3 N 22 Employment proof 1 Y 2 FA 3 N 23 Income proof House Evaluation 1 <100m2 2 <40m2 3 >100 m2 and above 24 Estimated house space 1 Big-for car 2 Small for motorbike ony 3 Very small-only walking 25 Estimated street width 1 Owned 2 Parent's house 3 Relative's house 4 Renting 26 Residence Status 1 Appartment 2 Grade 3 and above 3 Grade 4 27 House type 2 3-4 3 >4 28 Number of dependence on client's income 1 0-2 Loan Purpose 1 House Repair 2 Other 3 Personal Consumption 4 Shopping 29 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_ thanh hóa ( field 2 đ/c)+cmnd:23/04/2004, hk :20/07/2008 sk:26/10-11/11/2015 và 32 10/07-26/10/2015 33 Note (Guide): MB 1. QT-UW.02 A. Collecting information from customer: - Whom customer lives with:  Alone - Income/month:  3-5 millions - Paid by:  ATM - Costs/month:  <2 millions - Working at:  Head office - Work experience:  <6 months - Income:  Monthly  Family  Other………………………………………………….  5-7 millions  > 7 millions  Cash  Other  2-4 millions  >4-6 millions  Branch/ Representative office  Market/ Different places  <1 year  >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 1 Name…………………………….address………………..…………………... distance…………../m. Direction……………………………... ……………………………………………………………………………………………………………………………………............................. - Neighbor 2 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 1. 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 1 Date of Birth: Gender: 2 FRB no: 570218276 3 ID no.: 172084977 ID's DOI: 4 Client's mobile: 841688638658 5 Marital status: 6 Income: 3308000 7 Loan amount:21100000 Installment:1634000 Tenor:18 8 Current address:.,.,XÓM 4,XÃ NGA THANH,Nga Sơn,Tỉnh Thanh Hóa 9 Occupation: 10 Company name:CÔNG TY TNHH WINNERS VINA General Verification Y N 11 Found address matches registered address 12 Up-to-date address (in case current address is changed): Confirmation from 3rd party 1 Client family member 2 Client relative 3 Neighbor 1 Y 2 N 3 Unable to confirm 13 Confirmed know client 1 Y 2 N 3 Unable to confirm 14 Confirmed client is living at visiting address 1 <1 yrs 2 <6 mths 3 >1 yrs 4 Unable to confirm 15 Confirmed time of client's residence 1 Negative 2 Uncooperate 3 Positive 16 Third Party's Comment 1 Y 2 N 3 Unable to confirm 17 Confirmed client's employment status & current company 1 Y 2 N 3 Unable to confirm 18 Confirmed client's current job FU's Verification 1 Y 2 FA 3 N 19 Met client 1 Y 2 FA 3 N 20 Client's provided ID is the one on application 1 Y 2 FA 3 N 21 FRB number same with declared one in the application form 1 Y 2 FA 3 N 22 Employment proof 1 Y 2 FA 3 N 23 Income proof House Evaluation 1 <100m2 2 <40m2 3 >100 m2 and above 24 Estimated house space 1 Big-for car 2 Small for motorbike ony 3 Very small-only walking 25 Estimated street width 1 Owned 2 Parent's house 3 Relative's house 4 Renting 26 Residence Status 1 Appartment 2 Grade 3 and above 3 Grade 4 27 House type 2 3-4 3 >4 28 Number of dependence on client's income 1 0-2 Loan Purpose 1 House Repair 2 Other 3 Personal Consumption 4 Shopping 29 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 1. QT-UW.02 A. Collecting information from customer: - Whom customer lives with:  Alone - Income/month:  3-5 millions - Paid by:  ATM - Costs/month:  <2 millions - Working at:  Head office - Work experience:  <6 months - Income:  Monthly  Family  Other………………………………………………….  5-7 millions  > 7 millions  Cash  Other  2-4 millions  >4-6 millions  Branch/ Representative office  Market/ Different places  <1 year  >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 1 Name…………………………….address………………..…………………... distance…………../m. Direction……………………………... ……………………………………………………………………………………………………………………………………............................. - Neighbor 2 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 1. QT-UW.02 MB 1. QT-UW.02