WORK VISIT FORM 14

MB 2. QT-UW.02


WORK 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

8

Occupation:

Installment:918000

Tenor:24
9

Company name:XAY XÁT LÚA GẠO VÀ CHĂN NUÔI GIA
SÚC

10 Company address: THÔN XUÂN KỲ,.,.,XÃ LỘC TÂN,Hậu Lộc,Tỉnh Thanh Hóa
11 Office phone:
12 Found address matches registered address:

Y

N

13 Up-to-date-address:
Overall Company Evaluation
14 Company scale (defined by number of staffs):

1 From 500 & above

15 Company's operation info:

1 AC

2<10

3<50

4 <500

2 IN

FU's Verification
16 Met client

1 Y

2 N

17 Client is working at this company:

1 Y

2 N

3 Unable to confirm

18 Client will leave the company:

1 Y

2 N

3 Unable to confirm

19 Client's Co-Worker's comment:

1 CL

2 CO

3 IN

 P

 D

20 Finale
21 Internal Code:

FU's Comment:
- Confirmation from 3rd party:
Y
 Unable to confirm
- FU’s selfies at client’s company:  Allowed
 Not allowed
- Reasons FU not allowed to take selfies at client’s company :………………………………………………………………………………………….
……………………………………………………………………………………………………………………………………………………………...
- Working at:
 Head office
 Branch/ Representative office
 Market/ Different places
- Income:
 Monthly
 Weekly
 Part time/ Seasonal
 Stable/ Unstable
- Department:…………………………………………………....Work experience……………………………………………………………………….
- Information source:……………………………………………Position/ Relationship:…………………………Mobile number:…………………….
- Verified information: …………………………………………………………………………………………………………………………………….
……………………………………………………………………………………………………………………………………………………………..
Sign here: ………………………

Full name: ……………………..
F: CM_06/07/2010 HK_23/10/2008 +xay xát lúa gạo+ chăn nuôi làm ruộng
MB 2. QT-UW.02


WORK 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

8

Occupation:

Installment:2387000

Tenor:36
9

Company name:LÁI TÀU

10 Company address: PHÚ VƯƠNG - HƯNG LỘC,.,.,.,Hậu Lộc,Tỉnh Thanh Hóa
11 Office phone:
12 Found address matches registered address:

Y

N

13 Up-to-date-address:
Overall Company Evaluation
14 Company scale (defined by number of staffs):

1 From 500 & above

15 Company's operation info:

1 AC

2<10

3<50

4 <500

2 IN

FU's Verification
16 Met client

1 Y

2 N

17 Client is working at this company:

1 Y

2 N

3 Unable to confirm

18 Client will leave the company:

1 Y

2 N

3 Unable to confirm

19 Client's Co-Worker's comment:

1 CL

2 CO

3 IN

 P

 D

20 Finale
21 Internal Code:

FU's Comment:
- Confirmation from 3rd party:
Y
 Unable to confirm
- FU’s selfies at client’s company:  Allowed
 Not allowed
- Reasons FU not allowed to take selfies at client’s company :………………………………………………………………………………………….
……………………………………………………………………………………………………………………………………………………………...
- Working at:
 Head office
 Branch/ Representative office
 Market/ Different places
- Income:
 Monthly
 Weekly
 Part time/ Seasonal
 Stable/ Unstable
- Department:…………………………………………………....Work experience……………………………………………………………………….
- Information source:……………………………………………Position/ Relationship:…………………………Mobile number:…………………….
- Verified information: …………………………………………………………………………………………………………………………………….

……………………………………………………………………………………………………………………………………………………………..
Sign here: ………………………
Full name: ……………………..
F:BHG_15/4/2015,25/7/2015,24/10/2015 CMND_26/08/2014 HK_22/07/2006 + KH đánh cá
MB 2. QT-UW.02


WORK VISIT FORM
FU Name:

FU Code:

Start time:

End time:

Client Name:MAI PHẠM KHÁNH

Visiting date:
App ID:5160473

Product: 302

Client Information
1

Date of Birth:

Gender:

2

FRB no:570019646

3

ID no.:172701575

ID's DOI:

4

Client's mobile:84918053155

5

Marital status:

6

Income:10284000

7

Loan amount:63300000

8

Occupation:

Installment:2864000

Tenor:36
9

Company name:BAN QUẢN LÝ KHU KINH TẾ NGHI SƠN

10 Company address: .,.,TRÚC LÂM,TRÚC LÂM,Tĩnh Gia,Tỉnh Thanh Hóa
11 Office phone:
12 Found address matches registered address:

Y

N

13 Up-to-date-address:
Overall Company Evaluation
14 Company scale (defined by number of staffs):

1 From 500 & above

15 Company's operation info:

1 AC

2<10

3<50

4 <500

2 IN

FU's Verification
16 Met client

1 Y

2 N

17 Client is working at this company:

1 Y

2 N

3 Unable to confirm

18 Client will leave the company:

1 Y

2 N

3 Unable to confirm

19 Client's Co-Worker's comment:

1 CL

2 CO

3 IN

 P

 D

20 Finale
21 Internal Code:

FU's Comment:
- Confirmation from 3rd party:
Y
 Unable to confirm
- FU’s selfies at client’s company:  Allowed
 Not allowed
- Reasons FU not allowed to take selfies at client’s company :………………………………………………………………………………………….
……………………………………………………………………………………………………………………………………………………………...
- Working at:
 Head office
 Branch/ Representative office
 Market/ Different places
- Income:
 Monthly
 Weekly
 Part time/ Seasonal
 Stable/ Unstable
- Department:…………………………………………………....Work experience……………………………………………………………………….
- Information source:……………………………………………Position/ Relationship:…………………………Mobile number:…………………….

- Verified information: …………………………………………………………………………………………………………………………………….
……………………………………………………………………………………………………………………………………………………………..
Sign here: ………………………
Full name: ……………………..
F: CM : 13/03/2002 HK : 03/12/2007 + KH quản lý thu hoạch +PF06:KH KHÔNG SẮP XẾP CuỘC HẸN TRONG VÒNG 2 NGÀY
MB 2. QT-UW.02


WORK VISIT FORM
FU Name:

FU Code:

Start time:

End time:

Client Name:NGUYỄN VĂN ÁNH

Visiting date:
App ID:5220231

Product: 290

Client Information
1

Date of Birth:

Gender:

2

FRB no:570831734

3

ID no.:170192821

ID's DOI:

4

Client's mobile:841664711205

5

Marital status:

6

Income:5000000

7

Loan amount:21100000

8

Occupation:

Installment:1634000

Tenor:18
9

Company name:TỰ DOANH

10 Company address: .,.,XÓM 3,XÃ NGA LIÊN,Nga Sơn,Tỉnh Thanh Hóa
11 Office phone:
12 Found address matches registered address:

Y

N

13 Up-to-date-address:
Overall Company Evaluation
14 Company scale (defined by number of staffs):

1 From 500 & above

15 Company's operation info:

1 AC

2<10

3<50

4 <500

2 IN

FU's Verification
16 Met client

1 Y

2 N

17 Client is working at this company:

1 Y

2 N

3 Unable to confirm

18 Client will leave the company:

1 Y

2 N

3 Unable to confirm

19 Client's Co-Worker's comment:

1 CL

2 CO

3 IN

 P

 D

20 Finale
21 Internal Code:

FU's Comment:
- Confirmation from 3rd party:
Y
 Unable to confirm
- FU’s selfies at client’s company:  Allowed
 Not allowed
- Reasons FU not allowed to take selfies at client’s company :………………………………………………………………………………………….
……………………………………………………………………………………………………………………………………………………………...
- Working at:
 Head office
 Branch/ Representative office
 Market/ Different places
- Income:
 Monthly
 Weekly
 Part time/ Seasonal
 Stable/ Unstable
- Department:…………………………………………………....Work experience……………………………………………………………………….

- Information source:……………………………………………Position/ Relationship:…………………………Mobile number:…………………….
- Verified information: …………………………………………………………………………………………………………………………………….
……………………………………………………………………………………………………………………………………………………………..
Sign here: ………………………
Full name: ……………………..

MB 2. QT-UW.02


F:CMND: 27/04/2009 HK: 10/11/2015 _F:HTX Dịch vụ nông nghiệp Liên Sơn FU chưa xác minh_nhờ FU kỹ xem Kh có dùng nhiều điện vậy
ko_KTW_kh chăn nuôi 40 con lợn thịt, 4con lợn nái, 40 con gà, 10 con ngỗn

MB 2. QT-UW.02


MB 2. QT-UW.02