APPLY NOW  
     
     
 





PERSONAL INFORMATION


Highlighted fields are mandatory

   
   


COMPLETE NAME: Last First Middle

   
               
   
DATE OF BIRTH:   MOTHER’S MAIDEN NAME:    
Mo Day Yr Last First Middle  
   
               
   

CITIZENSHIP: PLACE OF BIRTH: GENDER:

   
   

CIVIL STATUS Single Married Separated Widowed   NO OF DEPENDENTS Children Other

   
   

EDUCATION: Vocational Undergraduate College Postgraduate (Course) Diploma (Course)

   
   

HOME OWNERSHIP: Owned Mortgage Rented Living with relatives Others

   
   

YEARS AT PRESENT ADDRESS: NUMBER OF CARS OWNED:

   
   

HOME ADDRESS: (Use of P.O. box as your residence address is not allowed)

   
   

No Street Vill/Brgy/Muni City

   
   

Province Zip Code

   
   

EMAIL ADDRESS: CONTACT NUMBERS: Home Tel No Mobile No

   
         
   


FINANCIAL INFORMATION

   
         
   
EMPLOYMENT STATUS: Employed Self-Employed COMPANY NAME:
   
   
     
NATURE OF BUSINESS:
POSITION:
WORK TENURE:
Current position Total years
   
         
   
TIN:
SSS / GSIS NO:
OFFICE TEL NO:
   
         
   
BUSINESS ADDRESS:
Rm/Flr No Street Vill/Brgy/Muni
   
    City Province Zip Code    
         
   


PERSONAL REFERENCE


Maybe any relative, friend and/or trade reference not living with you, officemates not allowed

   
         
   
COMPLETE NAME: Last First Middle  
   
         
    CONTACT NUMBERS: Home Tel No Mobile No    
         
   
AVERAGE MO. ELECTRIC BILL: MO. CONSUMPTION (in Kw): LATEST BILLING:  
The past six months Indicate the Highest Usage  
   
         
   


PRODUCT PREFERENCE


Select from the packages below

   
         
   
  PACKAGE 1: 3.7 KW SOLAR SYSTEM

TERMS OF PAYMENT

 
Estimated Production 650 Kw / mo.
1 Inverter SU3700 w/ charger
12 Solar panels @300W
4 Solar Batteries
Set of Combiner w/ Wires & Cables
5 yrs. EZ Plan P 515,000.00
Mo Amortization P 8,700
Equity P 77,000.00
4 yrs. EZ Plan P 515,000.00
Mo Amortization P 10,700
Equity P 77,000.00
           
   PACKAGE 2: 5 KW SOLAR SYSTEM  
Estimated Production 1100 Kw / mo.
1 Inverter SU5000 w/ charger
20 Solar panels @300W
8 Solar Batteries
Set of Combiner w/ Wires & Cables
5 yrs. EZ Plan P 998,050.00
Mo Amortization P 16,700
Equity P 149,000.00
4 yrs. EZ Plan P 998,050.00
Mo Amortization P 20,700
Equity P 149,000.00
           
   PACKAGE 3: 10 KW SOLAR SYSTEM        
Estimated Production 2270 Kw / mo. Estimated
2 Inverters SU5000 w/ charger
42 Solar panels @300W
16 Solar Batteries
Set of Combiner w/ Wires & Cables
5 yrs. EZ Plan P 2,145,050.00
Mo Amortization P 35,750
Equity P 320,000.00
4 yrs. EZ Plan P 2,145,050.00
Mo Amortization P 44,700
Equity P 320,000.00
           
   PACKAGE 4: 20 KW SOLAR SYSTEM        
Estimated Production 2270 Kw / mo. Estimated
2 Inverters SU5000 w/ charger
42 Solar panels @300W
16 Solar Batteries
Set of Combiner w/ Wires & Cables
5 yrs. EZ Plan P 3,980,000.00
Mo Amortization P 67,300
Equity P 590,000.00
4 yrs. EZ Plan P 3,980,000.00
Mo Amortization P 67,300
Equity P 590,000.00
   
         
   


AFFIRMATION AND AUTHORIZATION



   
         
   

By agreeing below, I confirm that the information given by me is true and correct. I authorize you to verify and investigate it from whatever sources you may consider appropriate. This authorization also allows said sources to furnish you information concerning my deposit accounts, placements or credit dealings and any other information that may be requested. I understand that falsifying any information on the enclosed documents is sufficient ground for legal action and for the rejection of my application. I understand that should my application be declined, Green Energy has no obligation to furnish the reason for such rejection.

   
    I Agree

   
   
To prevent bots and spammers we require you to enter a confirmation code. The code is displayed in the image you should see below.

Confirmation code:
Not readable? Change text.