SME Loan Application FormPlease fill-out all the required fields below. Loan Amount * min. 5,000 to max. 30,000 pesos ₱ Name * First Name Last Name Mobile No. * (###) ### #### Email Address * (House Number/Building Number and Street Name, Barangay and City/Municipality, Postal Code and Province) Privacy and Consent * I have read and agree to BRIC Bank’s Terms & Conditions* and Privacy Policy* I consent We have received your information.Please await our call should your application proceed to the next stage.Thank you for trusting BRIC Bank, Inc.