
<!-- Begin Body --> 
<form  role="form" id="checklist_of_requirements_form" class="form-horizontal">
<div class="container-fluid" style="padding-top:120px; min-height:550px">
	<div class="row"><br/></div>
	<div class="row">
		<div class="col-lg-4 col-md-4 col-sm-4 col-xs-12">
			<fieldset> 
				<div class="form-group">
					<label class="col-md-5 control-label text-right" for="checklist_submission_date"><small>First Submission Date</small></label>
					<div class="col-md-7">
					<input type="text" id="checklist_submission_date" name="checklist_submission_date" readonly placeholder="MM/DD/YYYY" value="" class="form-control text-right datepicker whitebg" style="cursor:pointer">
					</div>
				</div>
				<div class="form-group">
					<label class="col-md-5 control-label text-right" for="checklist_phase"><small>Phase</small></label>
					<div class="col-md-7">
					<input type="text" id="checklist_phase" name="checklist_phase" readonly placeholder="Phase" value="" class="form-control text-left" style="cursor:disabled">
					</div>
				</div>
				<div class="form-group">
					<label class="col-md-5 control-label text-right" for="checklist_lot_size"><small>Lot Size</small></label>
					<div class="col-md-7">
					<input type="text" id="checklist_lot_size" name="checklist_lot_size" readonly placeholder="Lot Size" value="" class="form-control text-left" style="cursor:disabled">
					</div>
				</div>
			</fieldset>
		</div>
		<div class="col-lg-4 col-md-4 col-sm-4 col-xs-12">
			<fieldset>
				<div class="form-group">
					<label class="col-md-4 control-label text-right" for="checklist_fullname"><small>Full Name</small></label>
					<div class="col-md-8"><input type="text" id="checklist_fullname" name="checklist_fullname" readonly placeholder="Full Name" value="" class="form-control text-left"></div>
				</div> 
				<div class="form-group">
					<label class="col-md-4 control-label text-right" for="checklist_block"><small>Block</small></label>
					<div class="col-md-8">
					<input type="text" id="checklist_block" name="checklist_block" readonly placeholder="Block" value="" class="form-control text-left" style="cursor:disabled">
					</div>
				</div>
				<div class="form-group">
					<label class="col-md-4 control-label text-right" for="checklist_floor_area"><small>Floor Area</small></label>
					<div class="col-md-8">
					<input type="text" id="checklist_floor_area" name="checklist_floor_area" readonly placeholder="Floor Area" value="" class="form-control text-left" style="cursor:disabled">
					</div>
				</div>
			</fieldset>
		</div>
		<div class="col-lg-4 col-md-4 col-sm-4 col-xs-12">
			<fieldset> 
				<div class="form-group">
					<label class="col-md-5 control-label text-right" for="checklist_employee_type"><small>Employee Type</small></label>
					<div class="col-md-7"><input type="text" id="checklist_employee_type" name="checklist_employee_type" readonly placeholder="Employee Type" value="" class="form-control text-left"></div>
				</div>
				<div class="form-group">
					<label class="col-md-5 control-label text-right" for="checklist_lot"><small>Lot</small></label>
					<div class="col-md-7">
					<input type="text" id="checklist_lot" name="checklist_lot" readonly placeholder="Lot" value="" class="form-control text-left" style="cursor:disabled">
					</div>
				</div>
				<div class="form-group">
					<label class="col-md-5 control-label text-right" for="checklist_financing"><small>Financing</small></label>
					<div class="col-md-7">
					<input type="text" id="checklist_financing" name="checklist_financing" readonly placeholder="Financing" value="" class="form-control text-left" style="cursor:disabled">
					</div>
				</div>				
			</fieldset>
		</div>
	</div>
 
	<div class="row"><br/></div>
	<div class="row">
		<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
			<div class="container-fluid well">  
					<div class="row"><div class="col-lg-12 col-md-12 col-sm-12 col-xs-12"><h4>STANDARD REQUIREMENTS</h4></div></div> 
					<div class="row"><br/></div>
					<div class="row">
						<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">

						<!-- PRIMARY HOLDER PAG-IBIG / CASH STANDARD REQUIREMENTS START -->	
							<fieldset class="pagibig_standard_requirements"> 
								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer standardreq" name="standard_requirements[]" value="birth_certificate"> Birth Certificate if Single/Marriage Contract if Married</label></div></div>
								
								<div class="form-group">
										<div class="col-md-8">
											<label class="normal pointer">
												<input type="checkbox" class="pointer standardreq"  name="standard_requirements[]" value="proof_of_billing"> Proof of Billing *
												&nbsp;&nbsp;&nbsp;
												or
												&nbsp;&nbsp;&nbsp;
												<input type="checkbox" class="pointer standardreq"  name="standard_requirements[]" value="barangay_clearance"> Barangay Clearance *
											</label>

										</div> 
										<div class="col-md-4">
											<input type="text" class="form-control datepicker text-right whitebg" placeholder="MM/DD/YYYY" readonly style="cursor:pointer" value="" name="proof_of_billing_date" id="proof_of_billing_date" onchange="checkDateWithinRange('#proof_of_billing_date')">
										</div>
								</div>
 
								
								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer standardreq" name="standard_requirements[]" value="photocopy_of_two"> Photocopy of Two (2) Valid ID ( passport, company ID, driver's license, PRC ID, SSS, TIN, etc ) back-to-back; signed 3 times</label></div></div>
								
								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer standardreq" name="standard_requirements[]" value="photocopy_spouse_id"> Photocopy of valid ID of Spouse (if married); back-to-back; signed 3 times</label></div></div>
								
								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer standardreq" name="standard_requirements[]" value="four_photo"> Four (4) pcs size 1 x 1 ID photo *</label></div></div>
								
								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer standardreq" name="standard_requirements[]" value="mdf"> Member's Data Form</label></div></div>
								
								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer standardreq" name="standard_requirements[]" value="esav"> Employee Statement of Accumulated Value (ESAV) from Pag-ibig</label></div></div>
								
								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer standardreq" name="standard_requirements[]" value="msvs"> MSVS (Membership Status Verification Slip) signed by borrower *</label></div></div>
								
								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer standardreq" name="standard_requirements[]" value="tinno"> Tax Identification Number (TIN)</label></div></div>
							</fieldset>	
  					<!-- PRIMARY HOLDER PAG-IBIG / CASH STANDARD REQUIREMENTS END -->

  					<!-- PRIMARY HOLDER BANK STANDARD REQUIREMENTS START -->
							<fieldset class="bank_standard_requirements">
								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer bankstandardreq" name="bank_standard_requirements[]" value="single_cenomar"> If Single, Latest Certificate of No Marriage (Cenomar) from PSA </label></div></div> 
								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer bankstandardreq" name="bank_standard_requirements[]" value="married_psa"> If Married, PSA copy of Marriage Contract </label></div></div> 
								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer bankstandardreq" name="bank_standard_requirements[]" value="barangay_certificate"> Barangay Certificate or Proof of Billing </label></div></div> 
								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer bankstandardreq" name="bank_standard_requirements[]" value="valid_id"> Photocopy of Two (2) Valid ID (passport, company ID, driver's license, PRC ID, SSS, TIN, etc) back-to-back, signed 3 times </label></div></div> 
								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer bankstandardreq" name="bank_standard_requirements[]" value="valid_id_spouse"> Photocopy of valid ID of Spouse (if married) back-to-back, signed 3 times </label></div></div> 
								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer bankstandardreq" name="bank_standard_requirements[]" value="id_photo"> Four (4) pcs size 1x1 ID photo* </label></div></div> 
								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer bankstandardreq" name="bank_standard_requirements[]" value="proof_of_income"> If Married, proof of income of spouse </label></div></div>    
							</fieldset>
					<!-- PRIMARY HOLDER BANK STANDARD REQUIREMENTS END -->	

					<!-- AUG 15, 2021 --> 
					<!-- PRIMARY HOLDER PAG-IBIG / CASH COMPLETE DOC TICKBOX START -->
							<fieldset class="standard_requirements complete_pagibig">
								<div class="form-group">
									<div class="col-md-12"><br/></div>
									<div class="col-md-12">
										<label class="normal pointer">
											<input type="checkbox" class="pointer completed_documentary_requirement" name="standard_requirements[]" value="completed_documentary_requirement"> Completed Documentary Requirements  
										</label>
									</div>
								</div> 
							</fieldset>
					<!-- PRIMARY HOLDER PAG-IBIG / CASH COMPLETE DOC TICKBOX END -->
					
					<!-- PRIMARY HOLDER BANK COMPLETE DOC TICKBOX START -->
							<fieldset class="bank_standard_requirements complete_bank">
								<div class="form-group">
									<div class="col-md-12"><br/></div>
									<div class="col-md-12">
										<label class="normal pointer">
											<input type="checkbox" class="pointer completed_documentary_requirement_bank" name="bank_standard_requirements[]" value="completed_documentary_requirement"> Completed Documentary Requirements  bank
										</label>
									</div>
								</div> 
							</fieldset>
					<!-- PRIMARY HOLDER BANK COMPLETE DOC TICKBOX END -->		
					<!-- AUG 15, 2021 -->
						</div>
					</div>
			</div>
		</div>
		
		<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
			<div class="container-fluid well">  
					<div class="row"><div class="col-lg-12 col-md-12 col-sm-12 col-xs-12"><h4>ADDITIONAL REQUIREMENTS</h4></div></div> 
					<div class="row"><br/></div>
			
			<!-- LOCALLY EMPLOYED - PAG-IBIG / CASH START -->
					<div class="row private_div"><div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 "><h5><b>LOCALLY EMPLOYED</b></h5></div></div> 
					<div class="row private_div">
						<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
							<fieldset>
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements[]" value="notarized_certificate"> Duly Notarized Latest Certificate of Employment and Compensation *</label></div> 
														<div class="col-md-4"><input type="text" class="form-control datepicker text-right whitebg" placeholder="MM/DD/YYYY" readonly style="cursor:pointer" name="notarized_date" id="notarized_date" onchange="checkDateWithinRange2('#notarized_date')"></div></div>
								
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements[]" value="latest_pay_slip"> Latest One Month Pay Slip *</label></div> 
														<div class="col-md-4"><input type="text" class="form-control datepicker text-right whitebg" placeholder="MM/DD/YYYY" readonly style="cursor:pointer" name="last_month_date" id="last_month_date" onchange="checkDateWithinRange('#last_month_date')"></div></div>
								
								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements[]" value="income_tax_return"> Income Tax Return / BIR 2316</label></div> 						
							</fieldset>	
						</div>
					</div>
			<!-- LOCALLY EMPLOYED - PAG-IBIG / CASH END -->
					
			<!-- LOCALLY EMPLOYED - BANK START -->
					<div class="row bank_private_div"><div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 "><h5><b>LOCALLY EMPLOYED</b></h5></div></div> 
					<div class="row bank_private_div">
						<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
							<fieldset>
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements[]" value="bank_notarized_certificate"> Latest Certificate of Employment with Compensation (COEC)</label></div> 
														<div class="col-md-4"><input type="text" class="form-control datepicker text-right whitebg" placeholder="MM/DD/YYYY" readonly style="cursor:pointer" name="bank_notarized_date" id="bank_notarized_date" onchange="checkDateWithinRange('#bank_notarized_date')"></div></div>

								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements[]" value="bank_latest_pay_slip"> Latest 3 Month Pay Slip *</label></div> 
														<div class="col-md-4"><input type="text" class="form-control datepicker text-right whitebg" placeholder="MM/DD/YYYY" readonly style="cursor:pointer" name="bank_last_month_date" id="bank_last_month_date" onchange="checkDateWithinRange('#bank_last_month_date')"></div></div>

								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements[]" value="bank_last_itr"> Latest Income Tax Return or Bir Form 2316</label></div> 
														<div class="col-md-4"><input type="text" class="form-control datepicker text-right whitebg" placeholder="MM/DD/YYYY" readonly style="cursor:pointer" name="bank_last_itr_date" id="bank_last_itr_date" onchange="checkDateWithinRange2('#bank_last_itr_date')"></div></div>	 
							</fieldset>	
						</div>
					</div>
			<!-- LOCALLY EMPLOYED - BANK END -->	

			<!-- OFW - PAG-IBIG / CASH START -->	
					<div class="row overseas_div"><div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 "><h5><b>OFW</b></h5></div></div> 
					<div class="row overseas_div">
						<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
							<fieldset>
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements[]" value="employment_contract"> Employment Contract</label></div></div>
								
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements[]" value="salary_certificate"> Payslip / Salary Certificate</label></div></div>
								
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements[]" value="certificate_of_employment"> Certificate of Employment & Compensation</label></div></div>

								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements[]" value="certificate_of_overseas"> Overseas Employment Certificate from POEA</label></div></div>
								
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements[]" value="owwa_membership_certificate"> Valid OWWA Membership Certificate</label></div></div>
								
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements[]" value="resident_card"> Resident Card / Permit</label></div></div>

								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements[]" value="photocopy_passport"> Photocopy of Passport with appropriate visa, signed 3 times</label></div></div>

								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements[]" value="notarized_spa"> Duly Notarized SPA* / Red Ribbon SPA (if abroad)*</label></div></div>

								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements[]" value="photocopy_valid_id_spa"> Photocopy of Valid ID of SPA, back to back, signed 3 times</label></div></div> 
								
							</fieldset>	
						</div>
					</div>
			<!-- OFW - PAG-IBIG / CASH END -->		

			<!-- OFW - BANK START -->
					<div class="row bank_overseas_div"><div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 "><h5><b>OFW</b></h5></div></div> 
					<div class="row bank_overseas_div">
						<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
							<fieldset>
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements[]" value="bank_photocopy_of_passport"> Photocopy of Stamp date of Arrival and Departure</label></div></div>
								 
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements[]" value="bank_certificate_of_overseas"> Contract/Certificate of Employment (COE) authenticated by Philippines Consulate</label></div></div>
								
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements[]" value="bank_contract_of_employment">  Crew Contract and Exit Pass validated by POEA</label></div></div>
								 
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements[]" value="bank_salary_certificate"> Latest 3 Months Payslip</label></div></div>

								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements[]" value="bank_duly_notarized_spa"> Notarized or authenticated Special Power of Attorney (7 copies)</label></div></div>
								 
							</fieldset>	
						</div>
					</div>
			<!-- OFW - BANK END -->

					
			<!-- SELF EMPLOYED - PAG-IBIG START -->
					<div class="row self_employed_div"><div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 "><h5><b>Self-Employed / Owned Business</b></h5></div></div> 
					<div class="row self_employed_div">
						<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
							<fieldset>
								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements[]" value="income_tax_return_audited_fs"> CTC of Income Tax Return* & Audited Financial Statements with Official Receipt of Tax Payment</label></div></div>

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements[]" value="certificate_of_commission"> Certificate of Commission* / Certificate of Engagement* / CTC of Transport Franchise</label></div> 
								</div>

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements[]" value="commission_vouchers"> 12 months Commission Vouchers</label></div></div>

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements[]" value="photocopy_bank_statement"> 12 months Bank Statements* / Photocopy of Passbook</label></div></div>

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements[]" value="dti_registration"> DTI Registration</label></div></div> 

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements[]" value="mayors_permit"> Mayor's Permit</label></div></div> 

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements[]" value="lease_contract"> Notarized Lease Contract / Proof of Ownership or Rights</label></div></div> 

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements[]" value="sketch_business_location"> Sketch of Business Location</label></div></div> 
							</fieldset>	
						</div>
					</div>
			<!-- SELF EMPLOYED - PAG-IBIG END -->		

			<!-- SELF EMPLOYED - BANK START -->	
					<div class="row bank_self_employed_div"><div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 "><h5><b>Self-Employed / Owned Business</b></h5></div></div> 
					<div class="row bank_self_employed_div">
						<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
							<fieldset>
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements[]" value="bank_latest_afs"> Latest Audited Financial Statements (AFS) for the last 3 years</label></div></div> 
								
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements[]" value="bank_latest_itr"> CTC of Latest Income Tax Return (ITR) w/ Statement of Assets and Liabilities (SAL) for the last 3 years</label></div> 
								</div>

								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements[]" value="bank_business_permit"> CTC of Latest Business Permit/Mayor's Permit</label></div></div> 

								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements[]" value="bank_dti_registration"> Latest DTI Registration</label></div></div>
 
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements[]" value="bank_trade_references"> List of Trade References (at least 3 names with telephone nos. of major suppliers/customers)</label></div></div> 

								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements[]" value="bank_statement"> Bank Statements for the past 6 months</label></div></div> 

								<div class="form-group"><div class="col-md-3"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements[]" value="bank_others_to_be_filled"> Others to be filled</label></div>
								<div class="col-md-4"><input type="text" class="form-control text-left" placeholder="" name="bank_other_field" id="bank_other_field" value=""></div>
								</div> 


								
							</fieldset>	
						</div>
					</div>
			<!-- SELF EMPLOYED - BANK END -->			



			<!-- IMMIGRANT START -->
					<div class="row immigrant_div"><div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 "><h5><b>Immigrant</b></h5></div></div> 
					<div class="row immigrant_div">
						<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
							<fieldset>
								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements[]" value="employment_contract"> Employment Contract</label></div></div>
 								
 								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements[]" value="certificate_of_employment"> Certificate of Employment & Compensation</label></div></div>

 								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements[]" value="work_permit"> Work Permit / Card</label></div></div>

 								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements[]" value="immigrant_visa"> Immigrant Visa / Permanent Resident Card</label></div></div>

 								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements[]" value="photocopy_of_passport"> Photocopy of Passport signed 3 times</label></div></div>

 								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements[]" value="duly_notarized_spa"> Duly Notarized SPA* / Red Ribbon SPA (if abroad)* </label></div></div>

 								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements[]" value="photocopy_valid_id_spa"> Photocopy of Valid ID of SPA, back to back, signed 3 times</label></div></div> 
							</fieldset>	
						</div>
					</div>
			<!-- IMMIGRANT END -->	



			<!-- ONLINE EMPLOYMENT START -->
					<div class="row online_div"><div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 "><h5><b>On-line Employment</b></h5></div></div> 
					<div class="row online_div">
						<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
							<fieldset>
								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements[]" value="bank_statement"> 12 month Bank Statement*</label></div></div>

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements[]" value="remittances"> Latest one (1) year remittances</label></div></div>

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements[]" value="certificate_of_employment"> Certificate of Employment & Compensation</label></div></div>

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements[]" value="picture_of_work_station"> Picture of Work Station</label></div></div>

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements[]" value="sketch_map_home_address"> Sketch Map of Employee's Home Address*</label></div></div>

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements[]" value="google_map"> Google Map of Employer's Business Location</label></div></div> 								
 								 
							</fieldset>	
						</div>
					</div>
			<!-- ONLINE EMPLOYMENT END -->		
 

			</div>
			<div class="container-fluid">
					<div class="row">
						<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12"><b>NOTE: Those marked with (*) must be original copy</b></div>
					</div>
			</div>
			<div class="container-fluid">
					<!--<div class="row"><br/><br/><br/><br/></div>-->
					<div class="row"><br/><br/></div>
					<div class="row">
						 

								<!----AUG 15, 2021 PAGIBIG------->
								<div class="form-group pagibig_req"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="standard_requirements[]" value="postdated_checks"> Postdated Checks for Equity *</label></div></div>
								
								<div class="form-group pagibig_req"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="standard_requirements[]" value="twenty_four_checks"> Twenty four (24) Blank Checks for HDMF Amortization *</label></div></div>


								<div class="form-group pagibig_req"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="standard_requirements[]" value="signed_loan_documents"> Signed Loan Documents</label></div></div>
								
								<div class="form-group pagibig_req"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="standard_requirements[]" value="attended_homeowners_orientation_and_signed_deed_of_restriction"> Attended Homeowner's Orientation and signed Deed of Restriction</label></div></div>
								<!----AUG 15, 2021 PAGIBIG------->


								<!----NOV 21, 2021 BANK------->
								<div class="form-group bank_req"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_standard_requirements[]" value="postdated_checks"> Postdated Checks for Equity *</label></div></div>
								
								<div class="form-group bank_req"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_standard_requirements[]" value="twenty_four_checks"> Twenty four (24) Blank Checks for HDMF Amortization *</label></div></div>


								<div class="form-group bank_req"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_standard_requirements[]" value="signed_loan_documents"> Signed Loan Documents</label></div></div>
								
								<div class="form-group bank_req"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_standard_requirements[]" value="attended_homeowners_orientation_and_signed_deed_of_restriction"> Attended Homeowner's Orientation and signed Deed of Restriction</label></div></div>
								<!----NOV 21, 2021 BANK------->
 
					</div>
			</div>
		</div>
	</div>
	
<!------CO-BORROWER 1--------->
	<div class="row coborrower1_requirements"><br/></div>
	<div class="row coborrower1_requirements"><hr/></div>
	<div class="row coborrower1_requirements"><br/></div>
		
	<div class="row coborrower1_requirements">
		<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12"> 
			<fieldset> 
				<div class="form-group">

					<label class="col-md-2 control-label text-left" for="checklist_coborrower1">
						<small><span id="checklist_coborrower1_label">Co-borrower 1</span></small></label>
					<div class="col-md-6"><input type="text" id="checklist_coborrower1" name="checklist_coborrower1" readonly placeholder="Co-borrower" value="" class="form-control text-left"></div>
					<div class="col-md-4"></div>
				</div>
			</fieldset>
		</div>
		<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
			<fieldset>
				<div class="form-group">
					<div class="col-md-2"></div>
						<label class="col-md-4 control-label text-left" for="checklist_employee_type1"><small>Employee Type</small></label>
						<div class="col-md-6"><input type="text" id="checklist_employee_type1" name="checklist_employee_type1" readonly placeholder="Employee Type" value="" class="form-control text-left"></div>
				</div>
			</fieldset>
		</div>
	</div>
	<div class="row coborrower1_requirements">
		<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
			<div class="container-fluid well">
				<div class="row"><div class="col-lg-12 col-md-12 col-sm-12 col-xs-12"><h4>STANDARD REQUIREMENTS</h4></div></div>
				<div class="row"><br/></div>
				<div class="row">
					<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
						<fieldset class="pagibig_standard_requirements">
							<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="standard_requirements1[]" value="birth_certificate"> Birth Certificate if Single/Marriage Contract if Married</label></div></div>


							<div class="form-group">
								<div class="col-md-8"> 
									<!------AUG 15, 2021--------------->
									<label class="normal pointer">
												<input type="checkbox" class="pointer"  name="standard_requirements1[]" value="proof_of_billing"> Proof of Billing *
												&nbsp;&nbsp;&nbsp;
												or
												&nbsp;&nbsp;&nbsp;
												<input type="checkbox" class="pointer"  name="standard_requirements1[]" value="barangay_clearance"> Barangay Clearance *
									</label>
									<!-------AUG 15, 2021------------->
								</div> 
								<div class="col-md-4">
									<input type="text" class="form-control datepicker text-right whitebg" placeholder="MM/DD/YYYY" readonly  style="cursor:pointer" name="proof_of_billing_date1" id="proof_of_billing_date1" onchange="checkDateWithinRange('#proof_of_billing_date1')">
								</div>
							</div>
 
							<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="standard_requirements1[]" value="photocopy_of_two"> Photocopy of Two (2) Valid ID ( passport, company ID, driver's license, PRC ID, SSS, TIN, etc ) back-to-back; signed 3 times</label></div></div>
							
							<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="standard_requirements1[]" value="photocopy_spouse_id"> Photocopy of valid ID of Spouse (if married); back-to-back; signed 3 times</label></div></div>
							<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="standard_requirements1[]" value="four_photo"> Four (4) pcs size 1 x 1 ID photo *</label></div></div>

							<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="standard_requirements1[]" value="mdf"> Member's Data Form</label></div></div>
								
							<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="standard_requirements1[]" value="esav"> Employee Statement of Accumulated Value (ESAV) from Pag-ibig</label></div></div>
							<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="standard_requirements1[]" value="msvs"> MSVS (Membership Status Verification Slip) signed by borrower *</label></div></div>
							<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="standard_requirements1[]" value="tinno"> Tax Identification Number (TIN)</label></div></div>
						</fieldset>

						<fieldset class="bank_standard_requirements">
								<div class="form-group single_married"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_standard_requirements1[]" value="single_cenomar"> If Single, Latest Certificate of No Marriage (Cenomar) from PSA </label></div></div> 
								<div class="form-group single_married"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_standard_requirements1[]" value="married_psa"> If Married, PSA copy of Marriage Contract </label></div></div> 
								<div class="form-group single_married"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_standard_requirements1[]" value="barangay_certificate"> Barangay Certificate or Proof of Billing </label></div></div> 
								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_standard_requirements1[]" value="valid_id"> Photocopy of Two (2) Valid ID (passport, company ID, driver's license, PRC ID, SSS, TIN, etc) back-to-back, signed 3 times </label></div></div> 
								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_standard_requirements1[]" value="valid_id_spouse"> Photocopy of valid ID of Spouse (if married) back-to-back, signed 3 times </label></div></div> 
								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_standard_requirements1[]" value="id_photo"> Four (4) pcs size 1x1 ID photo* </label></div></div> 
								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_standard_requirements1[]" value="proof_of_income"> If Married, proof of income of spouse </label></div></div>    
						</fieldset>
					</div>
					</div>
				</div>
		</div>
		<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
			<div class="container-fluid well">
				<div class="row"><div class="col-lg-12 col-md-12 col-sm-12 col-xs-12"><h4>ADDITIONAL REQUIREMENTS</h4></div></div>
				<div class="row"><br/></div>
		<!-- CO-BORROWER1 LOCALLY EMPLOYED - PAG-IBIG/CASH START-->
				<div class="row private_div1">
					<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 "><h5><b>LOCALLY EMPLOYED</b></h5></div>
				</div> 
				<div class="row private_div1">
					<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
						<fieldset>
							<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements1[]" value="notarized_certificate"> Duly Notarized Latest Certificate of Employment and Compensation *</label></div>
							<div class="col-md-4"><input type="text" class="form-control datepicker text-right whitebg" placeholder="MM/DD/YYYY"  readonly style="cursor:pointer" name="notarized_date1" id="notarized_date1" onchange="checkDateWithinRange2('#notarized_date1')"></div></div>
							
							<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements1[]" value="latest_pay_slip"> Latest One Month Pay Slip *</label></div>
							<div class="col-md-4"><input type="text" class="form-control datepicker text-right whitebg" placeholder="MM/DD/YYYY"  readonly style="cursor:pointer" name="last_month_date1" id="last_month_date1" onchange="checkDateWithinRange('#last_month_date1')"></div></div>
							
							<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements1[]" value="income_tax_return"> Income Tax Return / BIR 2316</label></div> 
						</fieldset>
					</div>
				</div>
		<!-- CO-BORROWER1 LOCALLY EMPLOYED - PAG-IBIG/CASH END-->		

		<!-- CO-BORROWER1 LOCALLY EMPLOYED - BANK START-->
				<div class="row bank_private_div1"><div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 "><h5><b>LOCALLY EMPLOYED</b></h5></div></div> 
				<div class="row bank_private_div1">
					<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
							<fieldset>
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements1[]" value="bank_notarized_certificate"> Latest Certificate of Employment with Compensation (COEC)</label></div> 
														<div class="col-md-4"><input type="text" class="form-control datepicker text-right whitebg" placeholder="MM/DD/YYYY" readonly style="cursor:pointer" name="bank_notarized_date1" id="bank_notarized_date1" onchange="checkDateWithinRange('#bank_notarized_date1')"></div></div>

								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements1[]" value="bank_latest_pay_slip"> Latest 3 Month Pay Slip *</label></div> 
														<div class="col-md-4"><input type="text" class="form-control datepicker text-right whitebg" placeholder="MM/DD/YYYY" readonly style="cursor:pointer" name="bank_last_month_date1" id="bank_last_month_date1" onchange="checkDateWithinRange('#bank_last_month_date1')"></div></div>

								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements1[]" value="bank_last_itr"> Latest Income Tax Return or Bir Form 2316</label></div> 
														<div class="col-md-4"><input type="text" class="form-control datepicker text-right whitebg" placeholder="MM/DD/YYYY" readonly style="cursor:pointer" name="bank_last_itr_date1" id="bank_last_itr_date1" onchange="checkDateWithinRange2('#bank_last_itr_date1')"></div></div>	 
							</fieldset>	
						</div>
					</div>
		<!-- CO-BORROWER1 LOCALLY EMPLOYED - BANK END-->	
				
		<!-- CO-BORROWER1 OFW - PAG-IBIG / CASH START -->	
				<div class="row overseas_div1"><div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 "><h5><b>OFW</b></h5></div></div> 
				
				<div class="row overseas_div1">
						<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">							
							<fieldset>
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements1[]" value="employment_contract"> Employment Contract</label></div></div>
								
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements1[]" value="salary_certificate"> Payslip / Salary Certificate</label></div></div>
								
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements1[]" value="certificate_of_employment"> Certificate of Employment & Compensation</label></div></div>

								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements1[]" value="certificate_of_overseas"> Overseas Employment Certificate from POEA</label></div></div>
								
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements1[]" value="owwa_membership_certificate"> Valid OWWA Membership Certificate</label></div></div>
								
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements1[]" value="resident_card"> Resident Card / Permit</label></div></div>

								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements1[]" value="photocopy_passport"> Photocopy of Passport with appropriate visa, signed 3 times</label></div></div>

								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements1[]" value="notarized_spa"> Duly Notarized SPA* / Red Ribbon SPA (if abroad)*</label></div></div>

								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements1[]" value="photocopy_valid_id_spa"> Photocopy of Valid ID of SPA, back to back, signed 3 times</label></div></div> 
								
							</fieldset>	
						</div>
				</div>
		<!-- CO-BORROWER1 OFW - PAG-IBIG / CASH END -->


		<!-- CO-BORROWER1 OFW - BANK START -->
					<div class="row bank_overseas_div1"><div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 "><h5><b>OFW</b></h5></div></div> 
					<div class="row bank_overseas_div1">
						<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
							<fieldset>
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements1[]" value="bank_photocopy_of_passport"> Photocopy of Stamp date of Arrival and Departure</label></div></div>
								 
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements1[]" value="bank_certificate_of_overseas"> Contract/Certificate of Employment (COE) authenticated by Philippines Consulate</label></div></div>
								
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements1[]" value="bank_contract_of_employment">  Crew Contract and Exit Pass validated by POEA</label></div></div>
								 
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements1[]" value="bank_salary_certificate"> Latest 3 Months Payslip</label></div></div>

								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements1[]" value="bank_duly_notarized_spa"> Notarized or authenticated Special Power of Attorney (7 copies)</label></div></div>
								 
							</fieldset>	
						</div>
					</div>
		<!-- CO-BORROWER1 OFW - BANK END -->

		<!-- CO-BORROWER1 SELF-EMPLOYED PAG-IBIG START--> 
					<div class="row self_employed_div1"><div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 "><h5><b>Self-Employed / Owned Business</b></h5></div></div> 
					 
					<div class="row self_employed_div1">
						<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
							<fieldset>
								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements1[]" value="income_tax_return_audited_fs"> CTC of Income Tax Return* & Audited Financial Statements with Official Receipt of Tax Payment</label></div></div>

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements1[]" value="certificate_of_commission"> Certificate of Commission* / Certificate of Engagement* / CTC of Transport Franchise</label></div> 
								</div>

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements1[]" value="commission_vouchers"> 12 months Commission Vouchers</label></div></div>

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements1[]" value="photocopy_bank_statement"> 12 months Bank Statements* / Photocopy of Passbook</label></div></div>

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements1[]" value="dti_registration"> DTI Registration</label></div></div> 

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements1[]" value="mayors_permit"> Mayor's Permit</label></div></div> 

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements1[]" value="lease_contract"> Notarized Lease Contract / Proof of Ownership or Rights</label></div></div> 

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements1[]" value="sketch_business_location"> Sketch of Business Location</label></div></div> 
							</fieldset>	
						</div>
					</div>
		<!-- CO-BORROWER1 SELF-EMPLOYED PAG-IBIG END--> 			

		<!-- CO-BORROWER1 SELF-EMPLOYED BANK START--> 
					<div class="row bank_self_employed_div1"><div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 "><h5><b>Self-Employed / Owned Business</b></h5></div></div> 
					<div class="row bank_self_employed_div1">
						<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
							<fieldset>
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements1[]" value="bank_latest_afs"> Latest Audited Financial Statements (AFS) for the last 3 years</label></div></div> 
								
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements1[]" value="bank_latest_itr"> CTC of Latest Income Tax Return (ITR) w/ Statement of Assets and Liabilities (SAL) for the last 3 years</label></div> 
								</div>

								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements1[]" value="bank_business_permit"> CTC of Latest Business Permit/Mayor's Permit</label></div></div> 

								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements1[]" value="bank_dti_registration"> Latest DTI Registration</label></div></div>
 
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements1[]" value="bank_trade_references"> List of Trade References (at least 3 names with telephone nos. of major suppliers/customers)</label></div></div> 

								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements1[]" value="bank_statement"> Bank Statements for the past 6 months</label></div></div> 

								<div class="form-group"><div class="col-md-3"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements1[]" value="bank_others_to_be_filled"> Others to be filled</label></div>
								<div class="col-md-4"><input type="text" class="form-control text-left" placeholder="" name="bank_other_field1" id="bank_other_field1" value=""></div>
								</div>  
							</fieldset>	
						</div>
					</div>
		<!-- CO-BORROWER1 SELF-EMPLOYED BANK END--> 	


		<!-- CO-BORROWER1 IMMIGRANT START -->
					<div class="row immigrant_div1"><div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 "><h5><b>Immigrant</b></h5></div></div> 
					<div class="row immigrant_div1">
						<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
							<fieldset>
								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements1[]" value="employment_contract"> Employment Contract</label></div></div>
 								
 								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements1[]" value="certificate_of_employment"> Certificate of Employment & Compensation</label></div></div>

 								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements1[]" value="work_permit"> Work Permit / Card</label></div></div>

 								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements1[]" value="immigrant_visa"> Immigrant Visa / Permanent Resident Card</label></div></div>

 								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements1[]" value="photocopy_of_passport"> Photocopy of Passport signed 3 times</label></div></div>

 								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements1[]" value="duly_notarized_spa"> Duly Notarized SPA* / Red Ribbon SPA (if abroad)* </label></div></div>

 								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements1[]" value="photocopy_valid_id_spa"> Photocopy of Valid ID of SPA, back to back, signed 3 times</label></div></div> 
							</fieldset>	
						</div>
					</div>
			<!-- CO-BORROWER1 IMMIGRANT END -->		

			<!-- CO-BORROWER1 ONLINE EMPLOYMENT START -->
					<div class="row online_div1"><div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 "><h5><b>On-line Employment</b></h5></div></div> 
					<div class="row online_div1">
						<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
							<fieldset>
								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements1[]" value="bank_statement"> 12 month Bank Statement*</label></div></div>

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements1[]" value="remittances"> Latest one (1) year remittances</label></div></div>

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements1[]" value="certificate_of_employment"> Certificate of Employment & Compensation</label></div></div>

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements1[]" value="picture_of_work_station"> Picture of Work Station</label></div></div>

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements1[]" value="sketch_map_home_address"> Sketch Map of Employee's Home Address*</label></div></div>

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements1[]" value="google_map"> Google Map of Employer's Business Location</label></div></div> 								
 								 
							</fieldset>	
						</div>
					</div>
			<!-- CO-BORROWER1 ONLINE EMPLOYMENT END -->	

 
		</div>
				
				
			</div>
		</div>
	</div>
	<!------END CO-BORROWER 1--------------->
	
	<!------START CO-BORROWER 2------------->
	<div class="row coborrower2_requirements"><br/></div>
	<div class="row coborrower2_requirements"><hr/></div>
	<div class="row coborrower2_requirements"><br/></div>
		
	<div class="row coborrower2_requirements">
		<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12"> 
			<fieldset> 
				<div class="form-group">
					<label class="col-md-2 control-label text-left" for="checklist_coborrower2"><small><span id="checklist_coborrower2_label">Co-borrower 2</span></small></label>
					<div class="col-md-6"><input type="text" id="checklist_coborrower2" name="checklist_coborrower2" readonly placeholder="Co-borrower" value="" class="form-control text-left"></div>
					<div class="col-md-4"></div>
				</div>
			</fieldset>
		</div>
		<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
			<fieldset>
				<div class="form-group">
					<div class="col-md-2"></div>
						<label class="col-md-4 control-label text-left" for="checklist_employee_type2"><small>Employee Type</small></label>
						<div class="col-md-6"><input type="text" id="checklist_employee_type2" name="checklist_employee_type2" readonly placeholder="Employee Type" value="" class="form-control text-left"></div>
				</div>
			</fieldset>
		</div>
	</div>
	<div class="row coborrower2_requirements">
		<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
			<div class="container-fluid well">
				<div class="row"><div class="col-lg-12 col-md-12 col-sm-12 col-xs-12"><h4>STANDARD REQUIREMENTS</h4></div></div>
				<div class="row"><br/></div>
				<div class="row">
					<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
						<fieldset class="pagibig_standard_requirements">
							<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="standard_requirements2[]" value="birth_certificate"> Birth Certificate if Single/Marriage Contract if Married</label></div></div>

							<div class="form-group">
								<div class="col-md-8">
  
									<!-----AUG 15, 2021--------------------->	
									<label class="normal pointer">
												<input type="checkbox" class="pointer"  name="standard_requirements2[]" value="proof_of_billing"> Proof of Billing *
												&nbsp;&nbsp;&nbsp;
												or
												&nbsp;&nbsp;&nbsp;
												<input type="checkbox" class="pointer"  name="standard_requirements2[]" value="barangay_clearance"> Barangay Clearance *
									</label>
									<!-----AUG 15, 2021--------------------->
								</div> 
								<div class="col-md-4">
									<input type="text" class="form-control datepicker text-right whitebg" placeholder="MM/DD/YYYY" readonly  style="cursor:pointer" name="proof_of_billing_date2" id="proof_of_billing_date2" onchange="checkDateWithinRange('#proof_of_billing_date2')">
								</div>
							</div>
							 

							<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="standard_requirements2[]" value="photocopy_of_two"> Photocopy of Two (2) Valid ID ( passport, company ID, driver's license, PRC ID, SSS, TIN, etc ) back-to-back; signed 3 times</label></div></div>
							<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="standard_requirements2[]" value="photocopy_spouse_id"> Photocopy of valid ID of Spouse (if married); back-to-back; signed 3 times</label></div></div>
							<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="standard_requirements2[]" value="four_photo"> Four (4) pcs size 1 x 1 ID photo *</label></div></div>

							<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="standard_requirements2[]" value="mdf"> Member's Data Form</label></div></div>
								

							<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="standard_requirements2[]" value="esav"> Employee Statement of Accumulated Value (ESAV) from Pag-ibig</label></div></div>
							<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="standard_requirements2[]" value="msvs"> MSVS (Membership Status Verification Slip) signed by borrower *</label></div></div>
							<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="standard_requirements2[]" value="tinno"> Tax Identification Number (TIN)</label></div></div>
						</fieldset>

						<fieldset class="bank_standard_requirements">
								<div class="form-group single_married"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_standard_requirements2[]" value="single_cenomar"> If Single, Latest Certificate of No Marriage (Cenomar) from PSA </label></div></div> 
								<div class="form-group single_married"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_standard_requirements2[]" value="married_psa"> If Married, PSA copy of Marriage Contract </label></div></div> 
								<div class="form-group single_married"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_standard_requirements2[]" value="barangay_certificate"> Barangay Certificate or Proof of Billing </label></div></div> 
								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_standard_requirements2[]" value="valid_id"> Photocopy of Two (2) Valid ID (passport, company ID, driver's license, PRC ID, SSS, TIN, etc) back-to-back, signed 3 times </label></div></div> 
								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_standard_requirements2[]" value="valid_id_spouse"> Photocopy of valid ID of Spouse (if married) back-to-back, signed 3 times </label></div></div> 
								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_standard_requirements2[]" value="id_photo"> Four (4) pcs size 1x1 ID photo* </label></div></div> 
								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_standard_requirements2[]" value="proof_of_income"> If Married, proof of income of spouse </label></div></div>    
						</fieldset>
					</div>
					</div>
				</div>
		</div>
		<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
			<div class="container-fluid well">
				<div class="row"><div class="col-lg-12 col-md-12 col-sm-12 col-xs-12"><h4>ADDITIONAL REQUIREMENTS</h4></div></div>
				
				<!---------->
						<div class="row"><br/></div>
			
			<!-- CO-BORROWER2 LOCALLY EMPLOYED - PAG-IBIG START --> 
				<div class="row private_div2">
					<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 "><h5><b>LOCALLY EMPLOYED</b></h5></div>
				</div> 
				<div class="row private_div2">
					<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
						<fieldset>
							<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements2[]" value="notarized_certificate"> Duly Notarized Latest Certificate of Employment and Compensation *</label></div>
							<div class="col-md-4"><input type="text" class="form-control datepicker text-right whitebg" placeholder="MM/DD/YYYY"  readonly style="cursor:pointer" name="notarized_date2" id="notarized_date2" onchange="checkDateWithinRange2('#notarized_date2')"></div></div>
							
							<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements2[]" value="latest_pay_slip"> Latest One Month Pay Slip *</label></div>
							<div class="col-md-4"><input type="text" class="form-control datepicker text-right whitebg" placeholder="MM/DD/YYYY"  readonly style="cursor:pointer" name="last_month_date2" id="last_month_date2" onchange="checkDateWithinRange('#last_month_date2')"></div></div>
							
							<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements2[]" value="income_tax_return"> Income Tax Return / BIR 2316</label></div> 
						</fieldset>
					</div>
				</div>
			<!-- CO-BORROWER2 LOCALLY EMPLOYED - PAG-IBIG END --> 

			<!-- CO-BORROWER2 LOCALLY EMPLOYED - BANK START --> 
				<div class="row bank_private_div2"><div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 "><h5><b>LOCALLY EMPLOYED</b></h5></div></div> 
				<div class="row bank_private_div2">
						<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
							<fieldset>
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements2[]" value="bank_notarized_certificate"> Latest Certificate of Employment with Compensation (COEC)</label></div> 
														<div class="col-md-4"><input type="text" class="form-control datepicker text-right whitebg" placeholder="MM/DD/YYYY" readonly style="cursor:pointer" name="bank_notarized_date2" id="bank_notarized_date2" onchange="checkDateWithinRange('#bank_notarized_date2')"></div></div>

								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements2[]" value="bank_latest_pay_slip"> Latest 3 Month Pay Slip *</label></div> 
														<div class="col-md-4"><input type="text" class="form-control datepicker text-right whitebg" placeholder="MM/DD/YYYY" readonly style="cursor:pointer" name="bank_last_month_date2" id="bank_last_month_date2" onchange="checkDateWithinRange('#bank_last_month_date2')"></div></div>

								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements2[]" value="bank_last_itr"> Latest Income Tax Return or Bir Form 2316</label></div> 
														<div class="col-md-4"><input type="text" class="form-control datepicker text-right whitebg" placeholder="MM/DD/YYYY" readonly style="cursor:pointer" name="bank_last_itr_date2" id="bank_last_itr_date2" onchange="checkDateWithinRange2('#bank_last_itr_date2')"></div></div>	 
							</fieldset>	
						</div>
				</div>
			<!-- CO-BORROWER2 LOCALLY EMPLOYED - BANK END --> 
			

			<!-- CO-BORROWER2 OFW PAG-IBIG START --> 
				<div class="row overseas_div2"><div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 "><h5><b>OFW</b></h5></div></div> 
				
				<div class="row overseas_div2">
						<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
							<fieldset>
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements2[]" value="employment_contract"> Employment Contract</label></div></div>
								
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements2[]" value="salary_certificate"> Payslip / Salary Certificate</label></div></div>
								
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements2[]" value="certificate_of_employment"> Certificate of Employment & Compensation</label></div></div>

								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements2[]" value="certificate_of_overseas"> Overseas Employment Certificate from POEA</label></div></div>
								
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements2[]" value="owwa_membership_certificate"> Valid OWWA Membership Certificate</label></div></div>
								
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements2[]" value="resident_card"> Resident Card / Permit</label></div></div>

								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements2[]" value="photocopy_passport"> Photocopy of Passport with appropriate visa, signed 3 times</label></div></div>

								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements2[]" value="notarized_spa"> Duly Notarized SPA* / Red Ribbon SPA (if abroad)*</label></div></div>

								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements2[]" value="photocopy_valid_id_spa"> Photocopy of Valid ID of SPA, back to back, signed 3 times</label></div></div> 
								
							</fieldset>	
						</div>
					</div>
			<!-- CO-BORROWER2 OFW PAG-IBIG END -->


			<!-- CO-BORROWER2 OFW BANK START --> 
					<div class="row bank_overseas_div2"><div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 "><h5><b>OFW</b></h5></div></div> 
					<div class="row bank_overseas_div2">
						<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
							<fieldset>
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements2[]" value="bank_photocopy_of_passport"> Photocopy of Stamp date of Arrival and Departure</label></div></div>
								 
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements2[]" value="bank_certificate_of_overseas"> Contract/Certificate of Employment (COE) authenticated by Philippines Consulate</label></div></div>
								
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements2[]" value="bank_contract_of_employment">  Crew Contract and Exit Pass validated by POEA</label></div></div>
								 
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements2[]" value="bank_salary_certificate"> Latest 3 Months Payslip</label></div></div>

								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements2[]" value="bank_duly_notarized_spa"> Notarized or authenticated Special Power of Attorney (7 copies)</label></div></div>
								 
							</fieldset>	
						</div>
					</div>
			<!-- CO-BORROWER2 OFW BANK END --> 


			<!-- CO-BORROWER2 SELF-EMPLOYED PAG-IBIG START -->
					<div class="row self_employed_div2"><div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 "><h5><b>Self-Employed / Owned Business</b></h5></div></div> 
					 
					<div class="row self_employed_div2">
						<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12"> 
							<fieldset>
								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements2[]" value="income_tax_return_audited_fs"> CTC of Income Tax Return* & Audited Financial Statements with Official Receipt of Tax Payment</label></div></div>

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements2[]" value="certificate_of_commission"> Certificate of Commission* / Certificate of Engagement* / CTC of Transport Franchise</label></div> 
								</div>

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements2[]" value="commission_vouchers"> 12 months Commission Vouchers</label></div></div>

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements2[]" value="photocopy_bank_statement"> 12 months Bank Statements* / Photocopy of Passbook</label></div></div>

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements2[]" value="dti_registration"> DTI Registration</label></div></div> 

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements2[]" value="mayors_permit"> Mayor's Permit</label></div></div> 

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements2[]" value="lease_contract"> Notarized Lease Contract / Proof of Ownership or Rights</label></div></div> 

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements2[]" value="sketch_business_location"> Sketch of Business Location</label></div></div> 
							</fieldset>	
						</div>
					</div>			
			<!-- CO-BORROWER2 SELF-EMPLOYED PAG-IBIG END -->		

			<!-- CO-BORROWER2 SELF-EMPLOYED BANK START --> 
					<div class="row bank_self_employed_div2"><div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 "><h5><b>Self-Employed / Owned Business</b></h5></div></div> 
					<div class="row bank_self_employed_div2">
						<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
							<fieldset>
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements2[]" value="bank_latest_afs"> Latest Audited Financial Statements (AFS) for the last 3 years</label></div></div> 
								
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements2[]" value="bank_latest_itr"> CTC of Latest Income Tax Return (ITR) w/ Statement of Assets and Liabilities (SAL) for the last 3 years</label></div> 
								</div>

								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements2[]" value="bank_business_permit"> CTC of Latest Business Permit/Mayor's Permit</label></div></div> 

								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements2[]" value="bank_dti_registration"> Latest DTI Registration</label></div></div>
 
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements2[]" value="bank_trade_references"> List of Trade References (at least 3 names with telephone nos. of major suppliers/customers)</label></div></div> 

								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements2[]" value="bank_statement"> Bank Statements for the past 6 months</label></div></div> 

								<div class="form-group"><div class="col-md-3"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements2[]" value="bank_others_to_be_filled"> Others to be filled</label></div>
								<div class="col-md-4"><input type="text" class="form-control text-left" placeholder="" name="bank_other_field2" id="bank_other_field2" value=""></div>
								</div>  
							</fieldset>	
						</div>
					</div>
			<!-- CO-BORROWER2 SELF-EMPLOYED BANK END -->

			<!-- CO-BORROWER2 IMMIGRANT START -->
					<div class="row immigrant_div2"><div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 "><h5><b>Immigrant</b></h5></div></div> 
					<div class="row immigrant_div2">
						<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
							<fieldset>
								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements2[]" value="employment_contract"> Employment Contract</label></div></div>
 								
 								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements2[]" value="certificate_of_employment"> Certificate of Employment & Compensation</label></div></div>

 								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements2[]" value="work_permit"> Work Permit / Card</label></div></div>

 								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements2[]" value="immigrant_visa"> Immigrant Visa / Permanent Resident Card</label></div></div>

 								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements2[]" value="photocopy_of_passport"> Photocopy of Passport signed 3 times</label></div></div>

 								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements2[]" value="duly_notarized_spa"> Duly Notarized SPA* / Red Ribbon SPA (if abroad)* </label></div></div>

 								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements2[]" value="photocopy_valid_id_spa"> Photocopy of Valid ID of SPA, back to back, signed 3 times</label></div></div> 
							</fieldset>	
						</div>
					</div>
			<!-- CO-BORROWER2 IMMIGRANT END -->		

			<!-- CO-BORROWER2 ONLINE EMPLOYMENT START -->
					<div class="row online_div2"><div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 "><h5><b>On-line Employment</b></h5></div></div> 
					<div class="row online_div2">
						<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
							<fieldset>
								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements2[]" value="bank_statement"> 12 month Bank Statement*</label></div></div>

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements2[]" value="remittances"> Latest one (1) year remittances</label></div></div>

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements2[]" value="certificate_of_employment"> Certificate of Employment & Compensation</label></div></div>

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements2[]" value="picture_of_work_station"> Picture of Work Station</label></div></div>

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements2[]" value="sketch_map_home_address"> Sketch Map of Employee's Home Address*</label></div></div>

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements2[]" value="google_map"> Google Map of Employer's Business Location</label></div></div> 								
 								 
							</fieldset>	
						</div>
					</div>
			<!-- CO-BORROWER2 ONLINE EMPLOYMENT END -->	
			
			</div>
		</div>
	</div>
	<!----------END CO-BORROWER 2--------------->
	
	<!------START CO-BORROWER 3------------->
	<div class="row coborrower3_requirements"><br/></div>
	<div class="row coborrower3_requirements"><hr/></div>
	<div class="row coborrower3_requirements"><br/></div>
		
	<div class="row coborrower3_requirements">
		<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12"> 
			<fieldset> 
				<div class="form-group">
					<label class="col-md-2 control-label text-left" for="checklist_coborrower3"><small><span id="checklist_coborrower3_label">Co-borrower 3</span></small></label>
					<div class="col-md-6"><input type="text" id="checklist_coborrower3" name="checklist_coborrower3" readonly placeholder="Co-borrower" value="" class="form-control text-left"></div>
					<div class="col-md-4"></div>
				</div>
			</fieldset>
		</div>
		<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
			<fieldset>
				<div class="form-group">
					<div class="col-md-2"></div>
						<label class="col-md-4 control-label text-left" for="checklist_employee_type3"><small>Employee Type</small></label>
						<div class="col-md-6"><input type="text" id="checklist_employee_type3" name="checklist_employee_type3" readonly placeholder="Employee Type" value="" class="form-control text-left"></div>
				</div>
			</fieldset>
		</div>
	</div>
	<div class="row coborrower3_requirements">
		<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
			<div class="container-fluid well">
				<div class="row"><div class="col-lg-12 col-md-12 col-sm-12 col-xs-12"><h4>STANDARD REQUIREMENTS</h4></div></div>
				<div class="row"><br/></div>
				<div class="row">
					<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
						<fieldset class="pagibig_standard_requirements">
							<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="standard_requirements3[]" value="birth_certificate"> Birth Certificate if Single/Marriage Contract if Married</label></div></div>
							
							<div class="form-group">
								<div class="col-md-8"> 
									<!-----AUG 15, 2021--------------------->	
									<label class="normal pointer">
												<input type="checkbox" class="pointer"  name="standard_requirements3[]" value="proof_of_billing"> Proof of Billing *
												&nbsp;&nbsp;&nbsp;
												or
												&nbsp;&nbsp;&nbsp;
												<input type="checkbox" class="pointer"  name="standard_requirements3[]" value="barangay_clearance"> Barangay Clearance *
									</label>
									<!-----AUG 15, 2021--------------------->
								</div> 
								<div class="col-md-4">
									<input type="text" class="form-control datepicker text-right whitebg" placeholder="MM/DD/YYYY" readonly  style="cursor:pointer" name="proof_of_billing_date3" id="proof_of_billing_date3" onchange="checkDateWithinRange('#proof_of_billing_date3')">
								</div>
							</div>
 
							<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="standard_requirements3[]" value="photocopy_of_two"> Photocopy of Two (2) Valid ID ( passport, company ID, driver's license, PRC ID, SSS, TIN, etc ) back-to-back; signed 3 times</label></div></div>
							<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="standard_requirements3[]" value="photocopy_spouse_id"> Photocopy of valid ID of Spouse (if married); back-to-back; signed 3 times</label></div></div>
							<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="standard_requirements3[]" value="four_photo"> Four (4) pcs size 1 x 1 ID photo *</label></div></div>

							<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="standard_requirements3[]" value="mdf"> Member's Data Form</label></div></div>
								
							<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="standard_requirements3[]" value="esav"> Employee Statement of Accumulated Value (ESAV) from Pag-ibig</label></div></div>
							<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="standard_requirements3[]" value="msvs"> MSVS (Membership Status Verification Slip) signed by borrower *</label></div></div>
							<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="standard_requirements3[]" value="tinno"> Tax Identification Number (TIN)</label></div></div>
						</fieldset>

						<fieldset class="bank_standard_requirements">
								<div class="form-group single_married"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_standard_requirements3[]" value="single_cenomar"> If Single, Latest Certificate of No Marriage (Cenomar) from PSA </label></div></div> 
								<div class="form-group single_married"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_standard_requirements3[]" value="married_psa"> If Married, PSA copy of Marriage Contract </label></div></div> 
								<div class="form-group single_married"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_standard_requirements3[]" value="barangay_certificate"> Barangay Certificate or Proof of Billing </label></div></div> 
								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_standard_requirements3[]" value="valid_id"> Photocopy of Two (2) Valid ID (passport, company ID, driver's license, PRC ID, SSS, TIN, etc) back-to-back, signed 3 times </label></div></div> 
								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_standard_requirements3[]" value="valid_id_spouse"> Photocopy of valid ID of Spouse (if married) back-to-back, signed 3 times </label></div></div> 
								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_standard_requirements3[]" value="id_photo"> Four (4) pcs size 1x1 ID photo* </label></div></div> 
								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_standard_requirements3[]" value="proof_of_income"> If Married, proof of income of spouse </label></div></div>    
						</fieldset>
					</div>
					</div>
				</div>
		</div>
		<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
			<div class="container-fluid well">
				<div class="row"><div class="col-lg-12 col-md-12 col-sm-12 col-xs-12"><h4>ADDITIONAL REQUIREMENTS</h4></div></div>
				
				
				<div class="row"><br/></div>
			
			<!-- CO-BORROWER3 LOCALLY EMPLOYED - PAG-IBIG START --> 	 
				<div class="row private_div3">
					<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 "><h5><b>LOCALLY EMPLOYED</b></h5></div>
				</div> 
				<div class="row private_div3">
					<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
						<fieldset>
							<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements3[]" value="notarized_certificate"> Duly Notarized Latest Certificate of Employment and Compensation *</label></div>
							<div class="col-md-4"><input type="text" class="form-control datepicker text-right whitebg" placeholder="MM/DD/YYYY"  readonly style="cursor:pointer" name="notarized_date3" id="notarized_date3" onchange="checkDateWithinRange2('#notarized_date3')"></div></div>
							
							<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements3[]" value="latest_pay_slip"> Latest One Month Pay Slip *</label></div>
							<div class="col-md-4"><input type="text" class="form-control datepicker text-right whitebg" placeholder="MM/DD/YYYY"  readonly style="cursor:pointer" name="last_month_date3" id="last_month_date3" onchange="checkDateWithinRange('#last_month_date3')"></div></div>
							
							<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements3[]" value="income_tax_return"> Income Tax Return / BIR 2316</label></div> 
						</fieldset>
					</div>
				</div>
			<!-- CO-BORROWER3 LOCALLY EMPLOYED - PAG-IBIG END --> 

			<!-- CO-BORROWER3 LOCALLY EMPLOYED - BANK START --> 
					<div class="row bank_private_div3"><div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 "><h5><b>LOCALLY EMPLOYED</b></h5></div></div> 
					<div class="row bank_private_div3">
						<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
							<fieldset>
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements3[]" value="notarized_certificate"> Latest Certificate of Employment with Compensation (COEC)</label></div> 
														<div class="col-md-4"><input type="text" class="form-control datepicker text-right whitebg" placeholder="MM/DD/YYYY" readonly style="cursor:pointer" name="bank_notarized_date3" id="bank_notarized_date3" onchange="checkDateWithinRange('#bank_notarized_date3')"></div></div>

								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements3[]" value="latest_pay_slip"> Latest 3 Month Pay Slip *</label></div> 
														<div class="col-md-4"><input type="text" class="form-control datepicker text-right whitebg" placeholder="MM/DD/YYYY" readonly style="cursor:pointer" name="bank_last_month_date3" id="bank_last_month_date3" onchange="checkDateWithinRange('#bank_last_month_date3')"></div></div>

								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements3[]" value="last_itr"> Latest Income Tax Return or Bir Form 2316</label></div> 
														<div class="col-md-4"><input type="text" class="form-control datepicker text-right whitebg" placeholder="MM/DD/YYYY" readonly style="cursor:pointer" name="bank_last_itr_date3" id="bank_last_itr_date3" onchange="checkDateWithinRange2('#bank_last_itr_date3')"></div></div>	 
							</fieldset>	
						</div>
					</div>
			<!-- CO-BORROWER3 LOCALLY EMPLOYED - BANK END --> 	
				
			<!-- CO-BORROWER3 OFW - PAG-IBIG START --> 
				<div class="row overseas_div3"><div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 "><h5><b>OFW</b></h5></div></div> 
				
				<div class="row overseas_div3">
						<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
							<fieldset>
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements3[]" value="employment_contract"> Employment Contract</label></div></div>
								
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements3[]" value="salary_certificate"> Payslip / Salary Certificate</label></div></div>
								
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements3[]" value="certificate_of_employment"> Certificate of Employment & Compensation</label></div></div>

								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements3[]" value="certificate_of_overseas"> Overseas Employment Certificate from POEA</label></div></div>
								
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements3[]" value="owwa_membership_certificate"> Valid OWWA Membership Certificate</label></div></div>
								
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements3[]" value="resident_card"> Resident Card / Permit</label></div></div>

								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements3[]" value="photocopy_passport"> Photocopy of Passport with appropriate visa, signed 3 times</label></div></div>

								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements3[]" value="notarized_spa"> Duly Notarized SPA* / Red Ribbon SPA (if abroad)*</label></div></div>

								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements3[]" value="photocopy_valid_id_spa"> Photocopy of Valid ID of SPA, back to back, signed 3 times</label></div></div> 
								
							</fieldset>	
						</div>
					</div>
			<!-- CO-BORROWER3 OFW - PAG-IBIG END -->



			<!-- CO-BORROWER3 OFW - BANK START -->
					<div class="row bank_overseas_div3"><div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 "><h5><b>OFW</b></h5></div></div> 
					<div class="row bank_overseas_div3">
						<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
							<fieldset>
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements3[]" value="bank_photocopy_of_passport"> Photocopy of Stamp date of Arrival and Departure</label></div></div>
								 
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements3[]" value="bank_certificate_of_overseas"> Contract/Certificate of Employment (COE) authenticated by Philippines Consulate</label></div></div>
								
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements3[]" value="bank_contract_of_employment">  Crew Contract and Exit Pass validated by POEA</label></div></div>
								 
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements3[]" value="bank_salary_certificate"> Latest 3 Months Payslip</label></div></div>

								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements3[]" value="bank_duly_notarized_spa"> Notarized or authenticated Special Power of Attorney (7 copies)</label></div></div>
								 
							</fieldset>	
						</div>
					</div>
			<!-- CO-BORROWER3 OFW - BANK END -->		
					
			
			<!-- CO-BORROWER3 SELF EMPLOYED - PAG-IBIG START --> 
					<div class="row self_employed_div3"><div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 "><h5><b>Self-Employed / Owned Business</b></h5></div></div>  
					<div class="row self_employed_div3">
						<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12"> 
							<fieldset>
								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements3[]" value="income_tax_return_audited_fs"> CTC of Income Tax Return* & Audited Financial Statements with Official Receipt of Tax Payment</label></div></div>

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements3[]" value="certificate_of_commission"> Certificate of Commission* / Certificate of Engagement* / CTC of Transport Franchise</label></div> 
								</div>

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements3[]" value="commission_vouchers"> 12 months Commission Vouchers</label></div></div>

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements3[]" value="photocopy_bank_statement"> 12 months Bank Statements* / Photocopy of Passbook</label></div></div>

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements3[]" value="dti_registration"> DTI Registration</label></div></div> 

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements3[]" value="mayors_permit"> Mayor's Permit</label></div></div> 

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements3[]" value="lease_contract"> Notarized Lease Contract / Proof of Ownership or Rights</label></div></div> 

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements3[]" value="sketch_business_location"> Sketch of Business Location</label></div></div> 
							</fieldset>	
						</div>
					</div>	
			<!-- CO-BORROWER3 SELF EMPLOYED - PAG-IBIG END --> 		

			<!-- CO-BORROWER3 SELF EMPLOYED - BANK START --> 
					<div class="row bank_self_employed_div3"><div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 "><h5><b>Self-Employed / Owned Business</b></h5></div></div> 
					<div class="row bank_self_employed_div3">
						<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
							<fieldset>
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements3[]" value="bank_latest_afs"> Latest Audited Financial Statements (AFS) for the last 3 years</label></div></div> 
								
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements3[]" value="bank_latest_itr"> CTC of Latest Income Tax Return (ITR) w/ Statement of Assets and Liabilities (SAL) for the last 3 years</label></div> 
								</div>

								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements3[]" value="bank_business_permit"> CTC of Latest Business Permit/Mayor's Permit</label></div></div> 

								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements3[]" value="bank_dti_registration"> Latest DTI Registration</label></div></div>
 
								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements3[]" value="bank_trade_references"> List of Trade References (at least 3 names with telephone nos. of major suppliers/customers)</label></div></div> 

								<div class="form-group"><div class="col-md-8"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements3[]" value="bank_statement"> Bank Statements for the past 6 months</label></div></div> 

								<div class="form-group"><div class="col-md-3"><label class="normal pointer"><input type="checkbox" class="pointer" name="bank_additional_requirements3[]" value="bank_others_to_be_filled"> Others to be filled</label></div><div class="col-md-4"><input type="text" class="form-control text-left" placeholder="" name="bank_other_field3" id="bank_other_field3" value=""></div>
								</div>  
							</fieldset>	
						</div>
					</div>
			<!-- CO-BORROWER3 SELF EMPLOYED - BANK END --> 	

			<!-- CO-BORROWER3 IMMIGRANT START -->
					<div class="row immigrant_div3"><div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 "><h5><b>Immigrant</b></h5></div></div> 
					<div class="row immigrant_div3">
						<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
							<fieldset>
								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements3[]" value="employment_contract"> Employment Contract</label></div></div>
 								
 								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements3[]" value="certificate_of_employment"> Certificate of Employment & Compensation</label></div></div>

 								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements3[]" value="work_permit"> Work Permit / Card</label></div></div>

 								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements3[]" value="immigrant_visa"> Immigrant Visa / Permanent Resident Card</label></div></div>

 								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements3[]" value="photocopy_of_passport"> Photocopy of Passport signed 3 times</label></div></div>

 								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements3[]" value="duly_notarized_spa"> Duly Notarized SPA* / Red Ribbon SPA (if abroad)* </label></div></div>

 								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements3[]" value="photocopy_valid_id_spa"> Photocopy of Valid ID of SPA, back to back, signed 3 times</label></div></div> 
							</fieldset>	
						</div>
					</div>
			<!-- CO-BORROWER3 IMMIGRANT END -->


			<!-- CO-BORROWER3 ONLINE EMPLOYMENT START -->
					<div class="row online_div3"><div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 "><h5><b>On-line Employment</b></h5></div></div> 
					<div class="row online_div3">
						<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
							<fieldset>
								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements3[]" value="bank_statement"> 12 month Bank Statement*</label></div></div>

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements3[]" value="remittances"> Latest one (1) year remittances</label></div></div>

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements3[]" value="certificate_of_employment"> Certificate of Employment & Compensation</label></div></div>

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements3[]" value="picture_of_work_station"> Picture of Work Station</label></div></div>

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements3[]" value="sketch_map_home_address"> Sketch Map of Employee's Home Address*</label></div></div>

								<div class="form-group"><div class="col-md-12"><label class="normal pointer"><input type="checkbox" class="pointer" name="additional_requirements3[]" value="google_map"> Google Map of Employer's Business Location</label></div></div> 								
 								 
							</fieldset>	
						</div>
					</div>
			<!-- CO-BORROWER3 ONLINE EMPLOYMENT END -->

			</div>
		</div>
	</div>
	<!----------END CO-BORROWER 3---------------> 
</div>
</form>
 