Debt Aid Form - Debt Aid Consulting International

Click here and complete our no-commitment PRE-QUALIFICATION FORM

Date & Time

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By submitting some of your details, you allow us to evaluate your specific situation in order to pre-qualify you for our debt mediation program. Once submitted, one of our debt consultants will get back to you within 24 to 48 hours.

Full Name *

Email Address *

Contact Number *

Approximate Total Debt *

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Type of Debt (Check all that apply): *Credit CardOnline Lending AppsBank loan (without collateral)Bank loan (with collateral/auto-deduct)Others (Please indicate)

Please indicate your debt type:

Total Monthly Income (Include spouse/partner’s income only if it helps reflect your capacity to pay the debt) *

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Primary Source of Income *

How did you hear about us? *

Facebook, Instagram, TikTok, YouTube, Google, Word-of-Mouth, Others

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For an accurate and personalized debt consultation, I understand that I need to first submit proof of debt and proof of income using this link or by sending my documents to docs@debtaidconsulting.com.

By submitting this form, you are hereby voluntarily and freely give your consent to the collection and processing of your personal information and sensitive personal information, as detailed in the accompanying application form and supporting documents. The personal information provided herein shall be used for the following purpose(s): debt mediation program application and end-to-end debt settlement processing; and you understand that Debt Aid Consulting International will process your information in a manner that ensures appropriate privacy and security safeguards, in compliance with Republic Act No. 10173 (Data Privacy Act of 2012), its Implementing Rules and Regulations, and all other relevant issuances from the National Privacy Commission. You further acknowledge and affirm your rights as a data subject, including the right to be informed, the right to access, the right to rectify my information, the right to object, the right to suspend or withdraw consent, and the right to be indemnified for damages.

HTMLNOTE: This is a free debt assessment, not a loan application.

Aiding YOU towards a Debt-Free Life

By reducing the balance of your debt through debt mediation.

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