Customer Loan Application Form
Customer Details:
Nama Penuh
*
Nombor I/C
*
Bank Account No.
Untuk Submission JCL*
Bank Name
For JCL Submission Purpose.
Alamat Penuh
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Nombor Tel
*
-
Area Code
Phone Number
E-mail
example@example.com
Tempat Kerja
Nama Company
*
Nombor Tel
*
-
Area Code
Phone Number
Alamat Penuh
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Orang Rujukan
1*Individu yg duduk satu rumah & 1*Individu yg duduk lain rumah terdiri drpd adik beradik atau saudara mara Sahara.
*
Name Penuh
Alamat Penuh
No Tel
Hubungan
1
2
Motor
Model Motor
Warne Motor
Deposit
Ikat (2/3/4/5thun)
Monthly Instalment
E.g., RM250.00
Receipt No
Documents
Gambar IC Depan & Belakang
Browse Files
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of
Income Proof (Slip Gaji, Work Permit & Statement)
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of
Remark
Submit
Should be Empty: