Customer Application

Customer Application

NOTE: Please print legibly. Do not leave any blank space. If field is not applicable, please write ‘N.A.’ Kindly note that the more information you give, the better chances your application gets approved.

LOAN DETAILS
Desired Loan Amount: MYR (Subject to approval) Desired Payment Term (Months):
Loan Purpose:
Type of Loan:
CollateralNon-Collateral
Particular of security:
Value of security:
PERSONAL INFORMATION
Name (As per NRIC) TML membership No (if any)
ID NO:
ID Type:
Date of Birth (DD/MM/YYYY) Age Place of Birth
Civil Status
SingleMarriedLegally SeparatedWidow / Widower
Gender
MaleFemale
Nationality No. of Dependents
Children:Others: (Relationship)
Educational Attainment
High SchoolVocationalCollegePostgraduateOthers:
Home Phone Number Mobile Phone Number E-Mail Address
Present Home Address Length of Stay in Malaysia
Permanent Home Address Length of Stay (Years)
Previous Home Address Zip Code
Car Ownership
PersonalCompany ProvidedBothNone
Number of cars owned:
EMPLOYMENT / BUSINESS INFORMATION
Employer / Business Name Employer / Business Address
Type of Employment
GovernmentSelf-EmployedPrivateUnemployedBusinessStudent
Employment Status
PermanentProfessionalProbationaryConsultantContractualSpecial Occupation
Rank
Rank & FileSenior ExecutiveJunior OfficerSelf-EmployedMiddle ManagerOthers
Position Nature of Business
Date of Hire (MM/DD/YYYY) Length of Service

Total Years Working

Office Phone Number Fax Number Office Email Address
Immediate Supervisor/HR Contact Person Office Telephone Number Best Time and Day to Call
Previous Employer / Business Name Length of Service

Position
SPOUSE AND FAMILY INFORMATION
Name
Employer / Business Name Employer / Business Address Position
Date of Birth (MM/DD/YYYY) Office Phone Number Mobile Phone Number E-Mail Address
OTHER INFORMATION
Personal and/or Trade References
Name: Relation to Applicant: Tel. No.: Home Address:
Credit Card Details
Credit Card: Card No.: Credit Limit: Expiry Date:
Other Loan Accounts
Bank / Company: Type of Loan: Outstanding Balance: Monthly Payment:
REQUIREMENTS
If Employed:

  • Photocopy of identity card for Malaysian & Passport for Non- Malay
  • Latest original 6 months’ salary slip.
  • Latest 6 months’ bank account statement indicating salary credited.
  • Latest EPF statement.
  • Other documents as may be required by bank/financial institution.
If Self-Employed:

  • Photocopy of identity card for Malaysian & Passport for Non- Malaysian.
  • Company registration form, i.e. Form 24, Form 49
  • Latest financial statements
  • Latest 6 months bank statements.
  • Latest tax assessment.
  • Other documents as may be required by bank/financial institution.
Note: Other documents may be required to process the loan.