Home Loan Application

Please fill in the following information in order for us to process your loan application:

(Fields marked with an * are mandatory.)

I want my loan application processed at

State

Branch

LOAN INFORMATION

Home Loan Type

Facility

Amount RM Term Loan

RM Overdraft

Purpose of loan

Purpose of property purchase

Repayment Period Years

MAIN APPLICANT PERSONAL DATA

Name (as per NRIC)

Nationality/Citizenship

NRIC (Old)

- - (New)

Passport Number (for Non-Malaysian)

Date of Birth (dd/mm/yyyy) / /

Do you hold Permanent Residence status in Malaysia?

Yes

Are you residing in Malaysia?

Yes

Current Residential Address

Post Code

Office Address

Office Post Code

Telephone No. - (House)

- (Office)

- (Mobile)

Email Address

EMPLOYMENT DATA

Occupation

MONTHLY INCOME

Salary & Fixed Income RM

Other Income
(Commission / Annual Bonus / Rental / Part-time Income, etc) RM

TOTAL GROSS INCOME RM

PROPERTY INFORMATION

Type of Property

e.g 2 storey link house, 1 storey bungalow, 3 rooms apartment

Sale and Purchase Price / Market Value RM

Completed?

Yes

If No, Stage of Completion %

Name of Project

Location of Property

Name of Developer

Tenure of Property

Freehold

Leasehold

years expiring on