Professional Documents
Culture Documents
Home & Property Financing Application Form /: Borang Permohonan Pembiayaan Perumahan & Hartanah
Home & Property Financing Application Form /: Borang Permohonan Pembiayaan Perumahan & Hartanah
Home & Property Financing Application Form /: Borang Permohonan Pembiayaan Perumahan & Hartanah
HOME & PROPERTY FINANCING APPLICATION FORM / BORANG PERMOHONAN PEMBIAYAAN PERUMAHAN & HARTANAH
Please tick ( ) where applicable. Complete all sections in block letters with a BLACK ball point pen. Sila tandakan ( ) di tempat berkenaan.Penuhkan semua bahagian dengan huruf besar dan sila gunakan pen dakwat HITAM.
$ash )ine Facility'i / %emudahan Tunai!i MR** Finance (Financing with +mFamily *a,af%l / Pembia#aan dengan Am)amil# Takaful) $ash / *%nai "ai!ed / *ike(ualikan
Others / Lain-lain Total Financing Amount / Jumlah Pembiayaan
Mortgaged / Pa$akan
&ailin' A$$ress / Alamat Surat-menyurat #ome "el. No. / No. Tel Rumah *en$er / !antina Male / elaki
Home / &umah
#P No. / No. Tel Bim it +ate o, Birth / Tarikh "ahir New IC No. / No. KP Baru
/ / -
Female / Perempuan
%l$ IC. No. / No. KP "ama Passport No./%ther I+ No. / No. Pasport#No. Pen$enalan "ain &arital .tatus / Tara& Perkah'inan +epen$ants / Tan$$un$an (thnic / Etnik Single / 'u$ang #arents / Ibu!bapa _______
Citi-enship / %ar$ane$ara _________________________ Married / 'erkahwin $hildren / Anak ______ /ace / Ban$sa _____________ /eli'ion / A$ama ______________ Self'Employed / 'eker$a Sendiri ($ucation Le0el / Tahap Pendidikan ________________________________________ i!orce / 'er(erai "idow / 'alu
B%mip%tera / 'umiputera
Compan1 Name / Nama Syarikat _____________________________________________________________________________________________________________ No. o, 2ears (mplo1e$/in Business / Tempoh Berkhidmat#Pernia$aan ______________ A$$ress / Alamat %,,ice "el No. / No. Tel Pe(a at
-
_______________________________________________________________________________________________________________________
Nature o, Business / !enis Pernia$aan _______________________________________ Office (se Only %ccupation Co$e / Kod Peker(aan
Pre0ious (mplo1ment (i, less than 4 1ears) / Ma(ikan Se elum )(ika kuran$ daripada * tahun+ Compan1 Name / Nama Syarikat ______________________________________________________________________________________________________________ No. o, 2ears (mplo1e$/in Business / Tempoh Berkhidmat#Pernia$aan ______________ A$$ress / Alamat "el No. / No. Tel
-
______________________________________________________________________________________________________________________
Nature o, Business / !enis Pernia$aan ________________________________________ %ccupation / Peker(aan ____________________________________________ Office (se Only %ccupation Co$e / Kod Peker(aan - &on Mandatory Fields / R%angan *ida, "a.i/ 3ob .ector / Sektor Peker(aan 0 of 1 $B2+F/#art +/3443056+m7
#ouse %wnership / Hak Milik Rumah #ome "el No. / No. Tel Rumah *en$er / !antina Male / elaki
Mortgaged / Pa$akan
Female / Perempuan
%l$ IC. No. / No. KP "ama Passport No./%ther I+ No. / No. Pasport#No. Pen$enalan "ain &arital .tatus / Tara& Perkah'inan +epen$ants / Tan$$un$an (thnic / Etnik Single / 'u$ang #arents / Ibu!bapa _______
Citi-enship / %ar$ane$ara _________________________ Married / 'erkahwin $hildren / Anak ______ /ace / Ban$sa ___________________ /eli'ion / A$ama _______________ /elationship / Hu un$an _______________ Self'Employed / 'eker$a Sendiri %,,ice "el No. / No. Tel Pe(a at i!orce / 'er(erai "idow / .anda
B%mip%tera / 'umiputera
Lan'ua'e Pre,erre$ / Bahasa Pilihan __________________ ($ucation Le0el / Tahap Pendidikan ___________________ Current (mplo1ment / Ma(ikan Semasa
Compan1 Name / Nama Syarikat ______________________________________________________________________________________________________________ No. o, 2ears (mplo1e$/in Business / Tempoh Berkhidmat#Pernia$aan ______________ A$$ress / Alamat
-
_______________________________________________________________________________________________________________________
Nature o, Business / !enis Pernia$aan _______________________________________ Office (se Only: %ccupation Co$e / Kod Peker(aan
Pre0ious (mplo1ment (i, less than 4 1ears) / Ma(ikan Se elum )(ika kuran$ daripada * tahun+ Compan1 Name / Nama Syarikat ______________________________________________________________________________________________________________ No. o, 2ears (mplo1e$/in Business/ Tempoh Berkhidmat#Pernia$aan ______________ A$$ress / Alamat %,,ice "el No. / No. Tel Pe(a at1
-
______________________________________________________________________________________________________________________
Nature o, Business / !enis Pernia$aan ________________________________________ %ccupation / Peker(aan _____________________________________________ Office (se Only: %ccupation Co$e / Kod Peker(aan 3ob .ector / Sektor Peker(aan
.P%5.( AN+ N(6")%F)KIN (I&&(+IA"( FA&IL2) PA/"IC5LA/. / B,T0RAN PASANGAN .AN KE",ARGA TER.EKAT
.pouse / Pasan$an Full Name / Nama Penuh (As in IC / Seperti dalam KP) ____________________________________________________________________________________________________________________ "el No. / No. Tel
-
Ne9t)o,)Kin (not sta1in' with 1ou) / Keluar$a Terdekat )yan$ tidak tin$$al ersama+ Full Name / Nama Penuh (As in IC / Seperti dalam KP)
___________________________________________________________________________________________________________________________________________
FACILI"I(. 7I"# %"#(/ FINANCIAL IN."I"5"I%N. 8 N%N BANK (N"I"I(. / KEM,.AHAN SE.0A A.A .ENGAN 0NST0T,S0 KE%ANGAN "A0N 2 ENT0T0 B,KAN BANK Financial Institution / 0nstitusi Ke'an$an Non Bank (ntities / (ntiti Bukan Bank Facilit1 "1pe / !enis Kemudahan Financin' Amount / Amaun Pem iayaan %utstan$in' Balance / Baki Pem iayaan Instalment / Ansuran Ha!e yo% e!er had any /an,r%ptcy or legal proceedings ta,en against yo% relating to any financial matters / Pernahkah sebarang tindakan bankrap atau undang!undang berkaitan hal!hal kewangan diambil ke atas anda+ &o / Tidak 8es 9 #lease :i!e etails / ,a - Sila 'eri Pen$elasan
4 of 1
$B2+F/#art +/3443056+m7
Choice o, Car$(s)/ Pilihan Kad. Please tick / sila tanda )+ +m7slamic Ban, D7S+ Signat%re $ard'i +m7slamic Ban, +l'*aslif #latin%m D7S+ $ard'i +m7slamic Ban, +l'*aslif #latin%m Master$ard $ard'i +m7slamic Ban, $+R@ #latin%m Master$ard $ard'i +m7slamic Ban, *R(E D7S+ $ard'i +m7slamic Ban, +l'*aslif :old D7S+ $ard'i +m7slamic Ban, $+R@ :old D7S+ $ard'i +m7slamic Ban, +l'*aslif :old Master$ard $ard'i &inimum Annual Income / Pendapatan Tahunan Minima1 +m7slamic Ban, Disa Signat%re $ard'i 9 RM 033,333 p>a / setah%n +l'*aslif #latin%m Master$ard / D7S+ 9 RMC3,333 p>a / setah%n $+R@ #latin%m Master$ard 9 RMC3,333 p>a / setah%n *R(E $ard'i 9 RM ;C,333 p>a / setah%n +l'*aslif :old Master$ard / D7S+ 9 RM45,333 p>a / setah%n $+R@ :old D7S+ 9 RM45,333 p>a / setah%n
(li'ibilit1 / Kelayakan Minim%m age / 6mur minima1 M%st /e at least 40 years of age / Mesti berumur 73 tahun ke atas. +pplicant with income of RM45,333 to RM;C,333 per ann%m will s%/.ect to the following $redit $ard :%idelines> Pem0h0n #ang berpendapatan diantara &M7="::: hingga &M>?"::: adalah tertakluk kepada peraturan %ad %redit seperti berikut 1! o $ardmem/er are allowed to hold $ards from *wo 246 $ard iss%ers only / Pemegang %ad han#a dibenarkan memiliki %ad %redit dari dua (7) pengeluar kad saha$a. o $ard limit 9 &ot more than *wo 246 times of gross monthly income / Had %ad ! Tidak melebihi dua (7) kali pendapatan. Note / perhatian1 For all cards, the ann%al fee is ,ree for life with no conditions / 6ntuk semua kad" #uran tahunan adalah per3uma seumur hidup tanpa s#arat.
$redit $ard +pplicant &ame / /ama Pem0h0n %ad %redit1 22222222222222222222222222222222222222222222222222222222222222 &ame to appear on $ard 2not more than 0< characters6 / /ama diatas kad (tidak melebihi 34 ab$ad)
Mother=s name 2this is comp%lsory for sec%rity p%rposes / /ama Ibu (ini adalah wa$ib untuk tu$uan keselamatan)
#ermanent Home +ddress 2if present home is rented or employer=s, please do not pro!ide #>O Bo? +ddress6 / Alamat %ediamanTetap ($ika rumah sekarang adalah men#ewa atau milik ma$ikan" alamat Peti Surat tidak dibenarkan6 _____________________________________________________________________________________________________________________________________________ 222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222 #oscode / P0sk0d Car$ +eli0er1 / Pen$hantaran Kad1 Home / &umah Office / Pe$abat +m7slamic Ban,/+mBan, Branch 2Branch name6 / Cawangan AmIslami( 'ank 5 Am'ank 5 (/ama (awangan)1
.tatement +eli0er1 / Pen$hantaran Penyata1 Hardcopy / Pen#ata Salinan .ent to / hantar Ke1 Home / &umah Office / Pe$abat OR / ATA6 eStatement / e!Pen#ata: E'mail address / Alamat e!mel1 22222222222222222222222222222222222222222222222222222222222 &ote / Perhatian: + yearly fee of RM04 is chargea/le for hardcopy statements e?cept for $+R@ $ard 9 First year statement fees wai!ed / ,uran tahunan &M37 akan di(a$ untuk penghantaran salinan pen#ata ke(uali %ad CA&8 - ,uran pen#ata untuk tahun pertama dike(ualikan> Minim%m reA%irement2s6 to !iew yo%r eStatement / %eperluan minima untuk melihat ePen#ata: +do/e Reader 1>3 or higherB 7nternet E?plorer C 7f yo% are an e?isting +m7slamic Ban, $ardmem/er, all yo%r card statements will /e con!erted to an eStatement and mailed to yo%r respecti!e email address as stated a/o!e / Sekiran#a anda adalah Ahli %ad AmIslami( 'ank sedia ada" semua pen#ata %ad anda akan ditukarkan kepada ePen#ata dan dihantar ke alamat email seperti #ang din#atakan diatas. Pin re:uest / Permohonan pin1 8es, 7 wo%ld li,e to recei!e my $ard2s6 #7& / ,a" sa#a ingin menerima PI/ kad &o, 7 wo%ld not li,e to recei!e my $ard2s6 #7& / Tidak" sa#a tidak ingin menerima PI/ kad (9cess o, Car$ Limit / "e ihan Had Kad1 8es, 7 allow my card acco%nt to e?ceed the assigned credit limit for an amo%nt at the discretion of the Ban, and agree to pay the applica/le E?cess )imit Fee of RM13 / ,a" sa#a membenarkan akaun kad sa#a melebihi had kad kredit bagi amaun #ang ditentukan mengikut budi bi(ara pihak 'ank dan bersetu$u untuk memba#ar ,uran ebihan Had #ang dikenakan seban#ak &M 9:. &o, 7 do not allow my card acco%nt to e?ceed the assigned credit limit / Tidak" sa#a tidak membenarkan akaun kad sa#a melebihi had kad kredit #ang ditetapkan. /0te 5 perhatian1 ;;&ot applica/le for stand'in processing transactions and fees or management fee imposed /y the Ban, 5 Tidak terpakai bagi transaksi pempr0sesan ;stand!in< dan #uran atau #uran pengurusan #ang dikenakan 0leh 'ank.
; of 1
$B2+F/#art +/3443056+m7
4> 7/"e declare that 7/we do not ha!e more than two 246 home loan acco%nt/ 7slamic home financing 2as a sole/ .oint facility6, at the point of this application>Sa#a5%ami mengaku bahawa sa#a5kami tidak mempun#ai lebih dari dua (7) akaun pembia#aan perumahan termasuk skim pembia#aan Islam (sama ada pemilik tunggal5 bersama) pada tarikh perm0h0nan ini. ;> 7/ "e declare that for F&1 First #ome .cheme Financin'<5 sa#a5kami mengaku bahawa bagi 5Pem iayaan Skim Rumah Pertamaku1! am/are Malaysian citi@en2s6/ saya/ ,ami adalah wargenegara Mala#sia. am/are a first time ho%se /%yer and confirm the ho%se is p%rchased for my/o%r own occ%pation/ rumah #ang dibeli 0leh sa#a5kami adalah rumah pertama dan mengaku bahawa pembelian rumah ini adalah untuk kediaman sendiri. my/o%r spo%se2s6 draw a monthly income not e?ceeding RM1,333 per month indi!id%ally/ pendapatan sa#a5 pasangan kami se(ara perse0rangan tidak melebihi &M9"::: sebulan. and my/o%r spo%se2s6 age does/do not e?ceed ;1 years old at the point of this application/ dan sa#a5pasangan kami berumur tidak melebihi >9 tahun semasa perm0h0nan pembia#aan ini. 5> Cre$it Car$/ Kad Kredit 7/"e declare that 7/we: / Sa#a5%ami dengan ini mengaku bahawa Sa#a5kami 1! here/y a%thorise the Ban, to !erify the information from whate!er so%rce incl%si!e of the irector general of 7nland Re!en%e epartment and /y whate!er means that the Ban, may consider appropriate/ memberi kuasa kepada pihak 'ank untuk mengesahkan maklumat #ang diberikan daripada mana!mana sumber termasuk daripada %etua Pengarah .abatan Hasil *alam /egeri dengan apa $ua kaedah #ang difikirkan bersesuaian. confirm that 7 will /e s%/.ect to the r%les and reg%lations go!erning to the %se of +m7slamic Ban, Berhad Master$ard/ D7S+ and the applica/le *erms and $onditions/ mengesahkan bahawa sa#a akan tertakluk kepada peraturan mengenai penggunaan kad BMasterCard5CisaD AmIslami( 'ank dan $uga tertakluk kepada Terma dan S#arat #ang terpakai. confirm that my/o%r financings from all so%rces within Malaysia do not e?ceed an aggregate s%m of RM433,333 2applica/le to non'Malaysian only6/ mengesahkan bahawa pembia#aan sa#a daripada sumber!sumber di dalam Mala#sia adalah tidak melebihi &M7::"::: (terpakai untuk bukan warganegara Mala#sia saha$a6> here/y agree, sho%ld 7/we s%/scri/e to eStatement, that all my/o%r $ard acco%nt statement shall /e in electronic statement form and here/y consent and %nconditionally a%thori@e +m7slamic Ban, Berhad to send me/%s the eStatement !ia electronic mail to the e'mail address pro!ided herein or any new e'mail address s%/seA%ently notified and confirmed with +m7slamic Ban,> 7/"e also here/y agree that 7/we shall /e s%/.ected to or /o%nd /y the applica/le *erms E $onditions pro!ided /y +m7slamic Ban, Berhad/ dengan ini bersetu$u" sekiran#a sa#a5kami melanggan ePen#ata" agar semua pen#ata akaun kad sa#a berada dalam bentuk pen#ata elektr0nik dan sa#a5kami mengi8in dan membenarkan tanpa s#arat AmIslami( 'ank 'erhad menghantar ePen#ata melalui mel elektr0nik ke alamat e!mel seperti #ang din#atakan disini atau alamat e!mel baru #ang diberitahu kemudian dan disahkan dengan AmIslami( 'ank. Sa#a5%ami $uga dengan ini bersetu$u untuk tertakluk atau terikat kepada Terma E S#arat #ang terpakai dan #ang diperuntukkan 0leh AmIslami( 'ank 'erhad. here/y agree the fa?ed copy recei!ed /y the Ban, shall /e deemed as the original application and shall /e concl%si!e e!idence of my/o%r application/ bersetu$u bahawa salinan faksimili #ang diterima 0leh 'ank akan dianggap sebagai perm0h0nan asal dan sah. 1> +m7slamic Ban, may disclose yo%r personal information to +mBan, 2M6 Bhd for o%tso%rcing of /%siness operations and other +mBan, :ro%p companies for p%rposes of mar,eting of prod%cts and ser!ices> 7f yo% decide later not to recei!e mar,eting information from +m7slamic Ban, / +mBan, :ro%p, all yo% ha!e to do is .%st call 0 ;33 G3 GGGG or email to c%stomercareHam/an,gro%p>com and inform +m7slamic Ban, of the same> / AmIslami( 'ank b0leh mendedahkan maklumat peribadi anda kepada Am'ank (M) 'hd bagi tu$uan pen#umberan luar 0perasi perniagaan dan kepada s#arikat!s#arikat %umpulan Am'ank untuk pr0m0si dan pemasaran pr0duk dan perkhidmatan. Sekiran#a anda ingin memilih! keluar (0pt!0ut) dari menerima bahan pemasaran dari AmIslami( 'ank 5 %umpulan Am'ank" anda han#a perlu memberitahu AmIslami( 'ank dengan menelef0n 3 >:: F: FFFF atau emel kepada (ust0mer(areGambankgr0up.(0m. +mBan, :ro%p=s Strategic B%siness #artners may from time to time offer prod%cts, promotions and ser!ices that may /e of interest to yo%> / &akan Perniagaan Strategik %umpulan Am'ank menawarkan pr0duk" pr0m0si dan perkhidmatan dari masa ke semasa #ang mungkin menarik minat anda. Say F8ES= to great offers and promotions from +mBan, :ro%p=s B%siness #artners / Pilih ;,A< untuk tawaran hebat dan pr0m0si dari rakan perniagaan strategik %umpulan Am'ank1 I J 8es, 7 wo%ld li,e to recei!e mar,eting promotions from +mBan, :ro%p=s /%siness partners / ,a" sa#a ingin menerima bahan pr0m0si dari rakan perniagaan strategik %umpulan Am'ank I J &o, not at this point of time>/ Tidak" buat masa ini.
5 of 1
$B2+F/#art +/3443056+m7
K>
G>
<> 03>
00>
N%"( # PERHAT0AN: *he pro!ision of this application form does not constit%te appro!al and Ban, reser!es the right to re.ect any application witho%t disclosing any reason/ %andungan di dalam b0rang perm0h0nan ini tidak men$amin kelulusan dan pihak 'ank berhak untuk tidak meluluskan mana!mana perm0h0nan tanpa mengemukakan sebarang sebab.
N%"( 7* 7S + SER7O(S OFFE&$E *O S(BM7* FOR:E O$(ME&*S, 7&$ORRE$* OR M7S)E+ 7&: 7&FORM+*7O& 7& *HE F7&+&$7&: +##)7$+*7O&> PERHAT0AN1 A*A AH SAT6 %ESA AHA/ 6/T6% ME/,E&AH%A/ *H%6ME/ PA S6" MA% 6MAT ,A/I TI*A% 'ET6 SE&TA ME/IE I&6%A/ *A AM PE&MHHH/A/ PEM'IA,AA/.
1 of 1
$B2+F/#art +/3443056+m7