LOAN INFORMATION FORM

1) APPLICANT DETAILS :
Name : ____________________________________
_________
NRIC No : ____________________________

Maritial Status :
Membership No : ________

Correspondence Address :
______________________________________________________________________________
______________________________________________________________________________
__
Telephone numbers :
House : ___________________________H/P : ___________________________
Office : __________________________
Loan Amount RM : ______________________ Loan
No :____________________________
Date Granted : ____________________
___________________

Repayment Period :

Monthly Instalment : Loan RM : _______________

____________________

Amount RM :

Payment Method : _________________________

______________________

Subs. RM :

Share RM : ______________________

Due On : _______________________

2) SPOUSE DETAILS :
Name : _______________________________ Membership No : __________________
NRIC No : _____________________________Telephone No : ____________________
3) GUARANTORS DETAILS : i) Guarantor No. 1
Name : __________________________________
Relationship :______________
NRIC No : ________________________________
Membership No : __________
Address :
___________________________________________________________________________
___________________________________________________________________________
Telephone numbers :
H/P : _________________________________________
House : _______________________________________
Office : _______________________________________
ii) Guarantor No. 2
Name : __________________________________
Relationship :______________
NRIC No : ________________________________
Membership No : __________
Address :
___________________________________________________________________________
___________________________________________________________________________
Telephone numbers :
H/P : _________________________________________

House : _______________________________________
Office : _______________________________________