STAFF LOAN APPLICATION FORM

(Please complete all sections in block letters & tick
where applicable using black ball pen)

Housing Loan Vehicle Loan

MY/ OUR PERSONAL PARTICULARS
Applicant Co-applicant (for Housing Loan only)

Full name as per IC :

Employee no : Date joined : Date joined :

New/ old IC no : / /

Driving licence no : (for vehicle loan only) (for vehicle loan only)

Residential address :

(postcode/ city/ state)

Current residence : Owned Rented Family Years there : Owned Rented Family Years there :
Residential tel no : H/P no : H/P no :
E-mail address :

Date of birth : Gender : Male Female Gender : Male Female

Race : Malay Chinese Indian Others Malay Chinese Indian Others

Education level :

Religion : Bumiputra : Yes No Bumiputra : Yes No

Nationality : Malaysian Others Malaysian Others

Passport no : (for non-Malaysian) (for non-Malaysian)

Marital status : Single Married Others Single Married Others

Mailing address : Home Office Relationship with 1st applicant :

MY/ OUR EMPLOYMENT DETAILS

Occupation/ position :

Company/ dept/ branch :

Office address :

(postcode/ city/ state)

Office telephone no : Fax no : Fax no :

Monthly salary : RM No. of years employed : RM No. of years employed :

MY/ OUR REFEREE (NOT STAYING WITH US)

Full name as per IC : Occupation/ position :

Residential address : Company/ dept/ branch :

Residential tel no :
(postcode/ city/ state) Handphone no :
MY/ OUR REQUIRED LOAN
Housing Loan Vehicle Loan

Financing purpose : Purchase Refinancing Cash price : RM

Renovation Construction Deposit paid : RM

Financing required : RM Financing required : RM

Deposit paid : RM Financing period : years

Financing period : years Insurance : RM

Financing ratio : 1st app : % 2nd app : % years

For office use only

Loan to value : %

MRTA : 1st app : RM 2nd app : RM

Fire insurance : 1st app : RM 2nd app : RM

 MY/ OUR ASSET
Housing Loan Vehicle Loan

S&P name : i) Name : For vehicle to be financed

New IC no : Registration book no :

ii) Name : Vehicle no :

New IC no : Engine no :

Type of property : Purchase price : RM Chasis no :

Registered owner : Model : New Used Recond

Title no : Lot no : Tons :

Land area : Built-up area : Registration date :

Malay reserved : Yes No

Land status : Freehold Leasehold expiry date For traded-in vehicle
Encumbered No Yes chargee bank Year make : years

bal outstanding Value of vehicle : RM

instalment amt (less) Amount owing : RM

For new property Amount used as deposit : RM

Developer/ vendor :

Year of completion :

For completed property

Address of property :

(postcode/ city/ state)

Valuer :

Market value : RM Valuation date :

DOCUMENTS REQUESTED

Please submit the application form with the following documents :

For Housing Loan
For Vehicle
No Documents to be submitted Purchase house from
Construction Renovation Refinance Loan
Developer Vendor
1 Two (2) copies of applicant/ s IC.






2 A copy of valid driving license.

3 Two (2) copies of Individual title or, a copy of master title.





4 A copy of S&P.



5 An original S&P.




6 A copy of registration card (used vehicle only).

7 An original downpayment receipt.

8 Vehicle sales order (VSO).

9 An approved renovation plan from Local Authority.


A renovation/ construction agreement between applicant/s and appointed
contractor. The agreement should contain :
10 i) Detailed quotation


ii) Schedule of payment
stamp with a nominal stamping fee by the Land Office.
Submission of the pre and post photo of the renovation/ construction
11 activities upon disbursement claim.


A valaution report from PETRONAS's panel of valuer (inclusive of the
12 renovation cost, if any).



13 A redemption statement with a three (3) months validity period.

For second loan, a copy of S&P (for the sold property) together with the
14 consent to sell.




 MY/ OUR DECLARATION

I hereby declare and agree that :-

1. I am of full age and under no legal impediment (not a brankrupt).

2. All information given in this application is true to the best of my knowledge.

3. I will abide by the rules and conditions as set out in the PETRONAS Staff Loan Scheme which terms and conditions I have read.

4. House owners shall purchase fire insurance on the property that is to be charged in accordance with conditions of the PETRONAS Staff Loan Scheme. The original copy
of the insurance policy will be submitted to PETRONAS.

5. MRTT will be taken with an approved Takaful company and assigned to PETRONAS before draw down of the loan.
6. All legal matters, including the transfer and charge, are to be handled by approved solicitors of which the fee cost will be borne by me.

7. The acceptance of this application by AmBank (M) Berhad does not constitute agreement to grant me the loan.

8. If my application is approved, I hereby authorise PETRONAS to release the full amount of the Housing / progressively or in one lump sum direct to the vendor /
Developer / Contractor i.e.
Messrs :
Of :

The house/ vehicle purchased under this scheme is for my own occupation/ used.

I will sign two (2) copies of the Ownership Transfer (JPJ K3) form willingly as the registered owner of the vehicle for PETRONAS safekeeping.
I authorise the deduction from my monthly salary of all amounts due to PETRONAS being monthly repayments ie. Instalments and progress interest for my PETRONAS
Staff Loan Scheme as well as for any repayments due in respect of insurance premium and other charges and fees if any in connection with the loan.

If I resign from PETRONAS, I agree to pay the outstanding amount due as required under the PETRONAS Staff Loan Scheme.

I authorise any credit checks/ verification deemed necessary on me/ us and allow the result to be forwarded to PTRONAS.

This authorisation stands so long as any part of my Staff Loan remains outstanding.

Applicant : Co-applicant :
Date : Date :