HIRE PURCHASE APPLICATION

FORM (Individual)
   
    FOR INDIVIDUAL ONLY
 
  Name*
  Residential Address*
   
   
  Residential Status* Owner Tenant Parents Others
  Tel. No. (House)*
  Handphone No.
  E-mail Address
  Nationality* Malaysian Others 
  New I/C No.*
  Old I/C No.
  Age*
  Marital Status Married Single Others
  Occupation
  Name & Address of
  Employer/Business
   
   
   Tel. No. (Office)
  Year of Service
  Total Monthly Income RM 
 
  IF APPLICANT IS MARRIED, PROVIDE SPOUSE PARTICULARS

  Name
  New I/C No.
  Old I/C No.
  Age
  Occupation
  Name & Address of
  Employer/Business
   
   
  Tel. No. (Office)
  Year of Service
  Total Monthly Income RM 
 
    REFERENCES

  Name

    Occupation
  Tel. No.
 
    PARTICULARS OF VEHILCE/SELLER

  Good Status* New Secondhand Reconditioned

  Make*
  Model*
  Registration/Serial No.
 
(if secondhand)
  Name of Dealer/Seller*
  Tel. No. of Dealer/Seller*
 
    DECLARATION

  I hereby confirm and declare the following:

  1. All particulars declared above are true and accurate.
  2. Neither I nor any my guarantors are directly related to any director or staff of Maybank Group, either as
spouse, parent or child.
  3. Not a bankrupt and not insane.
  4. My total credit exposure does not exceed RM200,000 excluding acquisition/purchase of immovable
property. (Applicable for non-residents only)
 
I hereby authorised Maybank to verify the information from whatever source deems appropriate and to
  disclose in confidence any information regarding my financial standing in any other financial institutions or
any other parties for any reasons Maybank deems fit. Maybank reserves the right to reject this application as
its sole discretion without stating any reasons therefore.
   
  * Mandatory field
 
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