Attention: CHAILEASE BERJAYA CREDIT SDN BHD (1158503-K)

Re: Letter of Consent for Disclosure of Credit Information

Pursuant to the Credit Reporting Agencies Act 2010 (“Act”),
Michelle Chin Siao Xuan
I (Name/Company Name): ___________________________________________________
010804-13-1110
of NRIC/Company Registration No: ____________________________________________
Perumahan Kerajaan Blok G, G-0-5, Taman Sri Roban,Jalan Tg Assam, 95700, Betong, Sarawak.
Address: ___________________________________________________________________
do hereby give consent to CHAILEASE BERJAYA CREDIT SDN BHD (1158503-K)
To obtain and/or disclose any Credit Information (as defined in the Act) relating to me from and/or to Experian
Information Services (Malaysia) Sdn Bhd, CTOS Data Systems Sdn Bhd, Credit Bureau Malaysia Sdn Bhd, 4
FIS Data Reference Sdn Bhd or any source deemed appropriate to verify my credit history as you and/or Experian
Information Services (Malaysia) Sdn Bhd, CTOS Data Systems Sdn Bhd, Credit Bureau Malaysia Sdn Bhd, FIS Data
Reference Sdn Bhd or any source deemed appropriate may deem fit under any applicable law, regulation, guidelines,
regulatory requirement or directive in relation to my credit application or transaction with you for the following purposes
(but not limited to):

- Opening of account - Debt recovery purposes

- Credit evaluation - Scoring Solutions
- Credit/account review - Employment evaluation
- Credit/account monitoring - Legal documentation and/or action consented to a contract or
facility granted

Waive all my rights and shall indemnify Chailease Berjaya Credit Sdn Bhd, Experian Information Services (Malaysia)
Sdn Bhd, CTOS Data Systems Sdn Bhd, Credit Bureau Malaysia Sdn Bhd and FIS Data Reference Sdn Bhd from any
legal actions arose pursuant to the exercise of any/all activity stated above by Chailease Berjaya Credit Sdn Bhd,
Experian Information Services (Malaysia) Sdn Bhd, CTOS Data Systems Sdn Bhd, Credit Bureau Malaysia Sdn Bhd and
FIS Data Reference Sdn Bhd.
This consent shall remain applicable as long as I am maintaining an account/loan/credit/any transaction with you.

(Signature) (Signature) (Signature)

Date: 01 August 2023 Date: Date:

Name: Michelle Chin Siao Xuan Name:
Name:
NRIC: 010804-13-1110 NRIC:
NRIC: Designation:
Designation: Designation:
Company Stamp: Company Stamp:
Company Stamp: Phone/Email:
Phone/Email: 01125074818 Phone/Email:
IP Address: