Staff No*

Financing Name*
—Please choose an option— Consolidated Financing-i (Pembiayaan Konsolidasi-i) Personal Financing-i (Pembiayaan Peribadi-i) Member Loyalty Financing-i (Pembiayaan Setia Ahli-i) Gold Financing-i (Pembiayaan Emas-i) Consumer Financing-i (Pembiayaan Pengguna-i) Retail Financing-i (Pembiayaan Runcit-i) Quick Cash Financing-i (Pembiayaan Tunai Pantas-i) CSR Financing-i (Pembiayaan CSR-i) Travel & Tours Financing-i (Pembiayaan Pelancongan-i)

Amount applied

Tenure in Year(s)*
1 2 3 4 5 6 7 8 9 10

Email Address*

Contact No

Salary Slip 1 *

Salary Slip 2 *