Apply Loan Full Name as in NRIC New NRIC/Old NRIC(without"-") Permanent Home Address How long have you stayed at current residence? Please select your residence's ownership status Own Parents Relative Renting Company Phone Number Email How many dependents do you have? Status Single Married Divorced Bank Name Alliance Bank Ambank Bank Muamalat CIMB Bank Maybank Public Bank RHB Bank Standard Chartered Bank Account Company Name Office Phone Office Address Employment Type Employed Self-Employed Job Segment Private Government Semi-Government Retired Self-Employed Student Housewife Unemployed Department Occupation Monthly Salary Service Year Brand Yamaha Honda Modenas Suzuki GPX SYM Keeway Brixton Model Downpayment Tenure 12 months 24 months 36 months 48 months 60 months 72 months 1st Reference Full Name 1st Reference Phone Number 1st Reference Relationship 1st Reference Home Address 2nd Reference Full Name 2nd Reference Phone Number 2nd Reference Relationship 2nd Reference Home Address Document Upload for Copy of IC (Front and Back) Document Upload for 1 month Payslip SUBMIT