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