Amanah Saham Bumiputera Loan Online Application
Permohonan Pinjaman Amanah Saham Bumiputera Secara Online
Ref No./
No. Ruj.
Date/
Tarikh
LOAN INFORMATION /
MAKLUMAT PINJAMAN
Loan Amount
/Jumlah Pinjaman
RM
(Min RM10,000 - Max RM200,000)
Tenure (Years)
/
Tempoh Pinjaman (tahun)
Please Select
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
(Up to 25 years)
PERSONAL DETAILS /
MAKLUMAT PERIBADI
Name
/
Nama
Correspondence Address
/
Alamat Surat menyurat
Postcode
/
Poskod
Date of Birth
/
Tarikh Lahir
dd
mm
yyyy
New IC No.
/
No. KP Baru
-
-
Old IC No.
/
No. KP Lama
Gender
/
Jantina
Please Select
Male
Female
Race
/
Bangsa
Please Select
Malay
Chinese
Indian
Others
Home Tel.No.
/
No.Tel.Rumah
-
Mobile Tel.No
/
No.Tel.Bimbit
-
Email address
/
Alamat email
(Optional)
Occupation
/
Pekerjaan
Please Select
Manager / Senior Executive
Officer / Executive
Clerical / Secretary / Receptionist
Professional
Police / Army / Enforcem / Safety / Security
Lecturer / Teacher / Trainer
Own Business / Self Employed
Retiree / Pensioner
Homemaker
Student
Beautician / Stylist
CEO / Director / Senior Mgmt
SaleExec / T'mktr / Agent / Promoter
Nurse / Clinical As
Designer / Artist
Chef / Cook / F&B Serv Team
Mechanics / Mechinist
Operation / Production Personnel
Programmer / Analyst / Admin-IT
Supervisor / Foreman
T'nician / Chargeman / Draughtsman
Farmers
Fishermen
Employer
/
Majikan
Employer's Address
/
Alamat Majikan
Postcode
/
Poskod
Office Tel.No
/
No.Tel.Pejabat
-
INCOME /
PENDAPATAN
Monthly Income
/
Pendapatan Bulanan
RM
DECLARATION /
PENGAKUAN
I confirm that the above information is correct and true
/
Saya mengakui segala maklumat diatas adalah benar dan tepat.
Note:
Terms & Conditions
apply
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
x
Sun
Mon
Tue
Wed
Thu
Fri
Sat
