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HIRE PURCHASE APPLICATION FORM (Individual)
Conventional Hire Purchase
Islamic Hire Purchase
Personal
Dealer
DEALER'S DETAILS
Dealer Name
Dealer Tel. Number
Salesman Name
Salesman Tel. Number
FOR INDIVIDUAL ONLY
Name
Tel no. (Mobile)
New IC/ID No.
Actual Monthly Income RM
Make
Model
Year of Make
Please Select
Financing Amount Required RM
Hire Purchase Calculator
Financing Tenure Required
Please Select
12
18
24
30
36
42
48
54
60
66
72
78
84
90
96
102
108
Branch
-------Branch-------
(Please select branch to handle your account)
DECLARATION
I hereby authorised Malayan Banking Berhad to verify the information from whatever source deems appropriate and to disclose any information relating to my financial standing to any Maybank Group of Companies, The Association of Finance Companies, Bank Negara Malaysia and any other relevant authorities.
Malayan Banking Berhad reserves the right to reject this application at its sole discretion without assigning any reason whatsover.
