New Registration - Financing Origination System-i

CREATE FINANCING APPLICATION

Validate
Applicant Information
Employment Information
Spouse Information (if any)
Emergency Contact Person
Apply Financing

Identification Information

Please fill in the form below. ( * ) indicates mandatory details required. Indentification Number must follow this format "XXXXXXXXXXXX" with 12 digits only.

Applicant Information

Please fill in the form below. ( * ) indicates mandatory details required.

Full Name *

New IC No. *

Old IC No.

Army No. / Police No.

Date of Birthday *

Age

Gender *

Nationality *

Residency *

Race *

Religion *

Marital Status *

Highest Educational Level *

Email *

Home Address (Line 1) *

Home Address (Line 2) *

Postcode *

City *

State *

Ownership Status *

Duration Stayed *

Additional Address (Line 1)

Additional Address (Line 2)

Postcode

City

State

Phone No. (Home)

Phone No. (Mobile) *

Bank *

Bank Account No

Employment Information

Employment Name *

Department *

Staff ID

Position *

Office Address *

Postcode *

City *

State *

Phone No. (Office) *

Fax No.

Job Status *

Date Started *

Duration of Employment

Retirement Age *

Disciplinary Record *

Gross Monthly Salary *

Max. Allowed Deduction (%)

Spouse Information

Name

New IC No.

Old IC No./Non Civilian No.

Date of Birth

Gender

Race

Residency

Nationality

Phone No.

Email *

Phone Office

Monthly Income (RM)

Emergency Contact Person

Relationship with Applicant *

Name *

IC No *

Address *

Post Code *

City *

State *

Phone No. (Home)

Phone No. (Mobile) *

Phone No. (Office)

Application Information

Please fill in the form below. ( * ) indicates mandatory details required.

Agent

Master Agent

Sub Agent Code

Submission Type *