LOAN APPLICATION FORM Personal Information Title* Mr Mrs Miss This field is required Gender* Male Female This field is required Marital Status* Single Married This field is required Full Name as In I.C* This field is required New I.C No.* This field is required Race* This field is required Address* This field is required Address Line 2 City* This field is required State* Kuala Lumpur Johor Kedah Kelantan Perak Selangor Malacca Negeri Sembilan Pahang Perlis Penang Sabah Sarawak Terengganu This field is required Postcode* This field is required Residence* Owned Rented Parents Hostel This field is required Mobile Phone* This field is required Email* This field is required Spouse Name* This field is required Spouse I.C No.* This field is required Spouse Mobile Phone* This field is required Company Information Company Name* This field is required Company Address* This field is required Business Phone Number* This field is required Position* This field is required Length of Service* This field is required Manager Name * This field is required Manager Position* This field is required Manager Contact Number* This field is required Reference Contact Reference #1 Contact Name** Reference #1 Contact No.** Relationship with Reference #1** Reference #1 Contact Address* Reference #2 Contact Name** Reference #2 Contact No.** Relationship with Reference #2** Reference #2 Contact Address* **The reference above is only applicable to family members or friends. Cancel put spouse. Loan Information Application Date Motorcycle Model* This field is required Downpayment Amount* This field is required Installment Period* This field is required Bank* This field is required Bank Account Number* This field is required Photocopy / Scan of I.C* Click here to upload Maximum upload size: 5.12MB This field is required Scan of 1 - 3 Months Latest Salary Slip* Below 250cc 1 month Above 250cc 3 months Click here to upload Maximum upload size: 5.12MB This field is required Bank Statement 3 months* (Only for 250cc & above) Multiple files upload accepted. Click here to upload Maximum upload size: 5.12MB This field is required Submit SOON HENG BIKERS SDN SHB CUSTOMER SERVICE
