Loan Application Form
Submit your application here
Email address *
Full Name *
New / Old I.C No. *
Full Address *
Phone number *
Gender *
Martial Status *
Company Name *
Office Full Address *
Office Phone No. *
Position *
Length of service *
( Years/ Months)
Net Monthly Salary *
Salary Date *
Emergency Contact Name *
(immediate Family & Not staying together)
Emergency Address *
Emergency Contact Number *
Relationship with Applicant *
Motorcycle Brand & Model *
Down payment *
Installment Period *
Please Take Note
Please e-mail us a copy of your:-

- I/C and latest 1 months payslip. (Moped Bike/ Below 200cc)
- I/C and latest 3 months payslip. (Superbike Bike/ 250cc & above)
3 months bank statement

Watapps: 017-4708895

**Tell us that you have submitted the application form via our website, Thanks you for your support!
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy