Installment Form

Price List

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Required documents:

Identification Card (front & back)
1 month latest pay slip
The latest bank statement of the first page with the name and bank account.
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* Required

Monthly Installment Payment (RM)? Which item? *

Identification Card * (E.g.: 888888081234)

Name *

Marital Status *

Full Residential Address *

Residential Period (Years) *

Residential Type *

Mobile Number * (E.g.: 0121234567)

Easy Installment Form

Details of Jobs

Name of Employment Company *

Employment Office Full Address *

Type of Job

Salary Date *

Employment Office No

Duration of Service Company *

Position *

Documents

Payslip *

IC *

Emergency Contact

Gurantor Name * (Parents or Relatives)

Gurantor Address * (Not the same as the address of the applicant)

Gurantor Mobile Number * (E.g.: 0121234567)

Relationships With Applicants *

Second Emergency Contact

Gurantor Name * (Parents or Relatives)

Gurantor Address * (Not the same as the address of the applicant)

Gurantor Mobile Number * (E.g.: 0121234567)

Relationships With Applicants *

Payment Account Information

Bank *

Account No. *

Form Filler Information

Filler Name *

Filler Mobile Number * (E.g.: 0121234567)

Declaration

I / we authorize the Daytime Online processing, marketing and promotion of products and services for information provided under the Personal Data Protection Act 2010.