LOAN FORM
KINROS CORPORATION
Online Credit Application Form
Personal Infomation (*denotes compulsory fields)
(All information provided below will be treated with UTMOST CONFIDENTIALITY and will NOT be revealed to anyone whosoever)
Please state amount applying for
:
(RM)
Name
:
Gender
:
-- Your Gender --
Male
Female
Marital Status
:
-- Your Marital Status --
Single
Married
Divorce
Widow/ Widower
Date Of Birth
:
[dd/mm/yyyy]
I/C Number
:
[000000-00-0000]
No. Of Dependents
:
Home Address
:
Residential Type
:
-- Residential Type --
Own House
Rent-Room
Rent-House
Telephone No.
:
Mobile Phone No.
:
* Email
:
Employment Information (if applicable)
Company Name
:
Company Address
:
Position
:
Salary
:
Years Employed
:
Company Telephone No.
:
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Copyright © 1998-2007 Kinros Corporation Sdn Bhd. Tel : +603.2260.1000 Fax : +603.2260.1001
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