Applicant Information / Maklumat Pemohon

Nama / Name

No. Kad Pengenalan / IC

Phone

Business Information / Maklumat Perniagaan

Nama Syarikat / Company Name

No. SSM / Business No.

Alamat Perniagaan / Company Address

Jenis Perniagaan / Type of Business

Bilangan Pekerja / No. of Employee

Bilangan Pelanggan Sebulan / Average Customer Per Month

Berapa DIRECTORS / PARTNERS anda ada? || How many DIRECTORS / PARTNERS do you have?

_____________________________

I confirm that I have read and understood the contents of this "Declaration Form"

Saya mengesahkan bahawa saya telah membaca dan memahami kandungan "Borang Deklarasi" ini

I understand and agree to allow XIN Finance to conduct a credit assessment.

Saya faham dan setuju untuk membenarkan XIN Finance bagi menjalankan pernilaian kredit.

Tarikh / Date

Muat Naik Kad Perngenalan Pemohon / Upload Applicant's IC

Upload IC [Front]

Upload IC [Back]