GIY NGH VAY VN KIM PHNG N S DNG VN SN

XUT KINH DOANH DCH V, PHC V I SNG

(p dng cho khch hng c nhn )
Knh gi: NGN HNG TMCP CHU ............................................................................ (ACB)
I. THNG TIN KHCH HNG
H v tn khch hng:
CMND/PP:
Tnh trng hn nhn:

Ngy sinh:
c thn
Go

Ngy cp:
C gia nh
Ly d

Ni cp:
Dn tc:

a ch h khu:
a ch lin h:
C nh:

Email/Fax:

Di ng:

H v tn v/chng:

CMND/PP:

a ch lin h:
C nh:
Di ng:
II. NHU CU CP TN DNG V PHNG N S DNG VN
ngh ACB cp tn dng cho chng ti:

Fax/Email:

1. S tin: ng
(Bng ch: )
2. Thi hn: thng n hn vn: thng n hn li: thng
3. Phng thc tr n : Vn:

; Li:

4. Mc ch s Sn xut/kinh doanh/dch v Mua nh/t

Tiu dng
Mua PTVT
dng vn vay: Xy dng/sa cha nh
KD/u t chng khon Du hc
Khc: .
Din gii chi tit mc ch s dng vn vay:
...
...
...
...
...
...
...
...
5. Ti sn bo m:

Ch s hu:

...

...

...

...

...

...

...

...

... ...
III. NGUN TR N
Ngun tr n
Ngi vay
V/chng
Ngi cng tr n
1. Lng/ph cp

2. Kinh doanh

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3. Cho thu nh/t/xe

4. Gp vn/C tc

5. Bn ti sn

6. Ngun khc

=> Tng ngun tin tr n: ......... ,............,............,.........

Chng ti cam kt:
1. Thc hin y cc quy nh ca Ngn hng Nh nc v ca ACB lin quan n vic cp tn dng
2. Chu trch nhim v tnh chnh xc, hp php ca cc thng tin v ti liu cung cp cho ACB. ACB c ton quyn xc
minh/thm nh cc thng tin lin quan.
3. Cho php ACB chp cc hnh nh hot ng sn xut kinh doanh (nu c) phc v cng tc thm nh
Ngy ......... thng ..........nm .............
KHCH HNG VAY
(K v ghi h tn)

S V TR NH CA KHCH HNG
(Nu a ch ni thm nh kh tm)

PHN DNH CHO NGN HNG

Loi KH
Ngun KH

Mi

Hin Ti

T tm n KH do PFC pht trin Tng i 247 Vay qua mng i tc lin kt Khc

M ngun HS

M chng trnh

M NV nhn HS

M NV T HS

M h s

Ngn hng Chu (ACB) lun cam kt cung cp s minh bch trong hot ng tn dng vi khch hng. Trong trng hp nhn c
ngh ca nhn vin ACB v vic phi tr nhng khon tin/ khon ph pht sinh ngoi quy nh (khng c thng bo chnh thc t ACB),
khch hng vui lng phn hi v s in thoi (08) 38 247 247 hoc s 1800 577 775 (min ph) c h tr.

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