Property Financing Application

Enquiries 1300 880 900
CIMB Bank Berhad (13491-P) CIMB Islamic Bank Berhad (671380-H)

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MAIN APPLICANT CURRENT EMPLOYMENT DETAILS
Employment type Miss Others Salaried Occupation Self-employed Others

PERSONAL DETAILS
Salutation Mr Madam

Name as per NRIC

New NRIC number

Old NRIC number

Designation/Job title Employer's name

Other identification (complete if you do not have an NRIC) Passport Gender Male Nationality Malaysian Others Female Army/ Police Specify number Date of birth (dd/mm/yyyy)

Employer's address

Postcode State Country

For non-Malaysians, what is your residence status? Non-Malaysian resident Permanent resident Race Malay Bumiputra Yes No Chinese Indian Others Non-Malaysian non-resident Malaysia My 2nd Home

Employer's phone number

Employer's fax number

Length of service
Years Months

Total working experience
Years Months

Main monthly income RM Industry Business type

Other monthly income RM

Marital status Single Married Others

MNC Public Ltd Company Private Ltd Company Proprietor/Partnership

Bursa Listed Government Agency CIMB Group Financial Institution

Number and age(s) of dependent children
Age(s)

Highest level of education obtained Postgraduate Diploma Professional qualification Secondary Primary Degree Others

Number of employees in the company

Permanent home address

SPOUSE'S DETAILS
Postcode State Country Country Postcode

Complete only if your spouse is not a joint applicant/guarantor Name as per NRIC New NRIC number Old NRIC number

Home phone number
State

Mobile phone number

Email address Current residence status Owned - charged Owned - not charged Rented Company quarters Relatives Parents

Other identification (complete if you do not have an NRIC) Army/ Specify Passport Police number

Page 1 of 5

(07/11)

not charged Mobile phone number Other identification (complete if you do not have an NRIC) Army/ Specify Passport Police number Rented Company quarters Relatives Parents Page 1 of 5 (07/11) .Less than 15 15-50 51-100 More than 100 PREVIOUS EMPLOYMENT DETAILS Complete if you have worked for your current employer for <2 years Previous employer's name Previous occupation Mailing address (complete if different from above) Length of service Years Months SPOUSE'S DETAILS Postcode State Country Complete only if your spouse is not a joint applicant/guarantor Name as per NRIC New NRIC number Old NRIC number Home phone number Email address Current residence status Owned .charged Owned .

what is your residence status? Non-Malaysian resident Non-Malaysian non-resident Malaysia My 2nd Home Main monthly income RM Industry Other monthly income RM Permanent resident Race Malay Bumiputra Yes No Chinese Indian Others Business type MNC Public Ltd Company Bursa Listed Government Agency CIMB Group Financial Institution Marital status Single Married Others Private Ltd Company Proprietor/Partnership Number of employees in the company Number and age(s) of dependent children Age(s) Highest level of education obtained Postgraduate Diploma Less than 15 15-50 51-100 More than 100 Professional qualification Secondary Primary Degree Others PREVIOUS EMPLOYMENT DETAILS Previous employer's name Permanent home address Complete if you have worked for your current employer for <2 years Postcode State Country Previous occupation Length of service Mailing address (complete if different from above) Years Months SPOUSE'S DETAILS State Country Page 2 of 5 .2 JOINT APPLICANT/GUARANTOR CURRENT EMPLOYMENT DETAILS Business partner Employment type Salaried Occupation Designation/Job title Self-employed Others Relationship with main applicant Spouse Parent Child Sibling Relative Others PERSONAL DETAILS Salutation Mr Madam Miss Others Name as per NRIC Employer's name New NRIC number Old NRIC number Employer's address Other identification (complete if you do not have an NRIC) Army/ Specify Passport Police number Gender Male Nationality Malaysian Others Length of service Years Months Postcode State Country Date of birth (dd/mm/yyyy) Female Employer's phone number Employer's fax number Total working experience Years Months For non-Malaysians.

charged Owned .Postcode Complete only if your spouse is not a joint applicant/guarantor Name as per NRIC New NRIC number Old NRIC number Home phone number Email address Mobile phone number Current residence status Owned .not charged Rented Company quarters Relatives Parents Other identification (complete if you do not have an NRIC) Specify Army/ Passport Police number Page 3 of 5 .

2. RM Term insured/covered 1. Years Reason for enhancement/cash out Renovation Purchase of consumption goods Other personal use Is the applied Overdraft/Cashline (if applicable) to be maintained in existing current account with Overdraft/Cashline facility secured by property? Yes No LOAN/FACILITY AMOUNT Housing/Term loan Home/Term financing Overdraft/Cashline Term Years RM RM RM RM (if applicable) Others (GMTA/GMTT.3 LOAN/FACILITY DETAILS Refinancing Enhancement Cash out Purpose of loan/facility Purchase GMTA/GMTT Insured/Covered applicant(s) 1.legal and valuation fees) Indicative Total 4 PROPERTY DETAILS Property description Commercial Built up area Land Construction status (if applicable) Completed Under construction Others Specify expiry date of lease / / Specify % completed % Property type Residential Land area Source of property Developer Title type Individual Strata Master Vendor Auctioned Refinancing Title status Freehold Leasehold Owner's details (if the property is owned by a 3rd party other than the applicants) Owner's name Relationship with main applicant New NRIC number Old NRIC number Other identification (complete if owner does not have an NRIC) Passport Army/ Police Specify number Property address Postcode State Country Title number Lot number Sub-district/Mukim District State UNDER CONSTRUCTION PROPERTY Project name Developer's name Phase SECONDARY MARKET PROPERTY Vendor Name Vendor's new NRIC number Vendor's old NRIC number REFINANCING PROPERTY Vendor's other ID (complete if vendor does not have an NRIC) . RM Years Owner occupied Yes No First time property purchase Yes No Insured/Covered amount 1. 2. PROPERTY VALUE Purchase price Indicative market value Margin of finance Product Name RM RM % 2.

Current financier (if applicable) Amount of loan/financing outstanding (if applicable) RM Passport Army/ Police Specify number .

5 EMERGENCY CONTACT DETAILS OF FAMILY MEMBER (FOR MAIN APPLICANT ONLY) Name as per NRIC Home phone number Mobile phone number Relationship with main applicant 6 DOCUMENTS ENCLOSED Which of the following documents are you providing with this form? ALL APPLICANTS Copy of applicant's NRIC / Passport Latest 3 months bank statements Latest loan/financing statement (if refinancing) Latest EA Form / Form B with proof of tax payment / EPF Statement Sale and purchase agreement OR booking receipt OR copy of title deed Valuation report (if available) SALARIED APPLICANTS Latest 3 months salary slip Letter from employer SELF EMPLOYED APPLICANTS Profit and loss statement Business registration A & D OR Forms 24 & 49 7 (i) DECLARATION/DISCLOSURE BY APPLICANT I/We declare that I/We have/do not have outstanding debt payment obligation from banks and non-banks (e. situated. with or from any credit reference agencies. Notwithstanding the generality of the foregoing. I/We hereby authorize you or your representative to obtain information relating to this application from any source. credit companies and merchant that provide credit sales) Particulars of the main applicant's outstanding debt payment obligation are as follows (no declaration from the main applicant denotes that this declaration is not applicable): No 1 2 3 4 5 6 Particulars of the co. carrying on business. I/We shall comply with the Bank's requirements in respect of my/our loan/financing application and understand that the Bank's offer of the loan/financing shall be subject to the Bank performing any necessary verification. situated. (ix) In connection with Bank Negara Guidelines on Credit Transactions and Exposures With Connected Parties. carrying on business. incorporated or constituted within Malaysia for purposes of cross-selling if such disclosure is objected to by me/us. my/our affairs and/or banking accounts for such purposes as the Bank deems fit or appropriate. for any purposes which the Bank deems fit. (v) I/We have not committed any act of bankruptcy and/or been adjudged a bankrupt. sale. incorporated or constituted outside Malaysia. including Group Companies which are residing. I/we hereby declare that (no declaration from the applicant(s) denotes that this declaration is not applicable): . applicant denotes that this declaration is not applicable): No 1 2 3 4 5 6 Name of Entity Amount of outstanding debt (RM) Monthly instalment amount (RM) Name of Entity Amount of outstanding debt (RM) Monthly instalment amount (RM) (ii) (iii) (iv) (vi) I/We declare that the information furnished in this form are completely true and accurate and I/we have not with hold any information which may prejudice my/our financing/loan application or have a bearing on your financing decision. including but not limited to CCRIS. on me/us and/or any other person. FIS and/or any other agencies and/or from any financial institution. You shall reserve the right to reject my/our financing/loan application at your sole discretion without any reason whatsoever. delivery and distribution of financial products and services shall be for facilitating the operations. Disclosure to Group Companies which are involved in the promotion. (vii) I/We confirm that the Bank is authorised to verify and/or make any checks and/or obtain any information and/or confirmation.g. the Bank acknowledges that (i) it shall not disclose my/our information to the Group Companies which are residing. businesses. cooperatives building societies. marketing and promotional purposes. situated. individual and/or entity as the Bank may deem fit. cross-selling and other purposes of the Bank and or the Group Companies. applicant's (if applicable) outstanding debt payment obligation are as follows (no declaration from the co. the Bank's ultimate holding company (“Group Companies”) whether such Group Companies are residing. if I/we have expressly consented to such disclosure. The Bank refers to CIMB Bank Berhad or CIMB Islamic Bank Berhad (as the case may be). incorporated or constituted within or outside Malaysia any information about or with regard to me/us. for strategic alliances. carrying on business. (ii) it shall only disclose my/our information (excluding information relating to my/our affairs or account) to third parties. (viii) I/We hereby agree and authorise the Bank to disclose to any person(s) in or outside Malaysia including but not limited to companies within the group of the Bank as well as companies within the group of CIMB Group Holdings Berhad. being the licensed financial institution offering the loan/financing product(s) referred to in this application form.

I am a staff of the CIMB Group1 To the best of my knowledge. I have close relative(s)2 employed under the CIMB Group or has acted as my guarantor .

particulars of my contingent liabilities are as follows: No 1 2 3 4 5 6 Name of Entity Maximum Amount of Contingent Liabilities (RM) (where ascertainable) I require the Letter of Offer in: Bahasa Malaysia English Signature of Main Applicant Date Signature of Joint Applicant Date Full name Full name BANK USE ONLY Product name Parking branch Referred by Free moving costs Yes Salesperson name Sales team GMTA/GMTT Yes .Particulars of my close relative(s) in CIMB Group: Full Name NRIC No. 8 (i) VOLUNTARY DECLARATION/DISCLOSURE BY APPLICANT I / We declare that I/we have/do not have contingent liabilities with any other party(ies).Where I/we have contingent liabilities.Self financed Yes .Bank financed No No . Relationship Acted as Guarantor Yes Yes Yes 1 No No No CIMB Group means CIMB Bank Berhad or CIMB Islamic Bank Berhad or CIMB Investment Bank Berhad or other subsidiaries or companies controlled by the aforesaid respective banking institutions. 2 Close relative(s)include parent/ spouse of staff including the spouse's dependants/ children/ spouse of the children/ brother and sister/ spouse of brother/ sister and any other dependants and persons who may influence/ be influenced by the staff.

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