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Business Financing Application Form (Updated)

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70 views

Business Financing Application Form (Updated)

Uploaded by

kadarammuda
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 3

Your Bank of Choice

APPLICATION FOR BUSINESS FINANCING


i) This form needs to be filled in and returned to the Bank.
ii) The Bank does not appoint any third party for financing application activity. FOR BANK’S USE
iii) This application shall not be considered an offer but is subject to the bank’s Date Received
evaluation and approval.

1. COMPANY/FIRM INFORMATION

1.1 Registered Name

1.2 Registration No.

1.3 Country of Origin.

1.4 Registered Address

1.5 Mailing Address


(If different from registered
address)

1.6 Company Website (if any)

1.7 Constitution Type


Private Limited Company Sole Proprietorship
Public Listed Company Partnership
Cooperative Others

1.8 Current Business Premise Ownership


Owned by Company (fully paid) Owned by Related Party
Mortgage: RM_____________ Rented: RM___________

1.9 Business Activities

2. INFORMATION OF FINANCING APPLICATION


No Type of Financing Total (RM) Purpose of Financing Tenure Security

Note: Proposed security such as property, fixed deposit etc.

Page 1 of 3
Your Bank of Choice
3. GUARANTOR DETAILS (PERSONAL/CORPORATE)

IC/Business Guarantor’s Position in


Contact
No. Name Registration Address Income/ Net the
No.
No. Worth (RM) Company

4. AUTHORIZED PERSON TO DEAL:

I/We hereby agree and consent to Bank Rakyat to disclose/provide financing information/details to the
authorize persons below for credit evaluation, review of existing facilities, collection activities and any other
purpose which are required by Bank Rakyat.

Authorized Person 1

Name
Position in the company
Contact No. (Office &Mobile)
Preferred email address
(Company/Personal email address)

Authorized Person 2

Name
Position in the company
Contact No. (Office &Mobile)
Preferred email address
(Company/Personal email address)

I/We further agree that in the event of changes of the authorized persons above, I/We shall notify/update the
Bank immediately, failing which the above authorized persons shall be deemed as good and applicable.

Bank Rakyat shall not be liable for such failure/omission by Customers to issue notification on any of the
above changes and any losses/damages directly or indirectly arising from this consent.

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Your Bank of Choice

5. DECLARATION

I/We affirm that the given information is true, valid, and complete. I/We hereby authorize Bank Kerjasama
Rakyat Malaysia Berhad (“Bank Rakyat”) to obtain and verify information from me/us, CTOS, CCRIS, Credit
Bureau Malaysia, AMLA Name Screening "On Line Look Up Tool” Bankersaccuity, any Financial Institutions
and other sources that Bank Rakyat deems appropriate, on any information which Bank Rakyat may require.
I/We acknowledge that Bank Rakyat reserves the sole and absolute right to approve, decline or reject
my/our application(s) without assigning any reasons whatsoever. I/We hereby agree to Bank Rakyat
disclosing information to Bank Negara Malaysia, third parties or any agents appointed by Bank Rakyat
regarding my/our credit facilities and my/our account with Bank Rakyat as may be required, whether
pursuant to law or otherwise. Bank Rakyat shall not be liable either or indirectly to me/us or any other
persons for such disclosure.

I/We hereby declare that I/We have not breached or contravened the provisions of Section 28 of the
Development Financial Institutions Act 2002 together with any standards/ guidelines/ specifications/
circulars issued by Bank Negara Malaysia from time to time in connection herewith. I/We further declare
and confirm to the Bank that my/our spouse, parents, child/children are not in the employment of or
directly related to any of the directors, officers, or employees of the Bank.

In the event of any inconsistencies between the policies and procedures and any other agreements,
mandates, terms, or conditions relating to the Customer’s financing(s) with the Bank, the Bank’s policy
and procedures shall prevail.

The Bank reserves the right to review / modify/ add the requirements and terms and conditions and when
the Bank deems fit.

Dated this _________________________ day of _________________________20_____________

____________________________ ____________________________
Authorized Signatory(ies) Authorized Signatory(ies)

6. APPLICATION CHECKLIST

Supporting documents as per application checklist. The documents must be submitted together with this
application form.

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