SINGER (SRI LANKA) PLC
APPLICATION FOR A I{IRE PURCHASE ACCOUNT
aO 6'M?Dd 6€Od er€or ECiCO ooo
6L6ir Gl&[6[6uffrq 5ffi6dlo5lrfl oll@i@uu ul96xb
Full Name
caogb6e {tO
(!)@u6luurir
2. N I C/Passport No/ D.L No.
6r:c'r:(,:/O:@:A:/ 6.O eooo.
sl6,L rurr6rr glLo)L / 6L6qdClL0 / 6rDgi atglil,dnuiig!, O6t)
3 Residcncial Address
ergoo doret@d @Eoco
olLG (J)E6xfl
4. Have you purchased any product ftom Singer earlier? lf known qetails- -
oa Soob'A6t,{,o6d @o ooo to#o O@e oo{t 566e? oO oO &66 9e6od o6d{t
OODTO Cpolrotr dl,i5f5i) 6r6n6J€J 6lu[O6t 65n6ilof,I6{ G]6uJ56n6 rn?
5. Monthly Income/ Salary 6. Product Required
066 o0t'{16/ Ae(oo O@e @zA@O Eeod ttdo
DIFIEE o]ODlrorb GE6)6xuJno OunO6iI
7. Affordable, First Palment Monthly Palment
o@OOo ct A g@tD ge@ OAo o)OtD(o
oeoJJijErii 4'r9u.t (!DE 6t 6LL@tb DnOr65 ELLffiLb
8. TelephoneNo Home OIIice Mobile
do@
g,66ort EotD6 SOti ?Dlb(ol,@co
OEr6r6DGudl g61].i6Lb 610 onf)urroou.:rir 65'rr6,ELSudl
9. Residence
oO creooo AOe,
elglerirrn
506;
Own
t!o)€d@
6en$6ora5t tr oeo€(3d€d
Parcnt's
GluDGDn6L6n tr Rent€d
a6
6XI[L6d){E tr Other
oOerd
GE mr tr
10. Name of Employment/ Business
d6or dorood/ o6n 16 doxr@d ?ro
G6x6r6n O6r6pldil GluuJir
11. Employmen, Busmess Address
d56r do]l,@d/ o6)o)d do)ttod 6a{to
Gor6)6DEE6r gD66IJfl
12. Job Title 13. Number ofyears employed./ in Business
d56rsO/ oa)o)ood t {ta6 odo a:6(r/ O(o)crd@d 6eA or@(o
Gor6)6) E@r6ouq Ge6r6!ur6b L6ftEn 5n6nt-i)
14. Marrital Status Married Single 15. Do you have children Ycs No
OO 00)('6? OOr(,@
otl6![6!il6)6D? Prol,ffil,[r6rorir tr eOOotD
pr(EodfiIl,Ir6nPoir
OOo e6zod BOA?
(5pD6drg66ir L6iI lgr?
oo
qgo tr {tat
@6D6D6r)
16. Do you have a bank account
OA 640 AcoA 68Od 6@A€?
oldd6 Edf,Bo L6iI6[E Ir?
Yes
oo
4rD
No
ttao)
6eioru
tr
17. Do you have a credit card
OA caao
6Lei SL6)L
66 6od SoAe?
L6iI5flE{?
Yes
oo
esI,
tr No
?ta6)
OEb6D6l)
tr
I here by ceftiry above p€rticula$ are true aDd correct.
ot'{r 6etDd ot,)606r eflr! o) aoa€ AOO c!l'6lD 66O.
6;od; ;olal6d; gaosiloeir afr.u-noSllb L@jlollourn6dolb erar Lulli OeuddilGDai
Signah[e e&o oscluJlrtuD
FOR OFFICE USE ONLY
Easy Location
Date ofSale
Sales Of'ficer / Sales creator
l" GURANTOB s PEBTICITLABS/ o€g aroroo. 6AOc fu/ t b do)dnurrof uldn orurlb
Full Name
rsogbaD o@
(!)(0u6][Link]
2. N I C/Passpon No/ D.L No.
.bts,:ot lAll5otl 6.0 eolo(S.
gt6rLuJlr6n [Link] / eq&dLo / EnqE! s@rDi!tu6E!, O6D
3. Residencial Address
6eoO ddocd
6rLG gD6orfl
4. TelephoneNo Home Office Mobile
E6oO{t Eo@6 5Or! tDllh)c(r do@@
OEn@r6l)Gud O6D!b6d 610 snflurflNuJb O6fl6drGDGuCl
5. ResideDce
6.
oo [Link] 60{,
argrorLb
Name of Employmenv Business
Sotc;
Own
t'o)@do
6erfr5,otto5t I 6eOA6d€d
PareDt's
6ufGpr6uei tr Retrted
a6
6r,nLo)t6 tr Other
€Ood
Go@r tr
d6(r) ddr{o6d/ orloD6 ddi{red r'O
Gor6)6D Ei5fl5{t6ir OuuJir
7. Job Title 8. Monthly Income/ Salary
d66r€O/ ODt 6od ?D046 @E{D @0o€16/ QO(SO
Corour6u O6rA)nl] l,olror6gi oroDfiab
9. Relatiorship to Hter
cDz{lO{D6. O @5 EOOdOt')oo
66n6i5u6tron6noLol[@ LDq
I here by certift above perticulars are tue atrd corect.
grro 6t,)64& tctt6 t'r [Link]
@dq6rro96t6 OOO ei('6lD ?D6o.
GDOFir6r g,66u6u66tlf uJlroor6 e-@i6rl,ulrdf,6lb oo lgp! G6uldsil€D6il
Signature gdtao d,)66uJ[uuri)
,' GUEANTORE PEBTICITLTBS/ scoo q.o66. E€OG elfu/ 2b Lio@urr6iul.i oluqb
l. Full Name
6otrb6 ('O
(g)[Link]
2. N I C/Passport No/ D.L No.
6,('r,o:/A:@,O,/ 8.O qoffi.
€l6oLurr6[ grLolL / 6Lol&dlL0 / Err{, ggtnDpruu6!!tr O6D
3. Residencial Address
4,oO ddoed @Aoco
orLo (!)6airl
4. TelephoneNo Home Office Mobile
g6{Do(D eoo(g 5Ot3 D]b6)@(3 do6@
6g/r6ra)Gud O6nlii66 olG onf [Link] 6EnorsoEr.-td
5.
6.
Residence
oo ceooo AOo 506;
opleflrd
Own
oo€do
616rEE[ordta
Pare[t's
seo)B(i&d
GluECprOL6iI
Rented
a6
5UILff)t6 u Other
€Orld
G5ll@l tr
eDo
Gol6 5oE Ei6lldiddil 6uuJi',
7. Job Title 8. Monthly Income/ Salary
dScD€Oi OrDoldod l,tDq6 oBrD o00@(s/ epe6o
8o6rr6D E6)61)[Link] lDnE[b6 OrololIdrb
9. RelatioDship to Hirer
oE*loto6r O eEB 6@dAoro(3
616d6ir6[dr6!lr6aoLor LDs{
I here by certifo above perticula$ are kue and correct.
g(,o r!€rrd 6{rl6e66 6tt6 or SOcCe OOO 6r,6tD 660.
ErogJ6ildfl €torot5€ Jb E66u6U65ir erlullI6trO[b Ldrolou]noor'D 6lot 9-Elld GtuldenGD6il
S ignature qdeo 6rs6urnuub
OZ
