e-Kredit Application Form
Name
*
Address
*
Postcode
*
New I/C
*
Old/Police/Army IC or Passport
Race
*
Malay
Chinese
Indian
Other
Nationality
*
Malaysian
Non-Malaysian
Employment Status
*
Employed
Own Business
Company Name
*
Company Address
*
Company Postcode
*
Company Tel
*
Gross Monthly Salary
*
RM
.00
Tel (H)
*
Tel (HP)
*
Email
*
Birth Date
*
Marital Status
*
Single
Married
Divorced
Gender
*
Male
Female
No. of Dependents (total)
No. of Dependents (children)
Age 12 & Below
Age 18 & Below
Above age 18
Dependents (others)
Parents
Siblings(Brothers/Sisters)
Spouse(Husband/Wife)
Occupation
*
Year of Service
*
Year(s)
House Type
*
Hostel/Rented
Own Family House
Own House
Gov. Quarters
Other
Year of Stay
*
Spouse Information
Name
*
New I/C
*
Old/Police/Army IC or Passport
Spouse Tel (HP)
*
Employment Status
*
Employed
Own Business
Occupation
*
Year of Service
*
Year(s)
Gross Monthly Salary
RM
.00
Company Name
Company Address
Company Postcode
Company Tel
*
Referees
Name
Relationship
Tel No.
Email Address
Product of Interest
Products of
*
SINGER (M) SDN BHD
topbrands.com.my
Dealer & Partners
Product Model
*
Audio Visual
TV(CTV,LCD,Plasma,LED)
Home Audio
DVD
Sewing Machine
Consumer Product
Industrial Product
Accessories
Refrigerator
Fridge
Chest Freezer
Chiller Display Cabinet
Furnitures
Sofa Set
Dining Set
Bedroom Set
Cabinet(TV/Console/Corner/ Living Hall/Kitchen)
Washing Machine
Fully Auto
Semi Auto
Dryer
Motorcycles
Yamaha
Honda
Suzuki
Modenas
Others
Air Conditioner
Wall Mounted
Ceiling
Cassette
Portable
Floor Standing/Commercial
Others
Notebook
Handphone / Tablet
Health Products
Air Cooler
Water Filter System
Oven & Gas Cooker
Credit Applied For in RM(max. 3x salary) - Terms & Conditions apply
*
<1000
1000 - 1999
2000 - 2999
3000 - 3999
4000 - 5999
>6000
Your privacy is our priority. All information provided will be held in strictest confidence and shall only be used for the purpose of evaluation of the credit applied by you, which includes but not limited to verification of your identity, residence, employment and income.
I declare that the information provided in this application is true.
I agree and authorise SINGER / BERJAYA CREDIT to utilise the information provided in this application for the purpose of providing fair evaluation of the credit applied by me.
I have read and agreed with the
Terms & Conditions