PropertyNetAsia Malaysia Housing Loan Application Form
1. PERSONAL DATA
Single Application Joint Application
Full Name
Old NRIC No.
 New NRIC No.
 Date of Birth (DD/MM/YYYY)
Home Address Home Telephone
City Handphone
Post code

State

Mailing Address Home Office

Citizenship
Malaysia Others
Marital Status
Single Married
Emergency Contact
Name Address Tel.







2. PERSONAL EMPLOYMENT
Name of Company

 (If self-employed, please give name of your company and enclose Business Registration Document)
Office Address Position
City Nature of Business
Post code Duration in Co
State

Tel

3. PARTICULARS OF SPOUSE
Full Name
Old NRIC No.
 New NRIC No.
 Date of Birth(DD/MM/YYYY)
Citizenship
Malaysia Others
Name of Company
Office Address Position
City Duration in Co.
Post code Tel.
State

4. DETAILS OF LOAN REQUIRED
Loan Amount
RM %

 Period of Financing
Years
5 PROPERTY TO BUY AS SECURITY
Type of property (e.g. Single storey bungalow, double storey link house, condominium, apartment, land etc.)
Property Address
City
Post code
State

6 PROPERTY TO BE OFFERED AS SECURITY
Type of property (e.g. Single storey bungalow, double storey link house, condominium, apartment, land etc.)
Property Address
City
Post code
State
Registered Owner(s)

 Clean Encumbered
7. OTHER CREDIT FACILITIES OUTSTANDING
Name of Financial Institution Type of Credit Date Obtained
(DD/MM/YYYY)		 Approx. Balance Repayment











8. The bank will contact you and ask for the detail document as below
Photocopies of income tax returns (last 2 years)
 Letter from employer or payslips (3 months)
 Valuation report
 Photocopy of title, quit rent and assessment
 Photocopy of NRIC of applicant(s)
 Photocopy of bank statement (last 3 months)
 Photocopy of last 9 months loan repayment record (if applicable)
 Sales and Purchase Agreement or letter of offer from developer
 Others

Please send the form to Citibank Standard Chartered