Direct Lending System

First, tell us about yourself.

Full name (as in NRIC)

Your NRIC number

Your Employment

Employer / company Name

Occupation

Monthly Income

Start date with current employer

Salary received method

Transfer to bank / receive cheque Receive in cash

Have non-bank monthly commitments. (eg. Moneylenders, Chailease, Courts, Insurans)

Yes No

Please state monthly payment only for all of the items below

Moneylenders (eg. JCL, except AEON CREDIT)

Hire Purchase (eg. Chailease, ELK, loan kedai)

Credit / Instalment Plan (eg. Singer, Courts)

Insurance

Others-Please Specify

Marital status

Your mobile number

+60 –

Is this your WhatsApp number?

Yes No

WhatsApp Phone Number (if different with mobile)

+60 –

Mobile plan

prepaid postpaid

Home Address

State

Postcode

Residential status

Vehicle plate no

Car Model

Financing Amount Required

Workshop that you plan to service at

Workshop

As per assigned to you by POMEN

Salesperson name

Estimated Service Fee

Promo Code (optional)