Property Financing Application

Enquiries 1300 880 900

CIMB Bank Berhad (13491-P) CIMB Islamic Bank Berhad (671380-H)

MAIN APPLICANT CURRENT EMPLOYMENT DETAILS

Employment type Miss Others Salaried Occupation Self-employed Others

PERSONAL DETAILS
Salutation Mr Madam

Name as per NRIC

New NRIC number

Old NRIC number

Designation/Job title Employer's name

Other identification (complete if you do not have an NRIC) Passport Gender Male Nationality Malaysian Others Female Army/ Police Specify number Date of birth (dd/mm/yyyy)

Employer's address

Postcode State Country

For non-Malaysians, what is your residence status? Non-Malaysian resident Permanent resident Race Malay Bumiputra Yes No Chinese Indian Others Non-Malaysian non-resident Malaysia My 2nd Home

Employer's phone number

Employer's fax number

Length of service
Years Months

Total working experience

Years Months

Main monthly income RM Industry Business type

Other monthly income RM

Marital status Single Married Others

MNC Public Ltd Company Private Ltd Company Proprietor/Partnership

Bursa Listed Government Agency CIMB Group Financial Institution

Number and age(s) of dependent children

Age(s)

Highest level of education obtained Postgraduate Diploma Professional qualification Secondary Primary Degree Others

Number of employees in the company

Permanent home address

SPOUSE'S DETAILS
Postcode State Country Country Postcode

Complete only if your spouse is not a joint applicant/guarantor Name as per NRIC New NRIC number Old NRIC number

Home phone number

State

Mobile phone number

Email address Current residence status Owned - charged Owned - not charged Rented Company quarters Relatives Parents

Other identification (complete if you do not have an NRIC) Army/ Specify Passport Police number

Page 1 of 5

(07/11)

Less than 15

15-50

51-100

More than 100

PREVIOUS EMPLOYMENT DETAILS

Complete if you have worked for your current employer for <2 years Previous employer's name

Previous occupation Mailing address (complete if different from above)

Length of service
Years Months

SPOUSE'S DETAILS
Postcode State Country

Complete only if your spouse is not a joint applicant/guarantor Name as per NRIC New NRIC number Old NRIC number

Home phone number Email address Current residence status Owned - charged Owned - not charged

Mobile phone number

Other identification (complete if you do not have an NRIC) Army/ Specify Passport Police number Rented Company quarters Relatives Parents Page 1 of 5
(07/11)

JOINT APPLICANT/GUARANTOR CURRENT EMPLOYMENT DETAILS

Business partner Employment type Salaried Occupation Designation/Job title Self-employed Others

Relationship with main applicant Spouse Parent Child Sibling Relative Others

PERSONAL DETAILS
Salutation Mr Madam Miss Others Name as per NRIC

Employer's name New NRIC number Old NRIC number Employer's address Other identification (complete if you do not have an NRIC) Army/ Specify Passport Police number Gender Male Nationality Malaysian Others Length of service
Years Months Postcode State Country

Date of birth (dd/mm/yyyy) Female

Employer's phone number

Employer's fax number

Total working experience

Years Months

For non-Malaysians, what is your residence status? Non-Malaysian resident Non-Malaysian non-resident Malaysia My 2nd Home

Main monthly income RM Industry

Other monthly income RM

Permanent resident Race Malay Bumiputra Yes No Chinese Indian

Others Business type MNC Public Ltd Company Bursa Listed Government Agency CIMB Group Financial Institution

Marital status Single Married Others

Private Ltd Company Proprietor/Partnership Number of employees in the company

Number and age(s) of dependent children

Age(s)

Highest level of education obtained Postgraduate Diploma

Less than 15

15-50

51-100

More than 100

Professional qualification Secondary Primary

Degree Others

PREVIOUS EMPLOYMENT DETAILS

Previous employer's name

Permanent home address

Complete if you have worked for your current employer for <2 years

Postcode State Country

Previous occupation

Length of service Mailing address (complete if different from above)

Years Months

SPOUSE'S DETAILS
State Country

Page 2 of 5

Postcode

Complete only if your spouse is not a joint applicant/guarantor Name as per NRIC New NRIC number Old NRIC number

Home phone number Email address

Mobile phone number

Current residence status Owned - charged Owned - not charged Rented Company quarters Relatives Parents

Other identification (complete if you do not have an NRIC) Specify Army/ Passport Police number

Page 3 of 5

LOAN/FACILITY DETAILS
Refinancing Enhancement Cash out

Purpose of loan/facility Purchase

GMTA/GMTT
Insured/Covered applicant(s) 1. 2. 2. RM
Years

Owner occupied Yes No

First time property purchase Yes No

Insured/Covered amount 1. RM Term insured/covered 1.

PROPERTY VALUE
Purchase price Indicative market value Margin of finance Product Name RM RM %

2.

Years

Reason for enhancement/cash out Renovation Purchase of consumption goods

Other personal use Is the applied Overdraft/Cashline (if applicable) to be maintained in existing current account with Overdraft/Cashline facility secured by property? Yes No

LOAN/FACILITY AMOUNT
Housing/Term loan Home/Term financing Overdraft/Cashline Term
Years

RM RM RM RM

(if applicable)

Others (GMTA/GMTT,legal and valuation fees) Indicative Total

PROPERTY DETAILS
Property description Commercial Built up area Land Construction status (if applicable) Completed Under construction Others Specify expiry date of lease / / Specify % completed %

Property type Residential Land area Source of property Developer Title type Individual Strata Master Vendor Auctioned

Refinancing Title status Freehold

Leasehold

Owner's details (if the property is owned by a 3rd party other than the applicants) Owner's name Relationship with main applicant

New NRIC number

Old NRIC number

Other identification (complete if owner does not have an NRIC) Passport Army/ Police Specify number

Property address
Postcode State Country

Title number

Lot number

Sub-district/Mukim

District

State

UNDER CONSTRUCTION PROPERTY

Project name Developer's name Phase

SECONDARY MARKET PROPERTY

Vendor Name Vendor's new NRIC number Vendor's old NRIC number

REFINANCING PROPERTY

Vendor's other ID (complete if vendor does not have an NRIC)

Current financier (if applicable)

Amount of loan/financing outstanding (if applicable) RM

Passport

Army/ Police

Specify number

EMERGENCY CONTACT DETAILS OF FAMILY MEMBER

(FOR MAIN APPLICANT ONLY)

Name as per NRIC Home phone number Mobile phone number

Relationship with main applicant

DOCUMENTS ENCLOSED

Which of the following documents are you providing with this form?

ALL APPLICANTS
Copy of applicant's NRIC / Passport Latest 3 months bank statements Latest loan/financing statement (if refinancing)

Latest EA Form / Form B with proof of tax payment / EPF Statement Sale and purchase agreement OR booking receipt OR copy of title deed

Valuation report (if available)

SALARIED APPLICANTS
Latest 3 months salary slip Letter from employer

SELF EMPLOYED APPLICANTS

Profit and loss statement Business registration A & D OR Forms 24 & 49

7
(i)

DECLARATION/DISCLOSURE BY APPLICANT

I/We declare that I/We have/do not have outstanding debt payment obligation from banks and non-banks (e.g. cooperatives building societies, credit companies and merchant that provide credit sales) Particulars of the main applicant's outstanding debt payment obligation are as follows (no declaration from the main applicant denotes that this declaration is not applicable): No 1 2 3 4 5 6 Particulars of the co. applicant's (if applicable) outstanding debt payment obligation are as follows (no declaration from the co. applicant denotes that this declaration is not applicable): No 1 2 3 4 5 6 Name of Entity Amount of outstanding debt (RM) Monthly instalment amount (RM) Name of Entity Amount of outstanding debt (RM) Monthly instalment amount (RM)

(ii) (iii) (iv) (vi)

I/We declare that the information furnished in this form are completely true and accurate and I/we have not with hold any information which may prejudice my/our financing/loan application or have a bearing on your financing decision. I/We hereby authorize you or your representative to obtain information relating to this application from any source. You shall reserve the right to reject my/our financing/loan application at your sole discretion without any reason whatsoever. I/We shall comply with the Bank's requirements in respect of my/our loan/financing application and understand that the Bank's offer of the loan/financing shall be subject to the Bank performing any necessary verification. The Bank refers to CIMB Bank Berhad or CIMB Islamic Bank Berhad (as the case may be), being the licensed financial institution offering the loan/financing product(s) referred to in this application form.

(v) I/We have not committed any act of bankruptcy and/or been adjudged a bankrupt.

(vii) I/We confirm that the Bank is authorised to verify and/or make any checks and/or obtain any information and/or confirmation, with or from any credit reference agencies, including but not limited to CCRIS, FIS and/or any other agencies and/or from any financial institution, on me/us and/or any other person, individual and/or entity as the Bank may deem fit, for any purposes which the Bank deems fit. (viii) I/We hereby agree and authorise the Bank to disclose to any person(s) in or outside Malaysia including but not limited to companies within the group of the Bank as well as companies within the group of CIMB Group Holdings Berhad, the Bank's ultimate holding company (Group Companies) whether such Group Companies are residing, situated, carrying on business, incorporated or constituted within or outside Malaysia any information about or with regard to me/us, my/our affairs and/or banking accounts for such purposes as the Bank deems fit or appropriate. Disclosure to Group Companies which are involved in the promotion, sale, delivery and distribution of financial products and services shall be for facilitating the operations, businesses, cross-selling and other purposes of the Bank and or the Group Companies. Notwithstanding the generality of the foregoing, the Bank acknowledges that (i) it shall not disclose my/our information to the Group Companies which are residing, situated, carrying on business, incorporated or constituted within Malaysia for purposes of cross-selling if such disclosure is objected to by me/us; (ii) it shall only disclose my/our information (excluding information relating to my/our affairs or account) to third parties, including Group Companies which are residing, situated, carrying on business, incorporated or constituted outside Malaysia, for strategic alliances, marketing and promotional purposes, if I/we have expressly consented to such disclosure. (ix) In connection with Bank Negara Guidelines on Credit Transactions and Exposures With Connected Parties, I/we hereby declare that (no declaration from the applicant(s) denotes that this declaration is not applicable):

I am a staff of the CIMB Group1 To the best of my knowledge, I have close relative(s)2 employed under the CIMB Group or has acted as my guarantor

Particulars of my close relative(s) in CIMB Group: Full Name NRIC No. Relationship Acted as Guarantor Yes Yes Yes
1

No No No

CIMB Group means CIMB Bank Berhad or CIMB Islamic Bank Berhad or CIMB Investment Bank Berhad or other subsidiaries or companies controlled by the aforesaid respective banking institutions. 2 Close relative(s)include parent/ spouse of staff including the spouse's dependants/ children/ spouse of the children/ brother and sister/ spouse of brother/ sister and any other dependants and persons who may influence/ be influenced by the staff.

8
(i)

VOLUNTARY DECLARATION/DISCLOSURE BY APPLICANT

I / We declare that I/we have/do not have contingent liabilities with any other party(ies).Where I/we have contingent liabilities, particulars of my contingent liabilities are as follows: No 1 2 3 4 5 6 Name of Entity Maximum Amount of Contingent Liabilities (RM) (where ascertainable)

I require the Letter of Offer in: Bahasa Malaysia

English

Signature of Main Applicant

Date

Signature of Joint Applicant

Date

Full name

Full name

BANK USE ONLY

Product name Parking branch Referred by Free moving costs Yes Salesperson name Sales team GMTA/GMTT Yes - Self financed Yes - Bank financed No No