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Borang Permohonan Perkhidmatan Pinjaman / Lending Service Request Form - Mortgage

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Borang Permohonan Perkhidmatan Pinjaman / Lending Service Request Form - Mortgage

*Ruang mandatori / Mandatory fields


Pemegang Akaun / Account Holder Name(s)*
No. KP/No. Pasport/No. Pendaftaran /
No. Telefon / Telephone No.*
NRIC / Passport No. / Registration No.*
No. Akaun / Account No.* Email address / Alamat emel*
A) Permohonan Perkhidmatan Untuk / Service Request For:
1) Penyata Akaun (Yuran RM20 bagi setiap tempoh penyata) / Dari / From: Sehingga / To:
Statement of Account (Fee of RM20 per statement cycle)
2) Penukaran Ansuran Bulanan / Penambahan kepada / Pengurangan kepada /
Revision of Installment: Increase to: RM: a Reduce to: RM: a
3) Permohonan Semakan Semula Faedah (Yuran RM50 bagi setiap permintaan yang diluluskan) /
Request for Interest Rate Revision (Fee RM50 for each approved request)
4) Penyata Penebusan (kaedah penghantaran melalui emel) / Redemption Statement (mode of delivery via email)
(Yuran sebanyak RM50 akan dikenakan bagi setiap penyata yang dipohon / Fee of RM50 will be charged for each statement requested.)
5) Surat Subsidi / Subsidy Letter (Yuran sebanyak RM20 akan dikenakan / Fee of RM20 will be charged.)

6) Penyata Pengeluaran KWSP / EPF Withdrawal Statement (Yuran sebanyak RM20 akan dikenakan / Fee of RM20 will be charged.)
Sekiranya ini adalah pembiayaan semula, sila nyatakan nama pembiaya terdahulu / Please provide previous financier if this is a refinanced case.
Mulai 30/12/2015, pelanggan boleh membuat permohonan pengeluaran KWSP melalui “e-Pengeluaran” untuk bayaran akaun perumahan.
From 30/12/2015, customers can apply for EPF withdrawal via “e-Pengeluaran” for home loan/financing account repayment.
B) Permohonan Salinan Dokumen / Request for Photocopy of Documents
(Yuran sebanyak RM20 akan dikenakan bagi salinan pertama dan RM10 bagi setiap salinan yang berikutnya /
Fee of RM20 will be charged for the first photocopy and RM10 for each subsequent photocopy.)
1) Surat Tawaran Pinjaman / Letter of Offer 5) Perjanjian Pinjaman / Loan Agreement Cum Assignment
2) Surat Perjanjian Jual Beli / Sales and Purchase Agreement 6) Borang Gadaian / Memorandum of Charge
3) Penyata Penebusan daripada Pembiaya Terdahulu / 7) Surat Ikatan Serahan Hak (sekiranya harta tiada Geran Hakmilik) / Deed of
Redemption Statement from Previous Financier Assignment (if Title is not issued yet)
4) Geran Hakmilik / Title Deed 8) Lain-lain / Others _______________________________________
C) Permohonan Pemulangan Wang Terlebih Bayar / Request to Refund Excess Amount
Sila lampirkan salinan muka depan Buku Akaun atau Penyata Akaun bagi tujuan pengesahan / Please enclose a copy of the front page of Passbook or Statement of Account for
verification.
Nama Penuh Penerima / Beneficiary’s Full Name:
Bank Penerima / Receiving Bank:
1) Nombor Akaun Simpanan / 2) Nombor Akaun Semasa /
Savings Account Number: Current Account Number:
Saksi oleh Peguamcara atau Pegawai AmBank /
Witness by Solicitor or AmBank’s Officer:
(Nama Penuh / Full Name) (Tandatangan / Signature)
D) Pelepasan Gadaian / Discharge
1) Perlantikan Panel Peguamcara Semasa Penyelesaian Pinjaman / Appointment of Panel Solicitor Upon Settlement
2) Sila Hantar Dokumen Ini Kepada Peguamcara / Please send the Document to my Solicitor:________________________________________
Beralamat / Addressed at :

E) Lain-Lain Perkhidmatan – Sila Nyatakan / Other Services - Please Specify

F) Kaedah Penghantaran / Mode of Delivery


Sila pilih kaedah penghantaran bagi perkhidmatan yang dipohon / Please choose your preferred mode of collection for the requested service(s): *
Diambil di cawangan/ Hantar ke alamat surat menyurat /
Collect at branch: (Sila nyatakan cawangan / Please specify which branch) Send to my correspondence address

Tandatangan Pemegang Akaun / Pihak


Tarikh
Yang Diberi Kuasa
(Jika ini adalah akaun bersama, semua pemegang akaun perlu menandatanganinya / / Date*
Account Holder / Authorised Signatory * If this is a joint account, all account holders have to sign.)

Untuk Kegunaan Bank Sahaja / For Bank’s Use Only:*


Semakan Biometrik yang dilakukan / Cawangan Penerima / Dikemaskini oleh /
Disahkan oleh /Verified By Dilayan oleh /Attended By Disemak oleh /Checked By
Biometric check done: Receiving Branch Updated By

 Lulus/Passed  Gagal/Failed

Nama & Cap / Tarikh & Masa / Tarikh & Masa / Tarikh & Masa /
Name & Stamp Date & Time Date & Time Date & Time

Yuran dan caj di atas tidak termasuk Cukai Barangan dan Perkhidmatan (CBP) yang akan ditanggung oleh pelanggan. Mulai 1 Jun 2018, kadar CBP akan dikurangkan kepada 0%. / The fees and
charges stated above are exclusive of Goods and Services Tax (GST), which is payable by the Customer. With effect from 1 June 2018, the rate of GST is reduced to 0%.

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