Hire Purchase Application Form - Maybank

Eligibility criteria and conditions apply.FINANCING REQUIREMENTSDirect HP RECOMMENDING UNIT :Bill of Sale A/C PARKED AT :Hire Purchase Application FormA/A No:____________________________________Finance Amount : S$ Finance Period : Interest Rate : Flat (Advance / Arrears)Purpose of Facility :Monthly / Annual RestDETAILS OF SECURITYDescription : New Year of Manufacture :Second-hand (pre-owned) Purchase Price :Vendor :Referred by Dealer :Vehicle Registration No. :Eqpt/Machine Serial No. :Chassis No. :Engine No. :APPLICANTIndividualName :(please tick whichever applicable)Company / FirmCompany Name :Aliases (if any) :Correspondence Address :Business Address :* E-mail :Home Tel No. :Office Tel No. :* E-mail :Office Tel No. : Office Fax No. :* Mobile-Phone No. : * Mobile-Phone No. :* For Main-Applicant, the mobile no. and email provided above will be used for all yourbanking services, and the updating of all your existing records. Only SG registered mobileno. will receive SMS, alerts & notifications on all banking services.* For Main-Applicant, the mobile no. and email provided above will be used for all your bankingservices, and the updating of all your existing records. Only SG registered mobile no. will receiveSMS, alerts & notifications on all banking services.Gender :MaleFemaleDate of Birth : Date of Incorporation :Business Regn. No. :NRIC/Passport No. :Marital Status :Place of Incorporation :Principal Place of Operation :Nationality :If foreigner, PR :YesNoCountry of Birth : Passport Expiry Date :Type of Industry :EMPLOYMENT & INCOME DECLARATION (applicable for individual applicant only)Employer Name :Employer Address :No. of Employees :Occupation :Self-Employed: No Yes, no. of employees :Monthly Income : S$Length of Service : yrs mthsType of Industry :Fully SalariedFully CommissionedSalary with Commission of 20% or LessSalary with Commission Above 20%Freelance / Part-TimeOTHER FINANCIAL COMMITMENTSFinancial Institution Type of Loan Monthly Repayment Financial Institution Type of Loan Monthly Repayment__________________________ ________________________ S$ __________________ ______________________________ ______________________________ S$ ____________________________________________ ________________________ S$ __________________ _____________________________ _____________________________ S$ __________________APPLICANT’S DECLARATION1. Did you receive any discount, rebate or any other benefit from the vendor of the vehicle or any other person? (e.g. car servicing/maintenance package, petrol/shopping vouchers,cash discount etc).NO.YES, I/We have received the following: at a total value of S$NOT APPLICABLE2. Did you obtain any other credit or hire purchase facility (ies) for the purchase or hire (as the case may be) of the vehicle:NO.YES, I/We have received the following: at a total value of S$NOT APPLICABLEI/We warrant that the above declaration shall remain true, accurate and complete in all respects and at all times and I/We shall Immediately notify you in writing, if otherwise.I/We hereby confirm that I/We have read and understood the “Applicants’ Declaration & Authorisation” and all other pertinent information printed overleaf and agree thatthe terms and conditions herein form part of my/our application for hire purchase financing with Maybank. Further, I/We understand and agree that no partial redemption isallowed upon loan disbursement.Signature of APPLICANTMalayan Banking BerhadForm No. 141-1113 (1/2)

GUARANTORName : Date of Birth : Male FemaleCorresp ondenceAddress :Nationality :If Foreigner, PR : Yes NoNRIC/Passport No. : Marital Status :Business Regn. No. : Relationship to Applicant :EMPLOYMENT & INCOME DECLARATIONEmployer Name & Address :Occupation :Length of Service :yrsmthsSelf-employed No Yes, number of employees :Type of Industry :Monthly Income : S$^E-mail:Fully Salaried Fully Commissioned Freelance / Part-Time Home Tel No. :Office Tel No. :Salary with Commission of 20% or Less Salary with Commission Above 20%^Mobile Phone No. :^For Guarantor, the mobile no. and email provided will be solely used for contactingpurpose pertaining to this Hire Purchase application.I hereby represent and warrant that the information given above – and in the table printed immediately below which lists my other financial commitments – is true, complete andcorrect and that I have not withheld any material fact, information or document. I authorise Malayan Banking Berhad (“MBB”) to obtain any information or document MBB mayrequire, in order to process this application, from any person or relevant sources. I confirm that I am not insolvent or an undischarged bankrupt. I irrevocably authorise MBBto disclose any information and/or data relating to myself and my accounts (a) to any of MBB’s head office, representative and branch offices and to any of MBB’s related companyor associated company, in any jurisdiction; (b) to any government or regulatory agency or authority including but not limited to the Land Transport Authority; (c) to any of MBB’spotential assignee or transferee or to any person who has or may enter into contractual relations with MBB in relation to this Loan Application; (d) to any credit bureau (including,without limitation, Credit Bureau (Singapore) Pte Ltd), as well as the members of such credit bureau; (e) to any credit reference or evaluation agencies wherever situated; and(f) to any other person to whom disclosure is permitted or required by any statutory provision or law.OTHER FINANCIAL COMMITMENTS (GUARANTOR)Signature of GUARANTORFinancial Institution Type of Loan Monthly Repayment Financial Institution Type of Loan Monthly Repayment______________________________ _________________________ S$ __________________ ____________________________ _____________________________ S$________________________________________________ ________________________ S$ __________________ ____________________________ ____________________________ S$ __________________APPLICANT’S DECLARATION & AUTHORISATIONBy submitting this application for hire purchase financing, I/we hereby :-1) Represent and warrant that all information and documents provided by me/us are true, complete and accurate and that I/we have not withheld any material fact,information or document.2) Agree to provide Malayan Banking Berhad (“MBB”) with all such information and/or documents as MBB may require from time to time relating to or in connection withmy/our application.3) Authorise MBB to conduct credit checks and to obtain and/or verify any information about me/us as MBB may deem fit.4) Authorise MBB to disclose any information and/or data relating to myself/ourselves and my/our account(s) with MBB :-(a) to any of MBB’s head office, representative and branch offices and to any of MBB’s related company or associated company, in any jurisdiction;(b) to any government or regulatory agency or authority including but not limited to the Land Transport Authority;(c) to any of MBB’s potential assignee or transferee or to any person who has or may enter into contractual relations with MBB in relation to this loan application;(d) to any credit bureau (including, without limitation, Credit Bureau (Singapore) Pte Ltd), as well as the members of such credit bureau;(e) to any credit reference or evaluation agencies wherever situated;(f) the Hire Purchase, Finance and Leasing Association of Singapore (“HPFLAS”), its successors and assigns, any body or organisation assuming the materialfunctions of HPFLAS in replacement of the same;(g) where applicable, to any auditors for the time being my/our auditors, any solicitors for the time being my/our solicitors and I/we shall pay all costs,charges, fees and other out-of-pocket expenses, whether legal or otherwise, in respect of such disclosure on an indemnity basis; and(h) to any other person to whom disclosure is permitted or required by any statutory provision or law.5) Confirm that :-(i) there are no pending legal, arbitration, enforcement or criminal proceedings commenced against me/us;(ii) there are no winding up, bankruptcy, judicial management, receivership, scheme of arrangement, or equivalent proceedings against me/us in any jurisdiction;(iii) I am/We are not insolvent and have not filed or passed any resolution for winding up, bankruptcy, judicial management, receivership, scheme of arrangement,or their equivalent;(iv) no Statutory Demand under the Bankruptcy Act (Cap. 20) or Companies Act (Cap. 50) has been served on me/us;(v) I/We have not stopped, suspended, threatened to stop or suspend my/our indebtedness, propose to make a general assignment or arrangement orcomposition with or for the benefit of my/our creditors or a moratorium is agreed or declared in respect of or affected my/our indebtedness;(vi) I am/We are not in default of and/or in breach of any of my/our loans, borrowings or financing agreements with any banks or financial institutions;(vii) none of my/our spouse(s), dependent(s) of my/our spouse(s), my/our children, spouses of my/our children, my/our parents, my/our siblings and/orspouses of my/our siblings are employees/directors of MBB or MBB Group;(viii) none of my/our guarantor(s) is an employee/director or spouse, dependent of the spouse, child, spouse of the child, parent, sibling or spouse of the siblingof the employee/director of MBB or MBB Group;(ix) (if it is a company or firm) none of our directors, managers, agents or guarantors is an employee/director (or spouse, dependent of the spouse, child,spouse of the child, parent, sibling or spouse of the sibling of the employee/director) of MBB or MBB Group;(x) (if it is a company) none of our substantial shareholders* is an employee/director (or spouse, dependent of the spouse, child, spouse of the child, parent,(xi)Malayan Banking BerhadForm No. 141-1113 (2/2)sibling or spouse of the sibling of the employee/director) of MBB or MBB Group; andI am/We are applying for this hire purchase facility for my/our own use and not for the benefit of any other party and will inform MBB in writing immediatelyif this is not the case.6) Declared that I/we have not received any discount, rebate or any other benefit from the vendor or any other person, which has the effect of reducing the True PurchasePrice (as defined in MAS 642 dated 25 Feb 13 and as may be replaced, supplemented or amended from time to time), except as already disclosed to you above.7) I/We have not obtained any other credit facility(ies) for the purchase or hire of the vehicle, except as already disclosed to you above.8) Acknowledge that MBB reserves the right to reject my/our application for hire purchase financing at its discretion without giving any reason, and that MBB may refuse todisburse the credit or hire purchase facility (as the case may be), terminate, recall, review, and/or vary such facility or any part thereof at any time and at MBB’sdiscretion in the event any of the above declarations proves to be untrue, inaccurate or incomplete in any respect of if I/we fail or delay to comply with any request forinformation or documents as you may make.9) Undertake to pay any abortive costs imposed by MBB at its discretion and to release and hold MBB harmless from and indemnify MBB for all loss, damages, costs (includinglegal costs on an indemnity basis), expenses and liabilities suffered or incurred by MBB arising from or in connection with any such untrue, inaccurate or incompletedeclaration(s), or failure or delay in complying with MBB’s request for information or documents.10) Confirm and acknowledge that, if my/our application is approved, MBB shall be entitled at any time without notice, to retain and apply any sale proceeds from therealisation of any goods under any agreement in relation to the hire purchase financing, in or towards any of my debts or liabilities, whether alone or jointly or whethersuch liabilities be present or future, actual or contingent, primary or collateral and several or joint.11) Acknowledge that my/our email and mobile number will be updated to receive notifications on all banking services including eStatement, SMS-OTP / Authorisation Code,SMS Alert / OTP for card transactions and other SMS eServices.* “substantial shareholder” means a shareholder having an interest in 5% or more shares in the company.