PDF Document

Customer Loan

Application Form

Loan Details

Loan amount (SGD)

Main Purpose for Loan

Do you have any outstanding with other moneylender?

General Information

NRIC/FIN

Name

Nationality

Gender

Date of Birth

Race

Name of Employer: ${data.name_of_employer}

Occupation: ${data.occupation}

Marital Status

Type of Housing

Ownership of Private Residential Property

Employment Detail (For Work Pass Holder)

Pass Type: ${data.pass_type}

Pass Status: ${data.pass_status}

Contact details

Mobile Number

Email Address

Registered Address

HDB Ownership

Address	Property Owner	Type of HDB Dwelling
${data.regadd}	${data.ownerprivate}	${data.hdbtype}

CPF Contributions History (up to 15 months)

${cpfData}

For Month

Paid On

Amount ($)

Employer Contribution

Notice of Assessment (Detailed, Last 2 years)

${assessmentData}

I authorise EZ Pte Ltd to conduct credit checks and verify information given in this application with the following companies/organizations or parties without prior reference to me: Moneylenders Credit Bureau (MLCB), Singapore Commercial Credit Bureau (SCCB), Registry of Moneylenders.

I understand and agree that some/all information is to be submitted to MLCB for the purpose of producing a credit report and the information may be disclosed by MLCB to the Registry of Moneylenders and any public agency (when deemed necessary by the Registry of Moneylenders).