API tools faq
paste
Advertisement
Guest User

Untitled

a guest
Oct 2nd, 2018
85
0
Never
Add comment
Not a member of Pastebin yet? Sign Up, it unlocks many cool features!
text 224.89 KB | None | 0 0
raw download clone embed print report
  1. <html>
  2.  
  3. <head>
  4. <meta charset="UTF-8">
  5. <title>Pdf </title>
  6. <meta content='width=device-width, initial-scale=1, maximum-scale=1, user-scalable=no' name='viewport'>
  7. <link rel="shortcut icon" href="{{ public_path('images/favicon.ico') }}"/>
  8. <style type="text/css">
  9.  
  10. ol.a{margin-left:0.5em; padding-left:0.5em; counter-reset:list}
  11. ol.a>li {position: relative; counter-increment:list; list-style:none}
  12. ol.a>li:before {content:counter(list, lower-alpha) ")"; position: absolute; left: -1.2em}
  13.  
  14. ol.garis{margin-left:-1em; counter-reset:list}
  15. ol.garis>li {list-style: none; position: relative; counter-increment:list}
  16. ol.garis>li:before {content:"(" counter(list, lower-roman) ")"; position: absolute; left:-2em}
  17.  
  18. ol.akhir{margin-left:0.2em;margin-top:-0.1em; padding-left:0; counter-reset:list}
  19. ol.akhir>li {margin-left:0; padding-left:0; counter-increment:list; list-style:none}
  20. ol.akhir>li:before {content:counter(list, lower-roman) ")"; padding-left:-0.1em;}
  21. /* This is what simulates a checkmark icon */
  22. .checkbox.checked:after {
  23. content: '';
  24. display: block;
  25. width: 4px;
  26. height: 7px;
  27.  
  28. /* "Center" the checkmark */
  29. position:relative;
  30. top:-12px;
  31. left:-9px;
  32.  
  33. border: solid #000;
  34. border-width: 0 2px 2px 0;
  35. transform: rotate(45deg);
  36. }
  37. ul.abc-list {
  38. list-style: none;
  39. padding-left: 30px;
  40. }
  41. ul.abc-list > li > span.counter {
  42. position: absolute;
  43. margin-left: -20px;
  44. /*if you want to right align the text
  45. *
  46. * width: 15px;
  47. * text-align: right;
  48. */
  49. }
  50. </style>
  51.  
  52. <!-- global css -->
  53. <link rel="stylesheet" href="{{ public_path('css/loanapplication_pdf.css') }}">
  54. </head>
  55. <body>
  56.  
  57. <!--HEADER -->
  58. <table cellpadding="4" cellspacing="0" width="100%" style="border-right:1px solid black; border-bottom:0.8px solid black; border-left:1px solid black; border-top:0.8px solid black;">
  59. <tr>
  60. <td width="70.2%" style="border-left:1px solid black; border-top:0.8px solid black; border-right:0.8px solid black; border-bottom:0.8px solid black;">
  61. <table style="margin-top:8px;">
  62. <tr>
  63. <td>
  64. <h3 style="color:#03286f; margin-top:10px;"><b>PERSONAL FINANCING-i APPLICATION FORM (V9)/</b></h3>
  65. <h3 style="color:#03286f; margin-top:-25px;"><b><i>BORANG PERMOHONAN PEMBIAYAAN PERIBADI-i (V9)</i></b></h3>
  66. <h4 style="margin-top:-20px;">Please send completed application form to:/ <i>Sila hantarkan borang permohonan yang lengkap ke:</i></h4>
  67. <h4 style="margin-top:-25px;"><b>RHB BANK BERHAD CARDS & UNSECURED BUSINESS CREDIT CARD APPLICATION UNIT,</b></h4>
  68. <h4 style="margin-top:-25px;"><b>Level 4, No. 75, Jalan Tun H. S. Lee, 50000 Kuala Lumpur.</b></h4>
  69. </td>
  70. </tr>
  71. </table>
  72. <table style="margin-top:-9px;">
  73. <tr>
  74. <td><div class="square" align="center"></div></td>
  75. <td width="120px"><div class="square" align="center"></div></td>
  76.  
  77. <td><div class="square" align="center"></div></td>
  78. <td><div class="square" align="center"></div></td>
  79. <td width="120px"><div class="square" align="center"></div></td>
  80.  
  81. <td width="100px"><div class="square" align="center"></div></td>
  82.  
  83. <td><div class="square" align="center"></div></td>
  84. <td><div class="square" align="center"></div></td>
  85. <td><div class="square" align="center"></div></td>
  86. <td><div class="square" align="center"></div></td>
  87. <td><div class="square" align="center"></div></td>
  88. <td width="60px"><div class="square" align="center"></div></td>
  89.  
  90. <td><div class="square" align="center"></div></td>
  91. <td><div class="square" align="center"></div></td>
  92. <td><div class="square" align="center"></div></td>
  93. <td><div class="square" align="center"></div></td>
  94. <td><div class="square" align="center"></div></td>
  95. <td><div class="square" align="center"></div></td>
  96. </tr>
  97. </table>
  98. <table style="margin-top:-5px;">
  99. <tr>
  100. <td width="145px">
  101. <h5>Region/<i>Daerah</i></h5>
  102. </td>
  103. <td width="165px">
  104. <h5>Branch/<i>Cawangan</i></h5>
  105. </td>
  106. <td width="155px">
  107. <h5>Channel/<i>Saluran</i></h5>
  108. </td>
  109. <td width="260px">
  110. <h5>Staff ID No./<i>No. ID Pekerja</i></h5>
  111. </td>
  112. <td width="180px">
  113. <h5><i>Referral Staff ID/</i></h5>
  114. </td>
  115. </tr>
  116. </table>
  117. <table style="margin-top:-35px;">
  118. <tr>
  119. <td width="320px;">&nbsp;</td>
  120. <td width="410px;">
  121. <h5 style="margin-top:-1px;"><i>i.e. RHB/RHBIB Branch "B",</i></h5>
  122. </td>
  123. <td width="252px;">
  124. <h5 style="margin-top:-1px;"><i>No. ID Pekerja Rujukan</i></h5>
  125. </td>
  126. </tr>
  127. </table>
  128. <table style="margin-top:-30px; margin-bottom:-32px;">
  129. <tr>
  130. <td width="320px;">&nbsp;</td>
  131. <td width="212px;">
  132. <h5 style="margin-top:-1px;"><i>Easy "E", Telesales "J"</i></h5>
  133. </td>
  134. </tr>
  135. </table>
  136. </td>
  137. <td width="30.8%" align="center" style="border-right:0.8px solid black;">
  138. <table align="center" style="margin-top:20px;">
  139. <tr align="center">
  140. <td align="center">
  141. <p align="center" style="position:relative;"><img src="{{ public_path('images/rhb.png') }}" alt="" width="199px;" height="122px;"></p>
  142. <table style="margin-top:-10px;">
  143. <tr>
  144. <td>
  145. <h4 style="margin-top:-1px;">RHB ISLAMIC BANK BERHAD</h4>
  146. </td>
  147. <td>
  148. <h5 style="margin-top:-1px;"><b><sub>(680329-V)</sub></b></h5>
  149. </td>
  150. </tr>
  151. </table>
  152. <div align="center" style="margin-top:-57px;"><h5><b>Incorporated in Malaysia</b></h5></div>
  153. </td>
  154. </tr>
  155. </table>
  156. </td>
  157. </tr>
  158. </table>
  159. <!--END HEADER-->
  160.  
  161. <!--PERSONAL FINANCING-i / PEMBIAYAAN PERIBADI-i-->
  162. <table cellpadding="4" cellspacing="0" width="100%" style="border-right:1px solid black; border-left:0.8px solid black; border-top:0.8px solid black; margin-top:-2px; margin-bottom: 43px;">
  163. <tr>
  164. <td colspan="5" style="background-color: black; color:white; padding-top:10px;"><h4 style="margin-bottom:5px">&nbsp;&nbsp;PERSONAL FINANCING-I / <i>PEMBIAYAAN PERIBADI-i</i></h4></td>
  165. </tr>
  166. <tr>
  167. <td colspan="5" style="padding-left:10px; padding-right:-10px; border-bottom:1px solid black;">
  168. <h4 style="margin-bottom: 3px">I wish to apply for the following Personal Financing-i (please tick the applicable box) / <i>Saya ingin memohon Pembiayaan Peribadi-i berikut (sila tandakan mana yang berkenaan):-</i>
  169. </h4>
  170. </td>
  171. </tr>
  172. <tr>
  173. <td width="8.5%;">
  174. </td>
  175. <td width="30.5%">
  176. <table align="right" width="100%;" style="margin-top:-6px; border-right: 1px solid black;" cellpadding="7" cellspacing="0">
  177. <tr>
  178. <td width="12%"><p></p></td>
  179. <td width="88%">
  180. <h6><b>PERSONAL FINANCING-i FOR CIVIL SECTOR/<i>PEMBIAYAAN PERIBADI-i UNTUK</i></b></h6>
  181. <h6 style="margin-top: -35px"><b><i>SEKTOR AWAM</i></b></h6>
  182. <h6 style="margin-top: -23px">Federal government servants</h6>
  183. </td>
  184. </tr>
  185. <tr>
  186. <td width="12%">
  187. <table style="margin-top:-71px; margin-left:-15px;">
  188. <tr>
  189. <td><div class="square2"></div></td>
  190. </tr>
  191. </table>
  192. </td>
  193. <td width="88%">
  194. <table style="margin-top:-20px; margin-left:-2px;">
  195. <tr>
  196. <td>
  197. <h6 style="margin-top: -30px">
  198. <i><u>On Promotion (approved application of RM20K to RM200K)</u></i>
  199. </h6>
  200. </td>
  201. </tr>
  202. </table>
  203. </td>
  204. </tr>
  205. <tr>
  206. <td width="10%">
  207. </td>
  208. <td width="90%">
  209. <table style="margin-top:-46px; margin-left:-2px;" width="100%;" cellspacing="0" cellpadding="0">
  210. <tr>
  211. <td style="border-top:1px solid black; border-left:1px solid black;" width="75%" align="center"><h6><b>Product Code / <i>Kod Produk</i></b></h6>
  212. </td>
  213. <td style="border-top:1px solid black; border-left: 1px solid black; border-right:1px solid black;" width="25%" align="center"><h6><b>IPI1</b></h6></td>
  214. </tr>
  215. <tr>
  216. <td style="border-top:1px solid black; border-left:1px solid black; border-bottom: 1px solid black;" width="75%" align="center"><h6><b>Source Code / Kod Rujukan</b></h6></td>
  217. <td style="border-top:1px solid black; border-left: 1px solid black; border-right:1px solid black; border-bottom: 1px solid black;" width="25%" align="center"><h6><b>CSVA1</b></h6></td>
  218. </tr>
  219. </table>
  220. </td>
  221. </tr>
  222. <tr>
  223. <td width="12%">
  224. </td>
  225. <td width="88%">
  226. <table style="margin-top:6px; margin-left:8.5px;" width="100%;" cellspacing="0" cellpadding="0">
  227. <tr>
  228. <td width="70%"><h6>Programme Code / <i>Code Program:</i></h6>
  229. </td>
  230. <td width="30%" align="center"><h6><b>IPF06</b></h6></td>
  231. </tr>
  232. <tr>
  233. <td width="70%"><h6>Profit rate per annum</h6></td>
  234. <td width="30%" align="center"><h6><b>3.99% p.a.</b></h6></td>
  235. </tr>
  236. </table>
  237. </td>
  238. </tr>
  239. <tr>
  240. <td width="12%">
  241. <table style="margin-top:-19px; margin-left:-5px;">
  242. <tr>
  243. <td><div class="square2"></div></td>
  244. </tr>
  245. </table>
  246. </td>
  247. <td width="88%">
  248. <table style="margin-top:10px; margin-left:-2px;">
  249. <tr>
  250. <td><h6 style="margin-top: 0px"><i><u>Non-promo (approved financing bellow RM20K)</u></i></h6></td>
  251. </tr>
  252. </table>
  253. </td>
  254. </tr>
  255. <tr>
  256. <td width="12%">
  257. </td>
  258. <td width="88%">
  259. <table style="margin-top:-16px; margin-left:-2px;" width="100%;" cellspacing="0" cellpadding="-15">
  260. <tr>
  261. <td style="border:1px solid black;" width="75%" align="center"><h6><b>Product Code / <i>Kod Produk</i></b></h6>
  262. </td>
  263. <td style="border:1px solid black;" width="25%" align="center"><h6><b>IPI1</b></h6></td>
  264. </tr>
  265. <tr>
  266. <td style="border:1px solid black;" width="75%" align="center"><h6><b>Source Code / Kod Rujukan</b></h6></td>
  267. <td style="border:1px solid black;" width="25%" align="center"><h6><b>CSVA1</b></h6></td>
  268. </tr>
  269. </table>
  270. </td>
  271. </tr>
  272. <tr>
  273. <td width="12%">
  274. </td>
  275. <td width="88%">
  276. <table style="margin-top:6px; margin-left:8.5px;" width="100%;" cellspacing="0" cellpadding="-15">
  277. <tr>
  278. <td width="70%"><h6>Programme Code / <i>Code Program:</i></h6>
  279. </td>
  280. <td width="30%" align="center"><h6><b>IPF08</b></h6></td>
  281. </tr>
  282. <tr>
  283. <td width="70%"><h6>Profit rate per annum</h6></td>
  284. <td width="30%" align="center"><h6><b>4.50% p.a.</b></h6></td>
  285. </tr>
  286. </table>
  287. </td>
  288. </tr>
  289. </table>
  290. </td>
  291. <td width="30.5%">
  292. <table align="right" width="100%;" style="margin-top:-2px; border-right:1px solid black;" cellpadding="0" cellspacing="0">
  293. <tr>
  294. <td width="12%"><p></p></td>
  295. <td width="88%">
  296. <h6 style="margin-top:0px;"><b>PERSONAL FINANCING-I FOR POTONGAN</b></h6>
  297. <h6 style="margin-top:-17px;"><b>GAJI MAJIKAN / <i>PEMBIAYAAN PERIBADI-</i></b></h6>
  298. <h6 style="margin-top:-17px;"><b><i>I UNTUK POTONGAN GAJI MAJIKAN</i></b></h6>
  299. <h6 style="margin-top:-16px;">Eligible employers / state government servants</h6>
  300. </td>
  301. </tr>
  302. <tr>
  303. <td width="12%">
  304. <table style="margin-top:-31px; margin-left:-5px;">
  305. <tr>
  306. <td><div class="square2"></div></td>
  307. </tr>
  308. </table>
  309. </td>
  310. <td width="88%">
  311. <table style="margin-top:-20px; margin-left:-2px;">
  312. <tr>
  313. <td>
  314. <h6 style="margin-top: 0px">
  315. <i><u>On Promotion (approved application of RM20K to RM200K)</u></i>
  316. </h6>
  317. </td>
  318. </tr>
  319. </table>
  320. </td>
  321. </tr>
  322. <tr>
  323. <td width="10%">
  324. </td>
  325. <td width="90%">
  326. <table style="margin-top:-16px; margin-left:-2px;" width="100%;" cellspacing="0" cellpadding="-15">
  327. <tr>
  328. <td style="border:1px solid black;" width="75%" align="center"><h6><b>Product Code / <i>Kod Produk</i></b></h6>
  329. </td>
  330. <td style="border:1px solid black;" width="25%" align="center"><h6><b>IPI1</b></h6></td>
  331. </tr>
  332. <tr>
  333. <td style="border:1px solid black;" width="75%" align="center"><h6><b>Source Code / Kod Rujukan</b></h6></td>
  334. <td style="border:1px solid black;" width="25%" align="center"><h6><b>CSVA2</b></h6></td>
  335. </tr>
  336. </table>
  337. </td>
  338. </tr>
  339. <tr>
  340. <td width="12%">
  341. </td>
  342. <td width="88%">
  343. <table style="margin-top:6px; margin-left:8.5px;" width="100%;" cellspacing="0" cellpadding="-15">
  344. <tr>
  345. <td width="70%"><h6>Programme Code / <i>Code Program:</i></h6>
  346. </td>
  347. <td width="30%" align="center"><h6><b>IPF08</b></h6></td>
  348. </tr>
  349. <tr>
  350. <td width="70%"><h6>Profit rate per annum</h6></td>
  351. <td width="30%" align="center"><h6><b>4.60% p.a.</b></h6></td>
  352. </tr>
  353. </table>
  354. </td>
  355. </tr>
  356. <tr>
  357. <td width="12%">
  358. <table style="margin-top:-19px; margin-left:-5px;">
  359. <tr>
  360. <td><div class="square2"></div></td>
  361. </tr>
  362. </table>
  363. </td>
  364. <td width="88%">
  365. <table style="margin-top:10px; margin-left:-2px;">
  366. <tr>
  367. <td><h6 style="margin-top: 0px"><i><u>Non-promo (approved financing bellow RM20K)</u></i></h6></td>
  368. </tr>
  369. </table>
  370. </td>
  371. </tr>
  372. <tr>
  373. <td width="12%">
  374. </td>
  375. <td width="88%">
  376. <table style="margin-top:-16px; margin-left:-2px;" width="100%;" cellspacing="0" cellpadding="-15">
  377. <tr>
  378. <td style="border:1px solid black;" width="75%" align="center"><h6><b>Product Code / <i>Kod Produk</i></b></h6>
  379. </td>
  380. <td style="border:1px solid black;" width="25%" align="center"><h6><b>IPI1</b></h6></td>
  381. </tr>
  382. <tr>
  383. <td style="border:1px solid black;" width="75%" align="center"><h6><b>Source Code / Kod Rujukan</b></h6></td>
  384. <td style="border:1px solid black;" width="25%" align="center"><h6><b>CSVA2</b></h6></td>
  385. </tr>
  386. </table>
  387. </td>
  388. </tr>
  389. <tr>
  390. <td width="12%">
  391. </td>
  392. <td width="88%">
  393. <table style="margin-top:6px; margin-left:8.5px;" width="100%;" cellspacing="0" cellpadding="-15">
  394. <tr>
  395. <td width="70%"><h6>Programme Code / <i>Code Program:</i></h6>
  396. </td>
  397. <td width="30%" align="center"><h6><b>IPF08</b></h6></td>
  398. </tr>
  399. <tr>
  400. <td width="70%"><h6>Profit rate per annum</h6></td>
  401. <td width="30%" align="center"><h6><b>4.99% p.a.</b></h6></td>
  402. </tr>
  403. </table>
  404. </td>
  405. </tr>
  406. </table>
  407. </td>
  408.  
  409. <td width="28.5%">
  410. <table width="100%;" style="margin-top:-2px;" cellpadding="0" cellspacing="0">
  411. <tr>
  412. <td width="12%"><p></p></td>
  413. <td width="88%">
  414. <h6 style="margin-top:0px;"><b>PERSONAL FINANCING-i FOR PENSIONERS</b></h6>
  415. <h6 style="margin-top:-17px;"><b><i>PEMBIAYAAN PERIBADI-I UNTUK PESARA</i></b></h6>
  416. <h6 style="color:white; margin-top:-17px;"><b><i>I UNTUK POTONGAN GAJI MAJIKAN</i></b></h6>
  417. <h6 style="margin-top:-16px;">Government/ army pensioners</h6>
  418. </td>
  419. </tr>
  420. <tr>
  421. <td width="12%">
  422. <table style="margin-top:-31px; margin-left:-5px;">
  423. <tr>
  424. <td><div class="square2"></div></td>
  425. </tr>
  426. </table>
  427. </td>
  428. <td width="88%">
  429. <table style="margin-top:-10px; margin-left:-2px;">
  430. <tr>
  431. <td><h6><i><u>Non-promo (Financing up to RM100K)</u></i></h6></td>
  432. </tr>
  433. </table>
  434. </td>
  435. </tr>
  436. <tr>
  437. <td width="12%">
  438. </td>
  439. <td width="88%">
  440. <table style="margin-top:-16px; margin-left:-2px;" width="100%;" cellspacing="0" cellpadding="-15">
  441. <tr>
  442. <td style="border:1px solid black;" width="75%" align="center"><h6><b>Product Code / <i>Kod Produk</i></b></h6>
  443. </td>
  444. <td style="border:1px solid black;" width="25%" align="center"><h6><b>IPFR</b></h6></td>
  445. </tr>
  446. <tr>
  447. <td style="border:1px solid white;" width="75%" align="center"><h6 style="color:white;"><b>Source Code / Kod Rujukan</b></h6></td>
  448. <td style="border:1px solid white;" width="25%" align="center"><h6 style="color:white;"><b>CSVA2</b></h6></td>
  449. </tr>
  450. </table>
  451. </td>
  452. </tr>
  453. <tr>
  454. <td width="12%">
  455. </td>
  456. <td width="88%">
  457. <table style="margin-top:6px; margin-left:8.5px;" width="100%;" cellspacing="0" cellpadding="-15">
  458. <tr>
  459. <td width="70%"><h6>Programme Code / <i>Code Program:</i></h6>
  460. </td>
  461. <td width="30%" align="center"><h6><b>IPF07</b></h6></td>
  462. </tr>
  463. <tr>
  464. <td width="70%"><h6>Profit rate per annum</h6></td>
  465. <td width="30%" align="center"><h6><b>5.25% p.a.</b></h6></td>
  466. </tr>
  467. </table>
  468. </td>
  469. </tr>
  470. <tr>
  471. <td width="12%">
  472. <table style="margin-top:-19px; margin-left:-5px;">
  473. <tr>
  474. <td><div class=""></div></td>
  475. </tr>
  476. </table>
  477. </td>
  478. <td width="88%">
  479. <table style="margin-top:10px; margin-left:-2px;">
  480. <tr>
  481. <td><h6 style="color:white;"><i><u>Non-promo (approved financing bellow RM20K)</u></i></h6></td>
  482. </tr>
  483. </table>
  484. </td>
  485. </tr>
  486. <tr>
  487. <td width="12%">
  488. </td>
  489. <td width="88%">
  490. <table style="margin-top:-16px; margin-left:-2px;" width="100%;" cellspacing="0" cellpadding="-15">
  491. <tr>
  492. <td style="border:1px solid white;" width="75%" align="center"><h6 style="color:white;"><b>Product Code / <i>Kod Produk</i></b></h6>
  493. </td>
  494. <td style="border:1px solid white;" width="25%" align="center"><h6 style="color:white;"><b>IPI1</b></h6></td>
  495. </tr>
  496. <tr>
  497. <td style="border:1px solid white;" width="75%" align="center"><h6 style="color:white;"><b>Source Code / Kod Rujukan</b></h6></td>
  498. <td style="border:1px solid white;" width="25%" align="center"><h6 style="color:white;"><b>CSVA1</b></h6></td>
  499. </tr>
  500. </table>
  501. </td>
  502. </tr>
  503. <tr>
  504. <td width="12%">
  505. </td>
  506. <td width="88%">
  507. <table style="margin-top:6px; margin-left:8.5px;" width="100%;" cellspacing="0" cellpadding="-15">
  508. <tr>
  509. <td width="70%"><h6 style="color:white;">Programme Code / <i>Code Program:</i></h6>
  510. </td>
  511. <td width="30%" align="center"><h6 style="color:white;"><b>IPF08</b></h6></td>
  512. </tr>
  513. <tr>
  514. <td width="70%"><h6 style="color:white;">Profit rate per annum</h6></td>
  515. <td width="30%" align="center"><h6 style="color:white;"><b>4.50% p.a.</b></h6></td>
  516. </tr>
  517. </table>
  518. </td>
  519. </tr>
  520. </table>
  521. </td>
  522. <td width="9%;">
  523.  
  524. </td>
  525. </tr>
  526. </table>
  527. <!--END PERSONAL FINANCING-i / PEMBIAYAAN PERIBADI-i-->
  528.  
  529. <!--FACILITY DETAILS / BUTIRAN KEMUDAHAN-->
  530. <table cellpadding="4" cellspacing="0" width="100%" style="border-right:1px solid black; border-bottom:0.8px solid black; border-left:0.8px solid black; border-top:0.8px solid black; margin-top:-105px; margin-bottom:100px;">
  531. <tr>
  532. <td colspan="5" style="background-color: black; color:white; padding-top:-10px; padding-bottom:-10px;"><h4>&nbsp;&nbsp;FACILITY DETAILS / <i>BUTIRAN KEMUDAHAN</i></h4></td>
  533. </tr>
  534. <tr>
  535. <td colspan="5" style="margin-top:-10px; padding-bottom:-5px; padding-left:8px; padding-right:-10px;">
  536. <table>
  537. <tr>
  538. <td width="700px;"><h4>Personal Financing-i Amount Applied/ <i>Jumlah Pembiayaan Peribadi-i dipohon</i></h4></td>
  539. <td><h4><b>RM</b></h4></td>
  540. <td width="17px;"><div class="square" align="center"></div></td>
  541. <td width="17px;"><div class="square" align="center"></div></td>
  542. <td width="17px;"><div class="square" align="center"></div></td>
  543. <td width="17px;"><div class="square" align="center"></div></td>
  544. <td width="17px;"><div class="square" align="center"></div></td>
  545. <td width="55px;"><div class="square" align="center"></div></td>
  546. <td width="145px;"><h4>Payment Period</h4></td>
  547. <td width="17px;"><div class="square" align="center"></div></td>
  548. <td width="17px;"><div class="square" align="center"></div></td>
  549. <td width="45px;"><div class="square" align="center"></div></td>
  550. <td><h4>months</h4></td>
  551. </tr>
  552. </table>
  553. </td>
  554. </tr>
  555. <tr>
  556. <td colspan="5" style="padding-top:-15px; padding-bottom:-1px; padding-left:10px; padding-right:-10px;"><h4>Purpose of financing applied, please specify/<i>Sila nyatakan tujuan permohonan pembiayaan &nbsp;&nbsp;_________________________________</i></h4></td>
  557. </tr>
  558. </table>
  559. <!--END FACILITY DETAILS/BUTIRAN KEMUDAHAN-->
  560.  
  561. <!--PERSONAL DETAILS/BUTIRAN PERIBADI-->
  562. <table cellpadding="4" cellspacing="0" width="100%" style="border-right:0.8px solid black; border-left:0.8px solid black; border-top:0.8px solid black; margin-top:-108px; margin-bottom:100px;">
  563. <tr>
  564. <td colspan="20" style="background-color: black; color:white; padding-top:-10px; padding-bottom:-10px;"><h4>&nbsp;&nbsp;PERSONAL DETAILS / <i>BUTIRAN PERIBADI</i></h4></td>
  565. </tr>
  566. <tr>
  567. <td colspan="5" style="padding-top:-10px; padding-bottom:-10px;" width="68px;">
  568. <table>
  569. <tr>
  570. <td width="20px;"><h4>&nbsp;MyKad No. /</h4></td>
  571. </tr>
  572. </table>
  573. <table style="margin-top:-22px;">
  574. <tr>
  575. <td width="20px;"><h4><i>&nbsp;No. MyKad</i></h4></td>
  576. </tr>
  577. </table>
  578. </td>
  579. <td colspan="5">
  580. <table style="margin-left:-5px;">
  581. <tr>
  582. {{--@foreach($loan_application->my_kad_no as $kadNo)--}}
  583.  
  584. {{--<td width="17px;"><div class="square" align="center">{{$kadNo}}</div></td>--}}
  585.  
  586. {{--@endforeach--}}
  587. <td width="17px;"><div class="square" align="center"></div></td>
  588. <td width="17px;"><div class="square" align="center"></div></td>
  589. <td width="17px;"><div class="square" align="center"></div></td>
  590. <td width="17px;"><div class="square" align="center"></div></td>
  591. <td width="17px;"><div class="square" align="center"></div></td>
  592. <td width="25px;"><div class="square" align="center"></div></td>
  593. <td>
  594. <table style="margin-top:-15px;">
  595. <tr>
  596. <td>_</td>
  597. </tr>
  598. </table>
  599. </td>
  600. <td width="17px;"><div class="square" align="center"></div></td>
  601. <td width="25px;"><div class="square" align="center"></div></td>
  602. <td>
  603. <table style="margin-top:-15px;">
  604. <tr>
  605. <td>_</td>
  606. </tr>
  607. </table>
  608. </td>
  609. <td width="17px;"><div class="square" align="center"></div></td>
  610. <td width="17px;"><div class="square" align="center"></div></td>
  611. <td width="17px;"><div class="square" align="center"></div></td>
  612. <td width="25px;"><div class="square" align="center"></div></td>
  613. </tr>
  614. </table>
  615. </td>
  616. <td colspan="5" style="padding-top:-15px; padding-bottom:-10px;" width="69px;">
  617. <table style="margin-left:-25px;">
  618. <tr>
  619. <td width="118px;"><h4>&nbsp;Old IC No./<i>No. IC Lama</i></h4></td>
  620. </tr>
  621. </table>
  622. </td>
  623. <td colspan="5">
  624. <table style="margin-left:-10px;">
  625. <tr>
  626. <td width="17px;"><div class="square" align="center"></div></td>
  627. <td width="17px;"><div class="square" align="center"></div></td>
  628. <td width="17px;"><div class="square" align="center"></div></td>
  629. <td width="17px;"><div class="square" align="center"></div></td>
  630. <td width="17px;"><div class="square" align="center"></div></td>
  631. <td width="17px;"><div class="square" align="center"></div></td>
  632. <td width="17px;"><div class="square" align="center"></div></td>
  633. <td width="50px;"><div class="square" align="center"></div></td>
  634. </tr>
  635. </table>
  636. </td>
  637. </tr>
  638. </table>
  639.  
  640. <table cellpadding="4" cellspacing="0" width="100%" style="border-right:0.8px solid black; border-left:0.8px solid black; margin-top:-108px; margin-bottom:100px;">
  641. <tr>
  642. <td colspan="5" style="padding-top:-10px; padding-bottom:-10px;" width="240px;">
  643. <table>
  644. <tr>
  645. <td width="80px;"><h4>&nbsp;Passport No. / <i>No. Pasport</i></h4></td>
  646. </tr>
  647. </table>
  648. <table style="margin-top:-35px;">
  649. <tr>
  650. <td width="115px;"><h4>&nbsp;(Non-civillian No.)</h4></td>
  651. </tr>
  652. </table>
  653. </td>
  654. <td colspan="5">
  655. <table style="margin-left:-80px;">
  656. <tr>
  657. <td width="17px;"><div class="square" align="center"></div></td>
  658. <td width="17px;"><div class="square" align="center"></div></td>
  659. <td width="17px;"><div class="square" align="center"></div></td>
  660. <td width="17px;"><div class="square" align="center"></div></td>
  661. <td width="17px;"><div class="square" align="center"></div></td>
  662. <td width="17px;"><div class="square" align="center"></div></td>
  663. <td width="17px;"><div class="square" align="center"></div></td>
  664. <td width="17px;"><div class="square" align="center"></div></td>
  665. </tr>
  666. </table>
  667. </td>
  668. <td colspan="5" style="padding-top:-15px; padding-bottom:-10px;" width="69px;">
  669. <table style="margin-left:-25px;">
  670. <tr>
  671. <td width="70px;"><h4>&nbsp;Title / Gelaran</h4></td>
  672. <td width="20px;"><div class="square" align="center"></div></td>
  673. <td width="56px;"><h4>&nbsp;Mr. / <i>Encik</i></h4></td>
  674. <td width="20px;"><div class="square" align="center"></div></td>
  675. <td width="47px;"><h4>&nbsp;Ms. / <i>Cik</i></h4></td>
  676. <td width="20px;"><div class="square" align="center"></div></td>
  677. <td width="86px;"><h4>&nbsp;Others/ <i>Lain-lain</i></h4></td>
  678. <td width="20px;">______</td>
  679. </tr>
  680. </table>
  681. </td>
  682. </tr>
  683. </table>
  684. <table cellpadding="4" cellspacing="0" width="100%" style="border-right:0.8px solid black; border-left:0.8px solid black; margin-top:-108px; margin-bottom:100px;">
  685. <tr>
  686. <td colspan="5" width="40px;" style="padding-top:-10px;">
  687. <table>
  688. <tr>
  689. <td width="50px;"><h4>&nbsp;Date of Birth / <i>Tarikh Lahir</i></h4></td>
  690. </tr>
  691. </table>
  692. </td>
  693. <td colspan="5" style="padding-top:0px; padding-bottom:-10px;" width="240px;">
  694. <table>
  695. <tr>
  696. <td width="17px;"><div class="square" align="center"></div></td>
  697. <td width="35px;"><div class="square" align="center"></div></td>
  698. <td width="17px;"><div class="square" align="center"></div></td>
  699. <td width="35px;"><div class="square" align="center"></div></td>
  700. <td width="17px;"><div class="square" align="center"></div></td>
  701. <td width="17px;"><div class="square" align="center"></div></td>
  702. <td width="17px;"><div class="square" align="center"></div></td>
  703. <td width="17px;"><div class="square" align="center"></div></td>
  704. </tr>
  705. </table>
  706. <table style="margin-top:-18px;">
  707. <tr>
  708. <td width="53px;"><h4>dd/hh</h4></td>
  709. <td width="70px;"><h4>mm/bb</h4></td>
  710. <td width="17px;"><h4>yy/tt</h4></td>
  711. </tr>
  712. </table>
  713. </td>
  714. </tr>
  715. </table>
  716. <table cellpadding="4" cellspacing="0" width="100%" style="border-right:0.8px solid black; border-left:0.8px solid black; margin-top:-115px; margin-bottom:100px;">
  717. <tr>
  718. <td colspan="5" width="20px;" style="padding-top:-10px;">
  719. <table>
  720. <tr>
  721. <td width="20px;"><h4>&nbsp;Nationality / <i>Kewarganegaraan</i></h4></td>
  722. </tr>
  723. </table>
  724. </td>
  725. <td colspan="5" width="40px;">
  726. <table style="margin-left:-270px;">
  727. <tr>
  728. <td width="17px;"><div class="square" align="center"></div></td>
  729. <td width="17px;"><div class="square" align="center"></div></td>
  730. <td width="17px;"><div class="square" align="center"></div></td>
  731. <td width="17px;"><div class="square" align="center"></div></td>
  732. <td width="17px;"><div class="square" align="center"></div></td>
  733. <td width="17px;"><div class="square" align="center"></div></td>
  734. <td width="17px;"><div class="square" align="center"></div></td>
  735. <td width="17px;"><div class="square" align="center"></div></td>
  736. <td width="17px;"><div class="square" align="center"></div></td>
  737. <td width="17px;"><div class="square" align="center"></div></td>
  738. </tr>
  739. </table>
  740. </td>
  741. </tr>
  742. </table>
  743. <table cellpadding="4" cellspacing="0" width="100%" style="border-right:0.8px solid black; border-left:0.8px solid black; margin-top:-110px; margin-bottom:100px;">
  744. <tr>
  745. <td colspan="5" width="20px;" style="padding-top:-10px;">
  746. <table>
  747. <tr>
  748. <td width="20px;"><h4>&nbsp;Permanent Resident (PR) status/ <i>Status Pemastautin Tetap:</i></h4></td>
  749. <td width="17px;"><div class="square" align="center"></div></td>
  750. <td width="20px;"><h4>&nbsp;With Foreign PR /<i>Dengan PR Luar Negara</i></h4></td>
  751. <td width="17px;"><div class="square" align="center"></div></td>
  752. <td width="20px;"><h4>&nbsp;No Foreign PR /<i>Tanpa PR Luar Negara</i></h4></td>
  753. </tr>
  754. </table>
  755. </td>
  756. </tr>
  757. </table>
  758. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; margin-top:-132px; margin-bottom:100px;">
  759. <tr>
  760. <td>
  761. <table>
  762. <tr>
  763. <td width="40px;"><h4>&nbsp;PR ID (if any): _____________________</h4></td>
  764. </tr>
  765. </table>
  766. </td>
  767. <td>
  768. <table style="margin-left:-380px;">
  769. <tr>
  770. <td width="10px;"><h4>&nbsp;PR Country (if any): _______________________</h4></td>
  771. </tr>
  772. </table>
  773. </td>
  774. </tr>
  775. </table>
  776. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; margin-top:-137px; margin-bottom:100px;">
  777. <tr>
  778. <td>
  779. <table>
  780. <tr>
  781. <td width="17px;"><h4>&nbsp;Name per Mykad / Passport / <i>Nama seperti MyKad / Pasport</i></h4></td>
  782. </tr>
  783. </table>
  784. <table style="margin-top:-15px; margin-left:3px;">
  785. <tr>
  786. <td width="16px;"><div class="square3" align="center"></div></td>
  787. <td width="16px;"><div class="square3" align="center"></div></td>
  788. <td width="16px;"><div class="square3" align="center"></div></td>
  789. <td width="16px;"><div class="square3" align="center"></div></td>
  790. <td width="16px;"><div class="square3" align="center"></div></td>
  791. <td width="16px;"><div class="square3" align="center"></div></td>
  792. <td width="16px;"><div class="square3" align="center"></div></td>
  793. <td width="16px;"><div class="square3" align="center"></div></td>
  794. <td width="16px;"><div class="square3" align="center"></div></td>
  795. <td width="16px;"><div class="square3" align="center"></div></td>
  796. <td width="16px;"><div class="square3" align="center"></div></td>
  797. <td width="16px;"><div class="square3" align="center"></div></td>
  798. <td width="16px;"><div class="square3" align="center"></div></td>
  799. <td width="16px;"><div class="square3" align="center"></div></td>
  800. <td width="16px;"><div class="square3" align="center"></div></td>
  801. <td width="16px;"><div class="square3" align="center"></div></td>
  802. <td width="16px;"><div class="square3" align="center"></div></td>
  803. <td width="16px;"><div class="square3" align="center"></div></td>
  804. <td width="16px;"><div class="square3" align="center"></div></td>
  805. <td width="16px;"><div class="square3" align="center"></div></td>
  806. <td width="16px;"><div class="square3" align="center"></div></td>
  807. <td width="16px;"><div class="square3" align="center"></div></td>
  808. <td width="16px;"><div class="square3" align="center"></div></td>
  809. <td width="16px;"><div class="square3" align="center"></div></td>
  810. <td width="16px;"><div class="square3" align="center"></div></td>
  811. <td width="16px;"><div class="square3" align="center"></div></td>
  812. <td width="16px;"><div class="square3" align="center"></div></td>
  813. <td width="16px;"><div class="square3" align="center"></div></td>
  814. <td width="16px;"><div class="square3" align="center"></div></td>
  815. <td width="16px;"><div class="square3" align="center"></div></td>
  816. <td width="16px;"><div class="square3" align="center"></div></td>
  817. <td width="16px;"><div class="square3" align="center"></div></td>
  818. <td width="16px;"><div class="square3" align="center"></div></td>
  819. <td width="16px;"><div class="square3" align="center"></div></td>
  820. <td width="16px;"><div class="square3" align="center"></div></td>
  821. <td width="12px;"><div class="square3" align="center"></div></td>
  822. </tr>
  823. </table>
  824. </td>
  825. </tr>
  826. </table>
  827. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; margin-top:-127px; margin-bottom:100px;">
  828. <tr>
  829. <td>
  830. <table>
  831. <tr>
  832. <td width="40px;"><h4>&nbsp;Gender/<i>Jantina</i></h4></td>
  833. </tr>
  834. </table>
  835. </td>
  836. <td>
  837. <table style="margin-left:-320px;">
  838. <tr>
  839. <td width="40px;"><h4>&nbsp;Race/ <i>Bangsa</i></h4></td>
  840. </tr>
  841. </table>
  842. </td>
  843. </tr>
  844. </table>
  845. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; margin-top:-145px; margin-bottom:100px;">
  846. <tr>
  847. <td colspan="5">
  848. <table style="margin-left:3px;">
  849. <tr>
  850. <td width="20px;"><div class="square3" align="center"></div></td>
  851. </tr>
  852. </table>
  853. </td>
  854. <td colspan="5">
  855. <table style="margin-left:-10px; margin-top:-5px;">
  856. <tr>
  857. <td width="63px;"><h4>&nbsp;Male /<i>Lelaki</i></h4></td>
  858. </tr>
  859. </table>
  860. </td>
  861. <td colspan="5">
  862. <table style="margin-left:0px;">
  863. <tr>
  864. <td width="20px;"><div class="square3" align="center"></div></td>
  865. </tr>
  866. </table>
  867. </td>
  868. <td colspan="5">
  869. <table style="margin-left:-10px; margin-top:-5px;">
  870. <tr>
  871. <td width="120px;"><h4>&nbsp;Female /<i>Perempuan</i></h4></td>
  872. </tr>
  873. </table>
  874. </td>
  875. <td colspan="5">
  876. <table style="margin-left:-20px;">
  877. <tr>
  878. <td width="20px;"><div class="square3" align="center"></div></td>
  879. </tr>
  880. </table>
  881. </td>
  882. <td colspan="5">
  883. <table style="margin-left:-10px; margin-top:-5px;">
  884. <tr>
  885. <td width="96px;"><h4>&nbsp;Bumiputera-Malay /<i>Bumiputera-Melayu</i></h4></td>
  886. </tr>
  887. </table>
  888. </td>
  889. <td colspan="5">
  890. <table style="margin-left:-5px;">
  891. <tr>
  892. <td width="20px;"><div class="square3" align="center"></div></td>
  893. </tr>
  894. </table>
  895. </td>
  896. <td colspan="5">
  897. <table style="margin-left:-10px; margin-top:-5px;">
  898. <tr>
  899. <td width="128px;"><h4>&nbsp;Bumiputera-nonMalay /<i>Bumpiputera-bukanMelayu</i></h4></td>
  900. </tr>
  901. </table>
  902. </td>
  903. <td colspan="5">
  904. <table style="margin-left:-10px;">
  905. <tr>
  906. <td width="20px;"><div class="square3" align="center"></div></td>
  907. </tr>
  908. </table>
  909. </td>
  910. <td colspan="5">
  911. <table style="margin-left:-10px; margin-top:-5px;">
  912. <tr>
  913. <td width="18px;"><h4>&nbsp;Chinese /<i>Cina</i></h4></td>
  914. </tr>
  915. </table>
  916. </td>
  917. <td colspan="5">
  918. <table style="margin-left:-10px;">
  919. <tr>
  920. <td width="20px;"><div class="square3" align="center"></div></td>
  921. </tr>
  922. </table>
  923. </td>
  924. <td colspan="5">
  925. <table style="margin-left:-10px; margin-top:-5px;">
  926. <tr>
  927. <td width="18px;"><h4>&nbsp;Indian /<i>India</i></h4></td>
  928. </tr>
  929. </table>
  930. </td>
  931. <td colspan="5">
  932. <table style="margin-left:-7px;">
  933. <tr>
  934. <td width="20px;"><div class="square3" align="center"></div></td>
  935. </tr>
  936. </table>
  937. </td>
  938. <td colspan="5">
  939. <table style="margin-left:-10px; margin-top:-5px;">
  940. <tr>
  941. <td width="40px;"><h4>&nbsp;Others/<i>Lain-lain</i></h4></td>
  942. </tr>
  943. </table>
  944. </td>
  945. </tr>
  946. </table>
  947. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; margin-top:-145px; margin-bottom:100px;">
  948. <tr>
  949. <td>
  950. <table>
  951. <tr>
  952. <td width="40px;"><h4>&nbsp;Academic Qualification/<i> Kelayakan akademik</i></h4></td>
  953. </tr>
  954. </table>
  955. </td>
  956. <td>
  957. <table style="margin-left:-0px;">
  958. <tr>
  959. <td width="40px;"><h4>&nbsp;Marital Status/ <i>Taraf Perkahwinan</i></h4></td>
  960. </tr>
  961. </table>
  962. </td>
  963. <td>
  964. <table style="margin-left:-0px;">
  965. <tr>
  966. <td width="40px;"><h4>&nbsp;Spouse working/ <i>Pasangan Bekerja</i></h4></td>
  967. </tr>
  968. </table>
  969. </td>
  970. </tr>
  971. </table>
  972. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; margin-top:-135px; margin-bottom:100px;">
  973. <tr>
  974. <td colspan="5">
  975. <table style="margin-left:3px;">
  976. <tr>
  977. <td width="20px;"><div class="square3" align="center"></div></td>
  978. </tr>
  979. </table>
  980. </td>
  981. <td colspan="5">
  982. <table style="margin-left:-25px; margin-top:-5px;">
  983. <tr>
  984. <td width="35px;"><h4>&nbsp;<i>Primary</i> /</h4></td>
  985. </tr>
  986. </table>
  987. <table style="margin-left:-25px; margin-top:-35px;">
  988. <tr>
  989. <td width="55px;"><h4>&nbsp;<i>Sekolah Rendah</i> </h4></td>
  990. </tr>
  991. </table>
  992. </td>
  993. <td colspan="5">
  994. <table style="margin-left:-20px;">
  995. <tr>
  996. <td width="20px;"><div class="square3" align="center"></div></td>
  997. </tr>
  998. </table>
  999. </td>
  1000. <td colspan="5">
  1001. <table style="margin-left:-20px; margin-top:-5px;">
  1002. <tr>
  1003. <td width="35px;"><h4>&nbsp;Secondary /</h4></td>
  1004. </tr>
  1005. </table>
  1006. <table style="margin-left:-20px; margin-top:-35px;">
  1007. <tr>
  1008. <td width="35px;"><h4>&nbsp;<i>Sekolah Menengah</i> </h4></td>
  1009. </tr>
  1010. </table>
  1011. </td>
  1012. <td colspan="5">
  1013. <table style="margin-left:-25px;">
  1014. <tr>
  1015. <td width="20px;"><div class="square3" align="center"></div></td>
  1016. </tr>
  1017. </table>
  1018. </td>
  1019. <td colspan="5">
  1020. <table style="margin-left:-25px; margin-top:-5px;">
  1021. <tr>
  1022. <td width="15px;"><h4>&nbsp;Single /</h4></td>
  1023. </tr>
  1024. </table>
  1025. <table style="margin-left:-25px; margin-top:-35px;">
  1026. <tr>
  1027. <td width="15px;"><h4>&nbsp;<i>Bujang</i> </h4></td>
  1028. </tr>
  1029. </table>
  1030. </td>
  1031. <td colspan="5">
  1032. <table style="margin-left:0px;">
  1033. <tr>
  1034. <td width="20px;"><div class="square3" align="center"></div></td>
  1035. </tr>
  1036. </table>
  1037. </td>
  1038. <td colspan="5">
  1039. <table style="margin-left:-25px; margin-top:-5px;">
  1040. <tr>
  1041. <td width="35px;"><h4>&nbsp;Married /</h4></td>
  1042. </tr>
  1043. </table>
  1044. <table style="margin-left:-25px; margin-top:-35px;">
  1045. <tr>
  1046. <td width="35px;"><h4>&nbsp;<i>Berkahwin</i> </h4></td>
  1047. </tr>
  1048. </table>
  1049. </td>
  1050. <td colspan="5">
  1051. <table style="margin-left:0px;">
  1052. <tr>
  1053. <td width="20px;"><div class="square3" align="center"></div></td>
  1054. </tr>
  1055. </table>
  1056. </td>
  1057. <td colspan="5">
  1058. <table style="margin-left:-30px; margin-top:-5px;">
  1059. <tr>
  1060. <td width="45px;"><h4>&nbsp;Yes / <i>Ya</i></h4></td>
  1061. </tr>
  1062. </table>
  1063. </td>
  1064. <td colspan="5">
  1065. <table style="margin-left:0px;">
  1066. <tr>
  1067. <td width="20px;"><div class="square3" align="center"></div></td>
  1068. </tr>
  1069. </table>
  1070. </td>
  1071. <td colspan="5">
  1072. <table style="margin-left:-30px; margin-top:-5px;">
  1073. <tr>
  1074. <td width="35px;"><h4>&nbsp;No / <i>Tidak</i></h4></td>
  1075. </tr>
  1076. </table>
  1077. </td>
  1078. </tr>
  1079. </table>
  1080. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; margin-top:-135px; margin-bottom:100px;">
  1081. <tr>
  1082. <td colspan="5">
  1083. <table style="margin-left:3px;">
  1084. <tr>
  1085. <td width="20px;"><div class="square3" align="center"></div></td>
  1086. </tr>
  1087. </table>
  1088. </td>
  1089. <td colspan="5">
  1090. <table style="margin-left:-25px; margin-top:-5px;">
  1091. <tr>
  1092. <td width="55px;"><h4>&nbsp;<i>Diploma</i> /</h4></td>
  1093. </tr>
  1094. </table>
  1095. <table style="margin-left:-25px; margin-top:-35px;">
  1096. <tr>
  1097. <td width="55px;"><h4>&nbsp;<i>Diploma</i> </h4></td>
  1098. </tr>
  1099. </table>
  1100. </td>
  1101. <td colspan="5">
  1102. <table style="margin-left:-20px;">
  1103. <tr>
  1104. <td width="20px;"><div class="square3" align="center"></div></td>
  1105. </tr>
  1106. </table>
  1107. </td>
  1108. <td colspan="5">
  1109. <table style="margin-left:-20px; margin-top:-5px;">
  1110. <tr>
  1111. <td width="35px;"><h4>&nbsp;Degree /</h4></td>
  1112. </tr>
  1113. </table>
  1114. <table style="margin-left:-20px; margin-top:-35px;">
  1115. <tr>
  1116. <td width="35px;"><h4>&nbsp;<i>Ijazah</i> </h4></td>
  1117. </tr>
  1118. </table>
  1119. </td>
  1120. <td colspan="5">
  1121. <table style="margin-left:-25px;">
  1122. <tr>
  1123. <td width="20px;"><div class="square3" align="center"></div></td>
  1124. </tr>
  1125. </table>
  1126. </td>
  1127. <td colspan="5">
  1128. <table style="margin-left:-20px; margin-top:-5px;">
  1129. <tr>
  1130. <td width="15px;"><h4>&nbsp;Masters /</h4></td>
  1131. </tr>
  1132. </table>
  1133. <table style="margin-left:-20px; margin-top:-35px;">
  1134. <tr>
  1135. <td width="15px;"><h4>&nbsp;<i>PhD</i> </h4></td>
  1136. </tr>
  1137. </table>
  1138. </td>
  1139. <td colspan="5">
  1140. <table style="margin-left:0px;">
  1141. <tr>
  1142. <td width="20px;"><div class="square3" align="center"></div></td>
  1143. </tr>
  1144. </table>
  1145. </td>
  1146. <td colspan="5">
  1147. <table style="margin-left:-25px; margin-top:-5px;">
  1148. <tr>
  1149. <td width="35px;"><h4>&nbsp;Divorced /</h4></td>
  1150. </tr>
  1151. </table>
  1152. <table style="margin-left:-25px; margin-top:-35px;">
  1153. <tr>
  1154. <td width="35px;"><h4>&nbsp;<i>Bercerai</i> </h4></td>
  1155. </tr>
  1156. </table>
  1157. </td>
  1158. <td colspan="5">
  1159. <table style="margin-left:0px;">
  1160. <tr>
  1161. <td width="20px;"><div class="square3" align="center"></div></td>
  1162. </tr>
  1163. </table>
  1164. </td>
  1165. <td colspan="5">
  1166. <table style="margin-left:-25px; margin-top:-5px;">
  1167. <tr>
  1168. <td width="35px;"><h4>&nbsp;Widowed /</h4></td>
  1169. </tr>
  1170. </table>
  1171. <table style="margin-left:-25px; margin-top:-35px;">
  1172. <tr>
  1173. <td width="35px;"><h4>&nbsp;<i>Balu/Duda</i> </h4></td>
  1174. </tr>
  1175. </table>
  1176. </td>
  1177. <td colspan="5">
  1178. <table style="margin-left:-30px; margin-top:-5px;">
  1179. <tr>
  1180. <td width="65px;"><h4>&nbsp;No. Of Children/ <i>Bilangan anak</i></h4></td>
  1181. </tr>
  1182. </table>
  1183. </td>
  1184. <td colspan="5">
  1185. <table style="margin-left:0px;">
  1186. <tr>
  1187. <td width="16px;"><div class="square3" align="center"></div></td>
  1188. <td width="16px;"><div class="square3" align="center"></div></td>
  1189. </tr>
  1190. </table>
  1191. </td>
  1192. </tr>
  1193. </table>
  1194. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; margin-top:-118px; margin-bottom:100px;">
  1195. <tr>
  1196. <td>
  1197. <table style="margin-top:-15px; margin-left:3px;">
  1198. <tr>
  1199. <td><h4>Email Address/ <i>Alamat Emel</i></h4></td>
  1200. <td width="16px;"><div class="square3" align="center"></div></td>
  1201. <td width="16px;"><div class="square3" align="center"></div></td>
  1202. <td width="16px;"><div class="square3" align="center"></div></td>
  1203. <td width="16px;"><div class="square3" align="center"></div></td>
  1204. <td width="16px;"><div class="square3" align="center"></div></td>
  1205. <td width="16px;"><div class="square3" align="center"></div></td>
  1206. <td width="16px;"><div class="square3" align="center"></div></td>
  1207. <td width="16px;"><div class="square3" align="center"></div></td>
  1208. <td width="16px;"><div class="square3" align="center"></div></td>
  1209. <td width="16px;"><div class="square3" align="center"></div></td>
  1210. <td width="16px;"><div class="square3" align="center"></div></td>
  1211. <td width="16px;"><div class="square3" align="center"></div></td>
  1212. <td width="16px;"><div class="square3" align="center"></div></td>
  1213. <td width="16px;"><div class="square3" align="center"></div></td>
  1214. <td width="16px;"><div class="square3" align="center"></div></td>
  1215. <td width="16px;"><div class="square3" align="center"></div></td>
  1216. <td width="16px;"><div class="square3" align="center"></div></td>
  1217. <td width="16px;"><div class="square3" align="center"></div></td>
  1218. <td width="16px;"><div class="square3" align="center"></div></td>
  1219. <td width="16px;"><div class="square3" align="center"></div></td>
  1220. <td width="16px;"><div class="square3" align="center"></div></td>
  1221. <td width="16px;"><div class="square3" align="center"></div></td>
  1222. <td width="16px;"><div class="square3" align="center"></div></td>
  1223. <td width="16px;"><div class="square3" align="center"></div></td>
  1224. <td width="16px;"><div class="square3" align="center"></div></td>
  1225. <td width="16px;"><div class="square3" align="center"></div></td>
  1226. <td width="16px;"><div class="square3" align="center"></div></td>
  1227. <td width="16px;"><div class="square3" align="center"></div></td>
  1228. <td width="16px;"><div class="square3" align="center"></div></td>
  1229. </tr>
  1230. </table>
  1231. </td>
  1232. </tr>
  1233. </table>
  1234. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-bottom:0.8px solid black; border-left:0.8px solid black; margin-top:-118px; margin-bottom:107px;">
  1235. <tr>
  1236. <td>
  1237. <table style="margin-top:-15px; margin-left:3px; margin-bottom:-10px;">
  1238. <tr>
  1239. <td width="165px;"><h4>Billing Address/ <i>Alamat Bil</i></h4></td>
  1240. <td width="20px;"><div class="square3" align="center"></div></td>
  1241. <td width="165px;"><h4>Home Address/ <i>Alamat Rumah</i></h4></td>
  1242. <td width="20px;"><div class="square3" align="center"></div></td>
  1243. <td width="165px;"><h4>Office Address/ <i>Alamat Pejabat</i></h4></td>
  1244. </tr>
  1245. </table>
  1246. </td>
  1247. </tr>
  1248. </table>
  1249. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="margin-top:-110px; margin-bottom:100px; margin-left:500px;">
  1250. <tr>
  1251. <td>
  1252. <table style="margin-top:-22px;">
  1253. <tr>
  1254. <td width="165px;"><h6>version 9.0</h6></td>
  1255. </tr>
  1256. </table>
  1257. </td>
  1258. </tr>
  1259. <tr>
  1260. <td>
  1261. <table style="margin-top:-52px;">
  1262. <tr>
  1263. <td width="165px;"><h6>(July2018)</h6></td>
  1264. </tr>
  1265. </table>
  1266. </td>
  1267. </tr>
  1268. <div style = "page-break-before: always;"></div>
  1269. </table>
  1270. <!--END PERSONAL DETAILS/BUTIRAN PERIBADI-->
  1271.  
  1272. <!--SPOUSE'S DETAILS/MAKLUMAT PASANGAN-->
  1273. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; border-top:0.8px solid black; margin-top:-83px; margin-bottom:100px;">
  1274. <tr>
  1275. <td colspan="20" style="background-color: black; color:white; padding-top:-10px; padding-bottom:-10px;"><h4>&nbsp;&nbsp;SPOUSE'S DETAILS / <i>MAKLUMAT PASANGAN</i></h4></td>
  1276. </tr>
  1277. <tr>
  1278. <td colspan="5" style="padding-top:-10px; padding-bottom:-10px;" width="68px;">
  1279. <table>
  1280. <tr>
  1281. <td width="20px;"><h4>&nbsp;MyKad No. /</h4></td>
  1282. </tr>
  1283. </table>
  1284. <table style="margin-top:-22px;">
  1285. <tr>
  1286. <td width="20px;"><h4><i>&nbsp;No. MyKad</i></h4></td>
  1287. </tr>
  1288. </table>
  1289. </td>
  1290. <td colspan="5">
  1291. <table style="margin-left:-5px;">
  1292. <tr>
  1293. <td width="17px;"><div class="square" align="center"></div></td>
  1294. <td width="17px;"><div class="square" align="center"></div></td>
  1295. <td width="17px;"><div class="square" align="center"></div></td>
  1296. <td width="17px;"><div class="square" align="center"></div></td>
  1297. <td width="17px;"><div class="square" align="center"></div></td>
  1298. <td width="17px;"><div class="square" align="center"></div></td>
  1299. <td>
  1300. <table style="margin-top:-15px; margin-right: -5px;">
  1301. <tr>
  1302. <td>_</td>
  1303. </tr>
  1304. </table>
  1305. </td>
  1306. <td width="17px;"><div class="square" align="center"></div></td>
  1307. <td width="17px;"><div class="square" align="center"></div></td>
  1308. <td>
  1309. <table style="margin-top:-15px; margin-right: -5px;">
  1310. <tr>
  1311. <td>_</td>
  1312. </tr>
  1313. </table>
  1314. </td>
  1315. <td width="17px;"><div class="square" align="center"></div></td>
  1316. <td width="17px;"><div class="square" align="center"></div></td>
  1317. <td width="17px;"><div class="square" align="center"></div></td>
  1318. <td width="17px;"><div class="square" align="center"></div></td>
  1319. </tr>
  1320. </table>
  1321. </td>
  1322. <td colspan="5" style="padding-top:-15px; padding-bottom:-10px;" width="69px;">
  1323. <table style="margin-left:-7px;">
  1324. <tr>
  1325. <td width="118px;"><h4>&nbsp;Spouse's Contact No./<i>No. Tel. Pasangan</i></h4></td>
  1326. </tr>
  1327. </table>
  1328. </td>
  1329. <td colspan="5">
  1330. <table style="margin-left:-13px;">
  1331. <tr>
  1332. <td width="17px;"><div class="square" align="center"></div></td>
  1333. <td width="17px;"><div class="square" align="center"></div></td>
  1334. <td width="17px;"><div class="square" align="center"></div></td>
  1335. <td>&nbsp;</td>
  1336. <td>&nbsp;</td>
  1337. <td>&nbsp;</td>
  1338. <td width="17px;"><div class="square" align="center"></div></td>
  1339. <td width="17px;"><div class="square" align="center"></div></td>
  1340. <td width="17px;"><div class="square" align="center"></div></td>
  1341. <td width="17px;"><div class="square" align="center"></div></td>
  1342. <td width="17px;"><div class="square" align="center"></div></td>
  1343. <td width="17px;"><div class="square" align="center"></div></td>
  1344. <td width="17px;"><div class="square" align="center"></div></td>
  1345. <td width="20px;"><div class="square" align="center"></div></td>
  1346. </tr>
  1347. </table>
  1348. </td>
  1349. </tr>
  1350. </table>
  1351. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; margin-top:-123px; margin-bottom:100px;">
  1352. <tr>
  1353. <td>
  1354. <table>
  1355. <tr>
  1356. <td width="17px;"><h4>&nbsp;Name per Mykad / Passport / <i>Nama seperti MyKad / Pasport</i></h4></td>
  1357. </tr>
  1358. </table>
  1359. <table style="margin-top:-15px; margin-left:3px;">
  1360. <tr>
  1361. <td width="16px;"><div class="square3" align="center"></div></td>
  1362. <td width="16px;"><div class="square3" align="center"></div></td>
  1363. <td width="16px;"><div class="square3" align="center"></div></td>
  1364. <td width="16px;"><div class="square3" align="center"></div></td>
  1365. <td width="16px;"><div class="square3" align="center"></div></td>
  1366. <td width="16px;"><div class="square3" align="center"></div></td>
  1367. <td width="16px;"><div class="square3" align="center"></div></td>
  1368. <td width="16px;"><div class="square3" align="center"></div></td>
  1369. <td width="16px;"><div class="square3" align="center"></div></td>
  1370. <td width="16px;"><div class="square3" align="center"></div></td>
  1371. <td width="16px;"><div class="square3" align="center"></div></td>
  1372. <td width="16px;"><div class="square3" align="center"></div></td>
  1373. <td width="16px;"><div class="square3" align="center"></div></td>
  1374. <td width="16px;"><div class="square3" align="center"></div></td>
  1375. <td width="16px;"><div class="square3" align="center"></div></td>
  1376. <td width="16px;"><div class="square3" align="center"></div></td>
  1377. <td width="16px;"><div class="square3" align="center"></div></td>
  1378. <td width="16px;"><div class="square3" align="center"></div></td>
  1379. <td width="16px;"><div class="square3" align="center"></div></td>
  1380. <td width="16px;"><div class="square3" align="center"></div></td>
  1381. <td width="16px;"><div class="square3" align="center"></div></td>
  1382. <td width="16px;"><div class="square3" align="center"></div></td>
  1383. <td width="16px;"><div class="square3" align="center"></div></td>
  1384. <td width="16px;"><div class="square3" align="center"></div></td>
  1385. <td width="16px;"><div class="square3" align="center"></div></td>
  1386. <td width="16px;"><div class="square3" align="center"></div></td>
  1387. <td width="16px;"><div class="square3" align="center"></div></td>
  1388. <td width="16px;"><div class="square3" align="center"></div></td>
  1389. <td width="16px;"><div class="square3" align="center"></div></td>
  1390. <td width="16px;"><div class="square3" align="center"></div></td>
  1391. <td width="16px;"><div class="square3" align="center"></div></td>
  1392. <td width="16px;"><div class="square3" align="center"></div></td>
  1393. <td width="16px;"><div class="square3" align="center"></div></td>
  1394. <td width="16px;"><div class="square3" align="center"></div></td>
  1395. <td width="16px;"><div class="square3" align="center"></div></td>
  1396. <td width="12px;"><div class="square3" align="center"></div></td>
  1397. </tr>
  1398. </table>
  1399. </td>
  1400. </tr>
  1401. </table>
  1402. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-bottom:0.8px solid black; border-left:0.8px solid black; margin-top:-123px; margin-bottom:100px;">
  1403. <tr>
  1404. <td>
  1405. <table>
  1406. <tr>
  1407. <td width="300px;"><h4>&nbsp;Employer's Name (if woriking) / <i>Nama Majikan (jika bekerja)</i></h4></td>
  1408. </tr>
  1409. </table>
  1410. <table style="margin-top:-15px; margin-left:3px;">
  1411. <tr>
  1412. <td width="16px;"><div class="square3" align="center"></div></td>
  1413. <td width="16px;"><div class="square3" align="center"></div></td>
  1414. <td width="16px;"><div class="square3" align="center"></div></td>
  1415. <td width="16px;"><div class="square3" align="center"></div></td>
  1416. <td width="16px;"><div class="square3" align="center"></div></td>
  1417. <td width="16px;"><div class="square3" align="center"></div></td>
  1418. <td width="16px;"><div class="square3" align="center"></div></td>
  1419. <td width="16px;"><div class="square3" align="center"></div></td>
  1420. <td width="16px;"><div class="square3" align="center"></div></td>
  1421. <td width="16px;"><div class="square3" align="center"></div></td>
  1422. <td width="16px;"><div class="square3" align="center"></div></td>
  1423. <td width="16px;"><div class="square3" align="center"></div></td>
  1424. <td width="16px;"><div class="square3" align="center"></div></td>
  1425. <td width="16px;"><div class="square3" align="center"></div></td>
  1426. <td width="16px;"><div class="square3" align="center"></div></td>
  1427. <td width="16px;"><div class="square3" align="center"></div></td>
  1428. <td width="16px;"><div class="square3" align="center"></div></td>
  1429. <td width="16px;"><div class="square3" align="center"></div></td>
  1430. <td width="16px;"><div class="square3" align="center"></div></td>
  1431. <td width="16px;"><div class="square3" align="center"></div></td>
  1432. <td width="16px;"><div class="square3" align="center"></div></td>
  1433. <td width="16px;"><div class="square3" align="center"></div></td>
  1434. <td width="16px;"><div class="square3" align="center"></div></td>
  1435. <td width="16px;"><div class="square3" align="center"></div></td>
  1436. </tr>
  1437. </table>
  1438. </td>
  1439. <td>
  1440. <table style="margin-left:-5px;">
  1441. <tr>
  1442. <td><h4>&nbsp;Position / <i>Jawatan</i></h4></td>
  1443. </tr>
  1444. </table>
  1445. <table style="margin-top:-15px; margin-left:-3px;">
  1446. <tr>
  1447. <td width="16px;"><div class="square3" align="center"></div></td>
  1448. <td width="16px;"><div class="square3" align="center"></div></td>
  1449. <td width="16px;"><div class="square3" align="center"></div></td>
  1450. <td width="16px;"><div class="square3" align="center"></div></td>
  1451. <td width="16px;"><div class="square3" align="center"></div></td>
  1452. <td width="16px;"><div class="square3" align="center"></div></td>
  1453. <td width="16px;"><div class="square3" align="center"></div></td>
  1454. <td width="16px;"><div class="square3" align="center"></div></td>
  1455. <td width="16px;"><div class="square3" align="center"></div></td>
  1456. <td width="16px;"><div class="square3" align="center"></div></td>
  1457. <td width="16px;"><div class="square3" align="center"></div></td>
  1458. <td width="16px;"><div class="square3" align="center"></div></td>
  1459. </tr>
  1460. </table>
  1461. </td>
  1462. </tr>
  1463. </table>
  1464.  
  1465. <!--END SPOUSE'S DETAILS/MAKLUMAT PASANGAN-->
  1466. <!--RESIDENTIAL DETAILS/BUTIRAN KEDIAMAN-->
  1467. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; border-top:0.8px solid black; margin-top:-101px; margin-bottom:100px;">
  1468. <tr>
  1469. <td colspan="20" style="background-color: black; color:white; padding-top:-10px; padding-bottom:-10px;"><h4>&nbsp;&nbsp;RESIDENTIAL DETAILS / <i>BUTIRAN KEDIAMAN</i></h4></td>
  1470. </tr>
  1471.  
  1472. </table>
  1473. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; margin-top:-115px; margin-bottom:100px;">
  1474. <tr>
  1475. <td>
  1476. <table>
  1477. <tr>
  1478. <td width="17px;">
  1479. <h4>&nbsp;Current Home Address / <i>Alamat Rumah Semasa</i> (If P.O Box address is a rented house or company residence, please complete Permanent Home</h4>
  1480. <h4 style="margin-top: -16px">&nbsp;Address section / <i>jika Alamat Peti Surat (P.O Box), Rumah Sewa atau Rumah Syarikat, sila penuhi bahagian Alamat Rumah tetap di bawah:</i>)</h4>
  1481. </td>
  1482. </tr>
  1483. </table>
  1484. <table style="margin-top:-15px; margin-left:3px;">
  1485. <tr>
  1486. <td width="16px;"><div class="square3" align="center"></div></td>
  1487. <td width="16px;"><div class="square3" align="center"></div></td>
  1488. <td width="16px;"><div class="square3" align="center"></div></td>
  1489. <td width="16px;"><div class="square3" align="center"></div></td>
  1490. <td width="16px;"><div class="square3" align="center"></div></td>
  1491. <td width="16px;"><div class="square3" align="center"></div></td>
  1492. <td width="16px;"><div class="square3" align="center"></div></td>
  1493. <td width="16px;"><div class="square3" align="center"></div></td>
  1494. <td width="16px;"><div class="square3" align="center"></div></td>
  1495. <td width="16px;"><div class="square3" align="center"></div></td>
  1496. <td width="16px;"><div class="square3" align="center"></div></td>
  1497. <td width="16px;"><div class="square3" align="center"></div></td>
  1498. <td width="16px;"><div class="square3" align="center"></div></td>
  1499. <td width="16px;"><div class="square3" align="center"></div></td>
  1500. <td width="16px;"><div class="square3" align="center"></div></td>
  1501. <td width="16px;"><div class="square3" align="center"></div></td>
  1502. <td width="16px;"><div class="square3" align="center"></div></td>
  1503. <td width="16px;"><div class="square3" align="center"></div></td>
  1504. <td width="16px;"><div class="square3" align="center"></div></td>
  1505. <td width="16px;"><div class="square3" align="center"></div></td>
  1506. <td width="16px;"><div class="square3" align="center"></div></td>
  1507. <td width="16px;"><div class="square3" align="center"></div></td>
  1508. <td width="16px;"><div class="square3" align="center"></div></td>
  1509. <td width="16px;"><div class="square3" align="center"></div></td>
  1510. <td width="16px;"><div class="square3" align="center"></div></td>
  1511. <td width="16px;"><div class="square3" align="center"></div></td>
  1512. <td width="16px;"><div class="square3" align="center"></div></td>
  1513. <td width="16px;"><div class="square3" align="center"></div></td>
  1514. <td width="16px;"><div class="square3" align="center"></div></td>
  1515. <td width="16px;"><div class="square3" align="center"></div></td>
  1516. <td width="16px;"><div class="square3" align="center"></div></td>
  1517. <td width="16px;"><div class="square3" align="center"></div></td>
  1518. <td width="16px;"><div class="square3" align="center"></div></td>
  1519. <td width="16px;"><div class="square3" align="center"></div></td>
  1520. <td width="16px;"><div class="square3" align="center"></div></td>
  1521. </tr>
  1522. </table>
  1523. </td>
  1524. </tr>
  1525. </table>
  1526. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; margin-top:-122px; margin-bottom:100px;">
  1527. <tr>
  1528. <td>
  1529. <table style="margin-left:3px;">
  1530. <tr>
  1531. <td width="16px;"><div class="square3" align="center"></div></td>
  1532. <td width="16px;"><div class="square3" align="center"></div></td>
  1533. <td width="16px;"><div class="square3" align="center"></div></td>
  1534. <td width="16px;"><div class="square3" align="center"></div></td>
  1535. <td width="16px;"><div class="square3" align="center"></div></td>
  1536. <td width="16px;"><div class="square3" align="center"></div></td>
  1537. <td width="16px;"><div class="square3" align="center"></div></td>
  1538. <td width="16px;"><div class="square3" align="center"></div></td>
  1539. <td width="16px;"><div class="square3" align="center"></div></td>
  1540. <td width="16px;"><div class="square3" align="center"></div></td>
  1541. <td width="16px;"><div class="square3" align="center"></div></td>
  1542. <td width="16px;"><div class="square3" align="center"></div></td>
  1543. <td width="16px;"><div class="square3" align="center"></div></td>
  1544. <td width="16px;"><div class="square3" align="center"></div></td>
  1545. <td width="16px;"><div class="square3" align="center"></div></td>
  1546. <td width="16px;"><div class="square3" align="center"></div></td>
  1547. <td width="16px;"><div class="square3" align="center"></div></td>
  1548. <td width="16px;"><div class="square3" align="center"></div></td>
  1549. <td width="16px;"><div class="square3" align="center"></div></td>
  1550. <td>
  1551. <table style="margin-left:5px;">
  1552. <tr>
  1553. <td width="90px"><h4>Postcode / <i>Poskod</i></h4></td>
  1554. <td width="16px;"><div class="square3" align="center"></div></td>
  1555. <td width="16px;"><div class="square3" align="center"></div></td>
  1556. <td width="16px;"><div class="square3" align="center"></div></td>
  1557. <td width="16px;"><div class="square3" align="center"></div></td>
  1558. <td width="16px;"><div class="square3" align="center"></div></td>
  1559. </tr>
  1560. </table>
  1561. </td>
  1562. <td>
  1563. <table style="margin-left:5px;">
  1564. <tr>
  1565. <td width="66px"><h4>State / <i>Negeri</i></h4></td>
  1566. <td width="10px;"><h4>_________</h4></td>
  1567. </tr>
  1568. </table>
  1569. </td>
  1570. </tr>
  1571. </table>
  1572. </td>
  1573.  
  1574. </tr>
  1575. </table>
  1576. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; margin-top:-135px; margin-bottom:100px;">
  1577. <tr>
  1578. <td>
  1579. <table style="margin-left:-5px;">
  1580. <tr>
  1581. <td>
  1582. <table style="margin-left:5px;">
  1583. <tr>
  1584. <td width="66px"><h4>Country / <i>Negara</i></h4></td>
  1585. <td width="10px;"><h4>__________________</h4></td>
  1586. </tr>
  1587. </table>
  1588. </td>
  1589. <td>
  1590. <table style="margin-left:5px;">
  1591. <tr>
  1592. <td width="90px"><h4>Home Phone No. / <i>No. Tel. Rumah</i></h4></td>
  1593. <td width="17px;"><div class="square" align="center"></div></td>
  1594. <td width="17px;"><div class="square" align="center"></div></td>
  1595. <td width="17px;"><div class="square" align="center"></div></td>
  1596. <td>&nbsp;</td>
  1597. <td width="17px;"><div class="square" align="center"></div></td>
  1598. <td width="17px;"><div class="square" align="center"></div></td>
  1599. <td width="17px;"><div class="square" align="center"></div></td>
  1600. <td width="17px;"><div class="square" align="center"></div></td>
  1601. <td width="17px;"><div class="square" align="center"></div></td>
  1602. <td width="17px;"><div class="square" align="center"></div></td>
  1603. <td width="17px;"><div class="square" align="center"></div></td>
  1604. <td width="20px;"><div class="square" align="center"></div></td>
  1605. </tr>
  1606. </table>
  1607. </td>
  1608. </tr>
  1609. </table>
  1610. </td>
  1611. </tr>
  1612. </table>
  1613. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-left:0.8px solid black; margin-top:-135px; margin-bottom:100px;">
  1614. <tr>
  1615. <td>
  1616. <table style="margin-left:-5px;">
  1617. <tr>
  1618. <td>
  1619. <table style="margin-left:5px;">
  1620. <tr>
  1621. <td width="165px"><h4>Mobile Phone No. / <i>No. Tel. Bimbit</i></h4></td>
  1622. <td width="17px;"><div class="square" align="center"></div></td>
  1623. <td width="17px;"><div class="square" align="center"></div></td>
  1624. <td width="17px;"><div class="square" align="center"></div></td>
  1625. <td></td>
  1626. <td width="17px;"><div class="square" align="center"></div></td>
  1627. <td width="17px;"><div class="square" align="center"></div></td>
  1628. <td width="17px;"><div class="square" align="center"></div></td>
  1629. <td width="17px;"><div class="square" align="center"></div></td>
  1630. <td width="17px;"><div class="square" align="center"></div></td>
  1631. <td width="17px;"><div class="square" align="center"></div></td>
  1632. <td width="17px;"><div class="square" align="center"></div></td>
  1633. <td width="28px;"><div class="square" align="center"></div></td>
  1634. </tr>
  1635. </table>
  1636. </td>
  1637. <td>
  1638. <table style="margin-left:2px;">
  1639. <tr>
  1640. <td width="145px"><h4>Years resided/<i>Tahun Menetap</i></h4></td>
  1641. <td width="17px;"><div class="square" align="center"></div></td>
  1642. <td width="19px;"><div class="square" align="center"></div></td>
  1643. <td width="40px"><h4>mm/<i>bb</i></h4></td>
  1644. <td width="17px;"><div class="square" align="center"></div></td>
  1645. <td width="19px;"><div class="square" align="center"></div></td>
  1646. <td width="40px"><h4>yy/<i>tt</i></h4></td>
  1647. </tr>
  1648. </table>
  1649. </td>
  1650. </tr>
  1651. </table>
  1652. </td>
  1653. </tr>
  1654. </table>
  1655. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; margin-top:-135px; margin-bottom:100px;">
  1656. <tr>
  1657. <td>
  1658. <table style="margin-left:-5px;">
  1659. <tr>
  1660. <td>
  1661. <table style="margin-left:5px;">
  1662. <tr>
  1663. <td width="159px"><h4>Residence is / <i>Rumah Adalah</i></h4></td>
  1664. <td width="23px;"><div class="square" align="center"></div></td>
  1665. </tr>
  1666. </table>
  1667. </td>
  1668. <td>
  1669. <table style="margin-left:-4px;">
  1670. <tr>
  1671. <td width="90px"><h4>Own /<i>Sendiri</i></h4></td>
  1672. <td width="23px;"><div class="square" align="center"></div></td>
  1673. <td width="90px"><h4>Rented / <i>Sewa</i></h4></td>
  1674. <td width="23px;"><div class="square" align="center"></div></td>
  1675. <td width="98px"><h4>Parents / <i>Ibubapa</i></h4></td>
  1676. <td width="23px;"><div class="square" align="center"></div></td>
  1677. <td width="120px"><h4>Company / <i>Syarikat</i></h4></td>
  1678. </tr>
  1679. </table>
  1680. </td>
  1681. </tr>
  1682. </table>
  1683. </td>
  1684. </tr>
  1685. </table>
  1686. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; margin-top:-135px; margin-bottom:100px;">
  1687. <tr>
  1688. <td>
  1689. <table>
  1690. <tr>
  1691. <td>
  1692. <h4>&nbsp;Do you have different permanent home address from home address?/<i>Adakah anda mempunyai alamat tetap yang lain daripada alamat rumah sekarang?</i></h4>
  1693. </td>
  1694. </tr>
  1695. </table>
  1696. <table style="margin-top:-30px; margin-left: 3px;">
  1697. <tr>
  1698. <td width="23px;"><div class="square" align="center"></div></td>
  1699. <td width="200px"><h4>No (same) / <i>Tidak (sama)</i></h4></td>
  1700. <td width="23px;"><div class="square" align="center"></div></td>
  1701. <td width="400px"><h4>Yes. Please fill in the blanks below / <i>Ya, sila isikan ruang kosong di bawah</i></h4></td>
  1702. </tr>
  1703. </table>
  1704. <table style="margin-top:-15px; margin-left:3px;">
  1705. <tr>
  1706. <td width="16px;"><div class="square3" align="center"></div></td>
  1707. <td width="16px;"><div class="square3" align="center"></div></td>
  1708. <td width="16px;"><div class="square3" align="center"></div></td>
  1709. <td width="16px;"><div class="square3" align="center"></div></td>
  1710. <td width="16px;"><div class="square3" align="center"></div></td>
  1711. <td width="16px;"><div class="square3" align="center"></div></td>
  1712. <td width="16px;"><div class="square3" align="center"></div></td>
  1713. <td width="16px;"><div class="square3" align="center"></div></td>
  1714. <td width="16px;"><div class="square3" align="center"></div></td>
  1715. <td width="16px;"><div class="square3" align="center"></div></td>
  1716. <td width="16px;"><div class="square3" align="center"></div></td>
  1717. <td width="16px;"><div class="square3" align="center"></div></td>
  1718. <td width="16px;"><div class="square3" align="center"></div></td>
  1719. <td width="16px;"><div class="square3" align="center"></div></td>
  1720. <td width="16px;"><div class="square3" align="center"></div></td>
  1721. <td width="16px;"><div class="square3" align="center"></div></td>
  1722. <td width="16px;"><div class="square3" align="center"></div></td>
  1723. <td width="16px;"><div class="square3" align="center"></div></td>
  1724. <td width="16px;"><div class="square3" align="center"></div></td>
  1725. <td width="16px;"><div class="square3" align="center"></div></td>
  1726. <td width="16px;"><div class="square3" align="center"></div></td>
  1727. <td width="16px;"><div class="square3" align="center"></div></td>
  1728. <td width="16px;"><div class="square3" align="center"></div></td>
  1729. <td width="16px;"><div class="square3" align="center"></div></td>
  1730. <td width="16px;"><div class="square3" align="center"></div></td>
  1731. <td width="16px;"><div class="square3" align="center"></div></td>
  1732. <td width="16px;"><div class="square3" align="center"></div></td>
  1733. <td width="16px;"><div class="square3" align="center"></div></td>
  1734. <td width="16px;"><div class="square3" align="center"></div></td>
  1735. <td width="16px;"><div class="square3" align="center"></div></td>
  1736. <td width="16px;"><div class="square3" align="center"></div></td>
  1737. <td width="16px;"><div class="square3" align="center"></div></td>
  1738. <td width="16px;"><div class="square3" align="center"></div></td>
  1739. <td width="16px;"><div class="square3" align="center"></div></td>
  1740. <td width="16px;"><div class="square3" align="center"></div></td>
  1741. <td width="16px;"><div class="square3" align="center"></div></td>
  1742. </tr>
  1743. </table>
  1744. </td>
  1745. </tr>
  1746. </table>
  1747. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; margin-top:-122px; margin-bottom:70px;">
  1748. <tr>
  1749. <td>
  1750. <table style="margin-left:3px;">
  1751. <tr>
  1752. <td width="16px;"><div class="square3" align="center"></div></td>
  1753. <td width="16px;"><div class="square3" align="center"></div></td>
  1754. <td width="16px;"><div class="square3" align="center"></div></td>
  1755. <td width="16px;"><div class="square3" align="center"></div></td>
  1756. <td width="16px;"><div class="square3" align="center"></div></td>
  1757. <td width="16px;"><div class="square3" align="center"></div></td>
  1758. <td width="16px;"><div class="square3" align="center"></div></td>
  1759. <td width="16px;"><div class="square3" align="center"></div></td>
  1760. <td width="16px;"><div class="square3" align="center"></div></td>
  1761. <td width="16px;"><div class="square3" align="center"></div></td>
  1762. <td>
  1763. <table style="margin-left:5px;">
  1764. <tr>
  1765. <td width="90px"><h4>Postcode / <i>Poskod</i></h4></td>
  1766. <td width="16px;"><div class="square3" align="center"></div></td>
  1767. <td width="16px;"><div class="square3" align="center"></div></td>
  1768. <td width="16px;"><div class="square3" align="center"></div></td>
  1769. <td width="16px;"><div class="square3" align="center"></div></td>
  1770. <td width="16px;"><div class="square3" align="center"></div></td>
  1771. </tr>
  1772. </table>
  1773. </td>
  1774. <td>
  1775. <table style="margin-left:5px;">
  1776. <tr>
  1777. <td width="66px"><h4>State / <i>Negeri</i></h4></td>
  1778. <td width="10px;"><h4>_____________</h4></td>
  1779. </tr>
  1780. </table>
  1781. </td>
  1782. <td>
  1783. <table style="margin-left:5px;">
  1784. <tr>
  1785. <td width="60px"><h4>Country / <i>Negara</i></h4></td>
  1786. <td width="10px;"><h4>_____________</h4></td>
  1787. </tr>
  1788. </table>
  1789. </td>
  1790. </tr>
  1791. </table>
  1792. </td>
  1793.  
  1794. </tr>
  1795. </table>
  1796. <!--END RESIDENTIAL DETAILS/BUTIRAN KEDIAMAN-->
  1797.  
  1798. <!--EMPLOYMENT DETAILS / BUTIRAN PEKERJAAN-->
  1799. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; border-top:0.8px solid black; margin-top:-83px; margin-bottom:100px;">
  1800. <tr>
  1801. <td colspan="20" style="background-color: black; color:white; padding-top:-10px; padding-bottom:-10px;"><h4>&nbsp;&nbsp;EMPLOYMENT DETAILS / <i>BUTIRAN PEKERJAAN</i></h4></td>
  1802. </tr>
  1803.  
  1804. </table>
  1805.  
  1806. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; margin-top:-123px; margin-bottom:100px;">
  1807. <tr>
  1808. <td>
  1809. <table style="margin-left:1px; margin-top: 5px;">
  1810. <tr>
  1811. <td width="120px"><h4>Occupation / <i>Pekerjaan</i></h4></td>
  1812. <td width="300px;"><h4>_____________________________________________</h4></td>
  1813. <td width="90px"><h4>Position / <i>Jawatan</i></h4></td>
  1814. <td width=""><h4>_________________________________</h4></td>
  1815. </tr>
  1816. </table>
  1817. </td>
  1818. </tr>
  1819. </table>
  1820.  
  1821. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; margin-top:-140px; margin-bottom:100px;">
  1822. <tr>
  1823. <td>
  1824. <table style="margin-left:-5px;">
  1825. <tr>
  1826. <td>
  1827. <table style="margin-left:5px;">
  1828. <tr>
  1829. <td width="178px"><h4>Employment Type / <i>Jenis Pekerjaan</i></h4></td>
  1830. <td width="23px;"><div class="square" align="center"></div></td>
  1831. </tr>
  1832. </table>
  1833. </td>
  1834. <td>
  1835. <table style="margin-left:-4px;">
  1836. <tr>
  1837. <td width="112px"><h4>Government Employee/ <i>Pekerja Kerajaan</i></h4></td>
  1838. <td width="23px;"><div class="square" align="center"></div></td>
  1839. <td width="87px"><h4>Private Employee/ <i>Pekerja Swasta</i></h4></td>
  1840. <td width="23px;"><div class="square" align="center"></div></td>
  1841. <td width="79px"><h4>Self Employeed/ <i>Bekerja Sendiri</i></h4></td>
  1842. <td width="23px;"><div class="square" align="center"></div></td>
  1843. <td width="137px"><h4>Retired / Outside labor force/<i> Bersara/ Diluar tenaga buruh</i></h4></td>
  1844. </tr>
  1845. </table>
  1846. </td>
  1847. </tr>
  1848. </table>
  1849. </td>
  1850. </tr>
  1851. </table>
  1852.  
  1853. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; margin-top:-140px; margin-bottom:100px;">
  1854. <tr>
  1855. <td>
  1856. <table style="margin-left:-5px;">
  1857. <tr>
  1858. <td>
  1859. <table style="margin-left:5px;">
  1860. <tr>
  1861. <td width="170px"><h4>Type of Income / <i>Jenis Pendapatan</i></h4></td>
  1862. <td width="23px;"><div class="square" align="center"></div></td>
  1863. </tr>
  1864. </table>
  1865. </td>
  1866. <td>
  1867. <table style="margin-left:-5px; margin-right: -10px">
  1868. <tr>
  1869. <td width="105px"><h4>Salaried/<i>Gaji Bulanan</i></h4></td>
  1870. <td width="23px;"><div class="square" align="center"></div></td>
  1871. <td width="149px"><h4>Self Employed/<i>Bekerja Sendiri</i></h4></td>
  1872. <td width="20px;"><div class="square" align="center"></div></td>
  1873. <td width="215px"><h4>Commission Earner/<i>Berpendapatan Komisen</i></h4></td>
  1874. </tr>
  1875. </table>
  1876. </td>
  1877. </tr>
  1878. </table>
  1879. </td>
  1880. </tr>
  1881. </table>
  1882.  
  1883. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-left:0.8px solid black; margin-top:-140px; margin-bottom:100px;">
  1884. <tr>
  1885. <td>
  1886. <table style="margin-left:-5px;">
  1887. <tr>
  1888. <td>
  1889. <table style="margin-left:5px;">
  1890. <tr>
  1891. <td width="190px"><h4>Status of Employment/<i>Status Pekerjaan</i></h4></td>
  1892. <td width="19px;"><div class="square" align="center"></div></td>
  1893. </tr>
  1894. </table>
  1895. </td>
  1896. <td>
  1897. <table style="margin-left:-4px;">
  1898. <tr>
  1899. <td width="85px"><h4>Permanent/<i>Tetap</i></h4></td>
  1900. <td width="20px;"><div class="square" align="center"></div></td>
  1901. <td width="245px"><h4>Contract/<i>Kontrak</i>&nbsp;&nbsp;&nbsp;Years Employed/<i>Tempoh bekerja</i></h4></td>
  1902. <td width="17px;"><div class="square" align="left"></div></td>
  1903. <td width="19px;"><div class="square" align="center"></div></td>
  1904. <td width="20px"><h4>yy/<i>tt</i></h4></td>
  1905. <td width="17px;"><div class="square" align="center"></div></td>
  1906. <td width="19px;"><div class="square" align="center"></div></td>
  1907. <td width="19px;"><h4>mm/<i>bb</i></h4></td>
  1908. </tr>
  1909. </table>
  1910. </td>
  1911. </tr>
  1912. </table>
  1913. </td>
  1914. </tr>
  1915. </table>
  1916.  
  1917. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; margin-top:-135px; margin-bottom:100px;">
  1918. <tr>
  1919. <td>
  1920. <table style="margin-left:2px;">
  1921. <tr>
  1922. <td width="255px"><h4>Company/Department Name/<i>Nama Syarikat/Jabatan</i></h4></td>
  1923. <td width="17px;"><div class="square" align="center"></div></td>
  1924. <td width="17px;"><div class="square" align="center"></div></td>
  1925. <td width="17px;"><div class="square" align="center"></div></td>
  1926. <td width="17px;"><div class="square" align="center"></div></td>
  1927. <td width="17px;"><div class="square" align="center"></div></td>
  1928. <td width="17px;"><div class="square" align="center"></div></td>
  1929. <td width="17px;"><div class="square" align="center"></div></td>
  1930. <td width="17px;"><div class="square" align="center"></div></td>
  1931. <td width="17px;"><div class="square" align="center"></div></td>
  1932. <td width="17px;"><div class="square" align="center"></div></td>
  1933. <td width="17px;"><div class="square" align="center"></div></td>
  1934. <td width="17px;"><div class="square" align="center"></div></td>
  1935. <td width="17px;"><div class="square" align="center"></div></td>
  1936. <td width="17px;"><div class="square" align="center"></div></td>
  1937. <td width="17px;"><div class="square" align="center"></div></td>
  1938. <td width="17px;"><div class="square" align="center"></div></td>
  1939. <td width="17px;"><div class="square" align="center"></div></td>
  1940. <td width="17px;"><div class="square" align="center"></div></td>
  1941. <td width="17px;"><div class="square" align="center"></div></td>
  1942. <td width="17px;"><div class="square" align="center"></div></td>
  1943. <td width="17px;"><div class="square" align="center"></div></td>
  1944. <td width="17px;"><div class="square" align="center"></div></td>
  1945. </tr>
  1946. </table>
  1947. </td>
  1948. </tr>
  1949. </table>
  1950.  
  1951. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; margin-top:-135px; margin-bottom:100px;">
  1952. <tr>
  1953. <td>
  1954. <table style="margin-left:-5px;">
  1955. <tr>
  1956. <td>
  1957. <table style="margin-left:5px;">
  1958. <tr>
  1959. <td width="230px"><h4>Employment Sector / <i>Sektor Pekerjaan</i></h4></td>
  1960. <td width="10px;"><h4>____________________________________________________</h4></td>
  1961. </tr>
  1962. </table>
  1963. </td>
  1964. </tr>
  1965. </table>
  1966. </td>
  1967.  
  1968. </tr>
  1969. </table>
  1970.  
  1971. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; margin-top:-135px; margin-bottom:100px;">
  1972. <tr>
  1973. <td>
  1974. <table style="margin-left:2px;">
  1975. <tr>
  1976. <td width="157px"><h4>Office Address/ <i>Alamat Pejabat</i></h4></td>
  1977. <td width="17px;"><div class="square" align="center"></div></td>
  1978. <td width="17px;"><div class="square" align="center"></div></td>
  1979. <td width="17px;"><div class="square" align="center"></div></td>
  1980. <td width="17px;"><div class="square" align="center"></div></td>
  1981. <td width="17px;"><div class="square" align="center"></div></td>
  1982. <td width="17px;"><div class="square" align="center"></div></td>
  1983. <td width="17px;"><div class="square" align="center"></div></td>
  1984. <td width="17px;"><div class="square" align="center"></div></td>
  1985. <td width="17px;"><div class="square" align="center"></div></td>
  1986. <td width="17px;"><div class="square" align="center"></div></td>
  1987. <td width="17px;"><div class="square" align="center"></div></td>
  1988. <td width="17px;"><div class="square" align="center"></div></td>
  1989. <td width="17px;"><div class="square" align="center"></div></td>
  1990. <td width="17px;"><div class="square" align="center"></div></td>
  1991. <td width="17px;"><div class="square" align="center"></div></td>
  1992. <td width="17px;"><div class="square" align="center"></div></td>
  1993. <td width="17px;"><div class="square" align="center"></div></td>
  1994. <td width="17px;"><div class="square" align="center"></div></td>
  1995. <td width="17px;"><div class="square" align="center"></div></td>
  1996. <td width="17px;"><div class="square" align="center"></div></td>
  1997. <td width="17px;"><div class="square" align="center"></div></td>
  1998. <td width="17px;"><div class="square" align="center"></div></td>
  1999. <td width="17px;"><div class="square" align="center"></div></td>
  2000. <td width="17px;"><div class="square" align="center"></div></td>
  2001. <td width="17px;"><div class="square" align="center"></div></td>
  2002. <td width="17px;"><div class="square" align="center"></div></td>
  2003. <td width="17px;"><div class="square" align="center"></div></td>
  2004. </tr>
  2005. </table>
  2006. </td>
  2007. </tr>
  2008. </table>
  2009.  
  2010. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; margin-top:-135px; margin-bottom:100px;">
  2011. <tr>
  2012. <td>
  2013. <table style="margin-left:-5px;">
  2014. <tr>
  2015. <td>
  2016. <table style="margin-left:5px;">
  2017. <tr>
  2018. <td width="17px;"><div class="square" align="center"></div></td>
  2019. <td width="17px;"><div class="square" align="center"></div></td>
  2020. <td width="17px;"><div class="square" align="center"></div></td>
  2021. <td width="17px;"><div class="square" align="center"></div></td>
  2022. <td width="17px;"><div class="square" align="center"></div></td>
  2023. <td width="17px;"><div class="square" align="center"></div></td>
  2024. <td width="17px;"><div class="square" align="center"></div></td>
  2025. <td width="17px;"><div class="square" align="center"></div></td>
  2026. <td width="17px;"><div class="square" align="center"></div></td>
  2027. <td width="17px;"><div class="square" align="center"></div></td>
  2028. <td width="17px;"><div class="square" align="center"></div></td>
  2029. <td width="17px;"><div class="square" align="center"></div></td>
  2030. </tr>
  2031. </table>
  2032. </td>
  2033. <td>
  2034. <table style="margin-left:10px;">
  2035. <tr>
  2036. <td>
  2037. <table style="margin-left:5px;">
  2038. <tr>
  2039. <td width="90px"><h4>Postcode / <i>Poskod</i></h4></td>
  2040. <td width="16px;"><div class="square3" align="center"></div></td>
  2041. <td width="16px;"><div class="square3" align="center"></div></td>
  2042. <td width="16px;"><div class="square3" align="center"></div></td>
  2043. <td width="16px;"><div class="square3" align="center"></div></td>
  2044. <td width="16px;"><div class="square3" align="center"></div></td>
  2045. </tr>
  2046. </table>
  2047. </td>
  2048. <td>
  2049. <table style="margin-left:15px;">
  2050. <tr>
  2051. <td width="66px"><h4>State / <i>Negeri</i></h4></td>
  2052. <td width="10px;"><h4>______________________</h4></td>
  2053. </tr>
  2054. </table>
  2055. </td>
  2056. </tr>
  2057. </table>
  2058. </td>
  2059. </tr>
  2060. </table>
  2061. </td>
  2062. </tr>
  2063. </table>
  2064.  
  2065. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; margin-top:-140px; margin-bottom:100px;">
  2066. <tr>
  2067. <td>
  2068. <table style="margin-left:-5px;">
  2069. <tr>
  2070. <td>
  2071. <table style="margin-left:5px;">
  2072. <tr>
  2073. <td width="100px"><h4>Country / <i>Negara</i></h4></td>
  2074. <td width="10px;"><h4>_________________________</h4></td>
  2075. </tr>
  2076. </table>
  2077. </td>
  2078. </tr>
  2079. </table>
  2080. </td>
  2081. </tr>
  2082. </table>
  2083.  
  2084. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; margin-top:-150px; margin-bottom:100px;">
  2085. <tr>
  2086. <td>
  2087. <table style="margin-left:-5px;">
  2088. <tr>
  2089. <td>
  2090. <table style="margin-left:5px;">
  2091. <tr>
  2092. <td width="85px"><h4>Office Phone No. </h4></td>
  2093. <td width="17px;"><div class="square" align="center"></div></td>
  2094. <td width="17px;"><div class="square" align="center"></div></td>
  2095. <td width="17px;"><div class="square" align="center"></div></td>
  2096. <td width="17px;"><div class="square" align="center"></div></td>
  2097. <td width="17px;"><div class="square" align="center"></div></td>
  2098. <td width="17px;"><div class="square" align="center"></div></td>
  2099. <td width="17px;"><div class="square" align="center"></div></td>
  2100. <td width="17px;"><div class="square" align="center"></div></td>
  2101. <td width="17px;"><div class="square" align="center"></div></td>
  2102. </tr>
  2103. </table>
  2104. </td>
  2105. <td>
  2106. <table style="margin-left:10px;">
  2107. <tr>
  2108. <td>
  2109. <table style="margin-left:-5px;">
  2110. <tr>
  2111. <td width="300px"><h4>Monthly gross income (salary/pension) / <i>Pendapatan bulanan kasar (Gaji/pencen)</i></h4></td>
  2112. <td width="16px;"><div class="square3" align="center"></div></td>
  2113. <td width="16px;"><div class="square3" align="center"></div></td>
  2114. <td width="16px;"><div class="square3" align="center"></div></td>
  2115. <td width="16px;"><div class="square3" align="center"></div></td>
  2116. <td width="16px;"><div class="square3" align="center"></div></td>
  2117. <td width="16px;"><div class="square3" align="center"></div></td>
  2118. </tr>
  2119. </table>
  2120. </td>
  2121. </tr>
  2122. </table>
  2123. </td>
  2124. </tr>
  2125. </table>
  2126. </td>
  2127. </tr>
  2128. </table>
  2129.  
  2130. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; margin-top:-150px; margin-bottom:100px;">
  2131. <tr>
  2132. <td>
  2133. <table style="margin-left:-5px;">
  2134. <tr>
  2135. <td>
  2136. <table style="margin-left:5px;">
  2137. <tr>
  2138. <td width="350px"><h4>Annual Income (Salary/Pension) / <i>Pendapatan Tahunan (Gaji/Pencen)RM</i></h4></td>
  2139. <td width="17px;"><div class="square" align="center"></div></td>
  2140. <td width="17px;"><div class="square" align="center"></div></td>
  2141. <td width="17px;"><div class="square" align="center"></div></td>
  2142. <td width="17px;"><div class="square" align="center"></div></td>
  2143. <td width="17px;"><div class="square" align="center"></div></td>
  2144. <td width="17px;"><div class="square" align="center"></div></td>
  2145. </tr>
  2146. </table>
  2147. </td>
  2148. <td>
  2149. <table style="margin-left:10px;">
  2150. <tr>
  2151. <td>
  2152. <table style="margin-left:5px;">
  2153. <tr>
  2154. <td width=""><h4>Other income / <i>Pendapatan Lain</i></h4></td>
  2155. <td width="16px;"><div class="square3" align="center"></div></td>
  2156. <td width=""><h4>&nbsp;No / <i>Tidak</i></h4></td>
  2157. </tr>
  2158. </table>
  2159. </td>
  2160. </tr>
  2161. </table>
  2162. </td>
  2163. </tr>
  2164. </table>
  2165. </td>
  2166. </tr>
  2167. </table>
  2168.  
  2169. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; margin-top:-145px; margin-bottom:100px;">
  2170. <tr>
  2171. <td>
  2172. <table style="margin-left:-5px;">
  2173. <tr>
  2174. <td>
  2175. <table style="margin-left:10px;">
  2176. <tr>
  2177. <td>
  2178. <table style="margin-left:-7px;">
  2179. <tr>
  2180. <td width="16px;"><div class="square3" align="center"></div></td>
  2181. <td width=""><h4>&nbsp;Yes / <i>Ya.</i> If Yes, Please indicate the source and monthly sum/ <i>Jika ya, sila nyatakan sumber dan jumlah bulanan</i></h4></td>
  2182. </tr>
  2183. </table>
  2184. </td>
  2185. </tr>
  2186. </table>
  2187. </td>
  2188. </tr>
  2189. </table>
  2190. </td>
  2191. </tr>
  2192. </table>
  2193.  
  2194. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; margin-top:-135px; margin-bottom:100px;">
  2195. <tr>
  2196. <td>
  2197. <table style="margin-left:-5px;">
  2198. <tr>
  2199. <td>
  2200. <table style="margin-left:5px;">
  2201. <tr>
  2202. <td width="66px"><h4>Source / <i>Sumber</i></h4></td>
  2203. <td width="10px;"><h4> : ____________________________, </h4></td>
  2204. </tr>
  2205. </table>
  2206. </td>
  2207. <td>
  2208. <table style="margin-left:5px;">
  2209. <tr>
  2210. <td width="90px"><h4>Monthly Sum RM </h4></td>
  2211. <td width="17px;"><div class="square" align="center"></div></td>
  2212. <td width="17px;"><div class="square" align="center"></div></td>
  2213. <td width="17px;"><div class="square" align="center"></div></td>
  2214. <td width="17px;"><div class="square" align="center"></div></td>
  2215. <td width="17px;"><div class="square" align="center"></div></td>
  2216. <td width="20px;"><div class="square" align="center"></div></td>
  2217. </tr>
  2218. </table>
  2219. </td>
  2220. </tr>
  2221. </table>
  2222. </td>
  2223. </tr>
  2224. </table>
  2225.  
  2226. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; margin-top:-139px; margin-bottom:100px;">
  2227. <tr>
  2228. <td>
  2229. <table>
  2230. <tr>
  2231. <td width="17px;">
  2232. <h4>Previous employer's name and address if working less than 3 years with current employer/ <i>Nama dan alamat majikan sebelum ini jika bekerja kurang daripada 3 tahun dengan majikan sekarang.</i> Company/<i>Department</i> Name/<i>Nama</i> Syarikat/<i>Jabatan</i> : _________________________________________</h4>
  2233. {{--<h4 style="margin-top: -16px">&nbsp;section / <i>jika Alamat Peti Surat (P.O Box), Rumah Sewa atau Rumah Syarikat, sila penuhi bahagian Alamat Rumah tetap di bawah:</i>)</h4>--}}
  2234. </td>
  2235. </tr>
  2236. </table>
  2237. </td>
  2238. </tr>
  2239. </table>
  2240.  
  2241. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; margin-top:-139px; margin-bottom:100px;">
  2242. <tr>
  2243. <td>
  2244. <table>
  2245. <tr>
  2246. <td width="17px;">
  2247. <h4>Office Address /<i> Alamat Pejabat</i> : ________________________________________________________________________________________________</h4>
  2248. {{--<h4 style="margin-top: -16px">&nbsp;section / <i>jika Alamat Peti Surat (P.O Box), Rumah Sewa atau Rumah Syarikat, sila penuhi bahagian Alamat Rumah tetap di bawah:</i>)</h4>--}}
  2249. </td>
  2250. </tr>
  2251. </table>
  2252. </td>
  2253. </tr>
  2254. </table>
  2255.  
  2256. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; margin-top:-139px; margin-bottom:100px;">
  2257. <tr>
  2258. <td>
  2259. <table>
  2260. <tr>
  2261. <td width="17px;">
  2262. <h4>Years Employed /<i> Tempoh Bekerja</i> ______ yy / tt ______ mm / bb</h4>
  2263. {{--<h4 style="margin-top: -16px">&nbsp;section / <i>jika Alamat Peti Surat (P.O Box), Rumah Sewa atau Rumah Syarikat, sila penuhi bahagian Alamat Rumah tetap di bawah:</i>)</h4>--}}
  2264. </td>
  2265. </tr>
  2266. </table>
  2267. </td>
  2268. </tr>
  2269. </table>
  2270.  
  2271. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-bottom:0.8px solid black; border-left:0.8px solid black; margin-top:-140px; margin-bottom:100px;">
  2272. <tr>
  2273. <td>
  2274. <table style="margin-left:-5px;">
  2275. <tr>
  2276. <td>
  2277. <table style="margin-left:5px;">
  2278. <tr>
  2279. <td width="350px"><h4>If you're a Government/Army Retiree, please tick whichever related / <i>Jika anda adalah Pesara Kerajaan/Tentara, sila tandakan yang mana berkenan</i></h4></td>
  2280. <td width="23px;"><div class="square" align="center"></div></td>
  2281. </tr>
  2282. </table>
  2283. </td>
  2284. <td>
  2285. <table style="margin-left:-4px;">
  2286. <tr>
  2287. <td width="105px"><h4>Jabatan Perkhidmatan Awam (JPA)</h4></td>
  2288. <td width="23px;"><div class="square" align="center"></div></td>
  2289. <td width="149px"><h4>Jabatan Hal Ehwal Veteran (JHEV)</h4></td>
  2290. </tr>
  2291. </table>
  2292. </td>
  2293. </tr>
  2294. </table>
  2295. </td>
  2296. </tr>
  2297. </table>
  2298. <!--END EMPLOYMENT DETAILS/BUTIRAN PEKERJAAN-->
  2299. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="margin-top:-118px; margin-bottom:80px; margin-left:500px;">
  2300. <tr>
  2301. <td>
  2302. <table style="margin-top:-8px;">
  2303. <tr>
  2304. <td width="165px;"><h6>version 9.0</h6></td>
  2305. </tr>
  2306. </table>
  2307. </td>
  2308. </tr><tr>
  2309. <td>
  2310. <table style="margin-top:-50px;">
  2311. <tr>
  2312. <td width="165px;"><h6>(September 2018)</h6></td>
  2313. </tr>
  2314. </table>
  2315. </td>
  2316. </tr>
  2317. <div style = "page-break-before: always;"></div>
  2318. </table>
  2319. <!--END RESIDENTIAL DETAILS/BUTIRAN KEDIAMAN-->
  2320. <!--PERSONAL SECURITY REFERENCE / RUJUKAN KESELAMATAN PERIBADI -->
  2321. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; border-top:0.8px solid black; margin-top:-101px; margin-bottom:100px;">
  2322. <tr>
  2323. <td colspan="20" style="background-color: black; color:white; padding-top:-10px; padding-bottom:-10px;"><h4>&nbsp;&nbsp;PERSONAL SECURITY REFERENCE / <i>RUJUKAN KESELAMATAN PERIBADI</i></h4></td>
  2324. </tr>
  2325. </table>
  2326. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; margin-top:-115px; margin-bottom:100px;">
  2327. <tr>
  2328. <td>
  2329. <table>
  2330. <tr>
  2331. <td width="17px;">
  2332. <h4>&nbsp;Mother's Maiden Name / <i>Nama Ibu Sebelum Berkahwin</i></h4>
  2333. </td>
  2334. </tr>
  2335. </table>
  2336. <table style="margin-top:-15px; margin-left:3px;">
  2337. <tr>
  2338. <td width="16px;"><div class="square3" align="center"></div></td>
  2339. <td width="16px;"><div class="square3" align="center"></div></td>
  2340. <td width="16px;"><div class="square3" align="center"></div></td>
  2341. <td width="16px;"><div class="square3" align="center"></div></td>
  2342. <td width="16px;"><div class="square3" align="center"></div></td>
  2343. <td width="16px;"><div class="square3" align="center"></div></td>
  2344. <td width="16px;"><div class="square3" align="center"></div></td>
  2345. <td width="16px;"><div class="square3" align="center"></div></td>
  2346. <td width="16px;"><div class="square3" align="center"></div></td>
  2347. <td width="16px;"><div class="square3" align="center"></div></td>
  2348. <td width="16px;"><div class="square3" align="center"></div></td>
  2349. <td width="16px;"><div class="square3" align="center"></div></td>
  2350. <td width="16px;"><div class="square3" align="center"></div></td>
  2351. <td width="16px;"><div class="square3" align="center"></div></td>
  2352. <td width="16px;"><div class="square3" align="center"></div></td>
  2353. <td width="16px;"><div class="square3" align="center"></div></td>
  2354. <td width="16px;"><div class="square3" align="center"></div></td>
  2355. <td width="16px;"><div class="square3" align="center"></div></td>
  2356. <td width="16px;"><div class="square3" align="center"></div></td>
  2357. <td width="16px;"><div class="square3" align="center"></div></td>
  2358. <td width="16px;"><div class="square3" align="center"></div></td>
  2359. <td width="16px;"><div class="square3" align="center"></div></td>
  2360. <td width="16px;"><div class="square3" align="center"></div></td>
  2361. <td width="16px;"><div class="square3" align="center"></div></td>
  2362. <td width="16px;"><div class="square3" align="center"></div></td>
  2363. <td width="16px;"><div class="square3" align="center"></div></td>
  2364. <td width="16px;"><div class="square3" align="center"></div></td>
  2365. <td width="16px;"><div class="square3" align="center"></div></td>
  2366. <td width="16px;"><div class="square3" align="center"></div></td>
  2367. <td width="16px;"><div class="square3" align="center"></div></td>
  2368. <td width="16px;"><div class="square3" align="center"></div></td>
  2369. <td width="16px;"><div class="square3" align="center"></div></td>
  2370. <td width="16px;"><div class="square3" align="center"></div></td>
  2371. <td width="16px;"><div class="square3" align="center"></div></td>
  2372. <td width="16px;"><div class="square3" align="center"></div></td>
  2373. <td width="16px;"><div class="square3" align="center"></div></td>
  2374. </tr>
  2375. </table>
  2376. </td>
  2377. </tr>
  2378. </table>
  2379. <!--END PERSONAL SECURITY REFERENCE / RUJUKAN KESELAMATAN PERIBADI -->
  2380. <!-- EMERGENCY CONTACT PERSON (Family Members Not Staying with You) -->
  2381. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; border-top:0.8px solid black; margin-top:-101px; margin-bottom:100px;">
  2382. <tr>
  2383. <td colspan="20" style="background-color: black; color:white; padding-top:-10px; padding-bottom:-10px;"><h4>&nbsp;&nbsp;EMERGENCY CONTACT PERSON (Family Members Not Staying with You) / <br><i>&nbsp;&nbsp;JIKA BERLAKU KECEMASAN HUBUNGI (Ahli Keluarga Yang Tidak Tinggal Bersama)</i></h4></td>
  2384. </tr>
  2385. </table>
  2386. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-bottom:0.8px solid black; border-left:0.8px solid black; margin-top:-115px; margin-bottom:85px;">
  2387. <tr>
  2388. <td>
  2389. <table style="margin-top:6px;">
  2390. <tr>
  2391. <td width="50px;"><h4>&nbsp;Name/ <i>Nama &nbsp;</i></h4></td>
  2392. <td width="16px;"><div class="square3" align="center"></div></td>
  2393. <td width="16px;"><div class="square3" align="center"></div></td>
  2394. <td width="16px;"><div class="square3" align="center"></div></td>
  2395. <td width="16px;"><div class="square3" align="center"></div></td>
  2396. <td width="16px;"><div class="square3" align="center"></div></td>
  2397. <td width="16px;"><div class="square3" align="center"></div></td>
  2398. <td width="16px;"><div class="square3" align="center"></div></td>
  2399. <td width="16px;"><div class="square3" align="center"></div></td>
  2400. <td width="16px;"><div class="square3" align="center"></div></td>
  2401. <td width="16px;"><div class="square3" align="center"></div></td>
  2402. <td width="16px;"><div class="square3" align="center"></div></td>
  2403. <td width="16px;"><div class="square3" align="center"></div></td>
  2404. <td width="16px;"><div class="square3" align="center"></div></td>
  2405. <td width="16px;"><div class="square3" align="center"></div></td>
  2406. <td width="16px;"><div class="square3" align="center"></div></td>
  2407. <td width="16px;"><div class="square3" align="center"></div></td>
  2408. <td width="16px;"><div class="square3" align="center"></div></td>
  2409. <td width="16px;"><div class="square3" align="center"></div></td>
  2410. <td width="16px;"><div class="square3" align="center"></div></td>
  2411. <td width="16px;"><div class="square3" align="center"></div></td>
  2412. <td width="16px;"><div class="square3" align="center"></div></td>
  2413. <td width="16px;"><div class="square3" align="center"></div></td>
  2414. <td width="16px;"><div class="square3" align="center"></div></td>
  2415. <td width="16px;"><div class="square3" align="center"></div></td>
  2416. <td width="16px;"><div class="square3" align="center"></div></td>
  2417. <td width="16px;"><div class="square3" align="center"></div></td>
  2418. <td width="16px;"><div class="square3" align="center"></div></td>
  2419. <td width="16px;"><div class="square3" align="center"></div></td>
  2420. <td width="16px;"><div class="square3" align="center"></div></td>
  2421. <td width="16px;"><div class="square3" align="center"></div></td>
  2422. <td width="16px;"><div class="square3" align="center"></div></td>
  2423. <td width="16px;"><div class="square3" align="center"></div></td>
  2424. </tr>
  2425. </table>
  2426. <table style="margin-top:-25px;">
  2427. <tr>
  2428. <td width="100px;"><h4>&nbsp;Relationship/<i>Hubungan &nbsp;</i></h4></td>
  2429. <td width="16px;"><div class="square3" align="center"></div></td>
  2430. <td width="16px;"><div class="square3" align="center"></div></td>
  2431. <td width="16px;"><div class="square3" align="center"></div></td>
  2432. <td width="16px;"><div class="square3" align="center"></div></td>
  2433. <td width="16px;"><div class="square3" align="center"></div></td>
  2434. <td width="16px;"><div class="square3" align="center"></div></td>
  2435. <td width="16px;"><div class="square3" align="center"></div></td>
  2436. <td width="16px;"><div class="square3" align="center"></div></td>
  2437. <td width="16px;"><h4 style ="margin-left:40px;">&nbsp;Company Name/<i>Nama Syarikat &nbsp;</i></h4></td>
  2438. <td width="16px;"><div class="square3" align="center"></div></td>
  2439. <td width="16px;"><div class="square3" align="center"></div></td>
  2440. <td width="16px;"><div class="square3" align="center"></div></td>
  2441. <td width="16px;"><div class="square3" align="center"></div></td>
  2442. <td width="16px;"><div class="square3" align="center"></div></td>
  2443. <td width="16px;"><div class="square3" align="center"></div></td>
  2444. <td width="16px;"><div class="square3" align="center"></div></td>
  2445. <td width="16px;"><div class="square3" align="center"></div></td>
  2446. <td width="16px;"><div class="square3" align="center"></div></td>
  2447. <td width="16px;"><div class="square3" align="center"></div></td>
  2448. <td width="16px;"><div class="square3" align="center"></div></td>
  2449. </tr>
  2450. </table>
  2451. <table style="margin-top:-32px;">
  2452. <tr>
  2453. <td width="-100px;"><h4 style = "margin-right:-75px;">&nbsp;Home Phone No./<i><br>&nbsp;No. Tel. Rumah </i></h4></td>
  2454. <td width="16px;"><div class="square" align="center"></div></td>
  2455. <td width="22px;"><div class="square" align="center"></div></td>
  2456. <td width="16px;"><div class="square" align="center"></div></td>
  2457. <td width="16px;"><div class="square" align="center"></div></td>
  2458. <td width="16px;"><div class="square" align="center"></div></td>
  2459. <td width="16px;"><div class="square" align="center"></div></td>
  2460. <td width="16px;"><div class="square" align="center"></div></td>
  2461. <td width="16px;"><div class="square" align="center"></div></td>
  2462. <td width="16px;"><div class="square" align="center"></div></td>
  2463. <td width="16px;"><div class="square" align="center"></div></td>
  2464. <td width="16px;"><h4>&nbsp;&nbsp;Mobile Phone No./<i><br>&nbsp;&nbsp;No. Tel. Bimbit </i></h4></td>
  2465. <td width="16px;"><div class="square" align="center"></div></td>
  2466. </tr>
  2467. </table>
  2468. <table style="margin-top:-28px;">
  2469. <tr>
  2470. <td width="16px;"><h4>&nbsp;Office Phone No./<i>No. Tel. Pejabat </i></h4></td>
  2471. <td width="16px;"><div class="square" align="center"></div></td>
  2472. <td width="22px;"><div class="square" align="center"></div></td>
  2473. <td width="16px;"><div class="square" align="center"></div></td>
  2474. <td width="16px;"><div class="square" align="center"></div></td>
  2475. <td width="16px;"><div class="square" align="center"></div></td>
  2476. <td width="16px;"><div class="square" align="center"></div></td>
  2477. <td width="16px;"><div class="square" align="center"></div></td>
  2478. <td width="16px;"><div class="square" align="center"></div></td>
  2479. <td width="16px;"><div class="square" align="center"></div></td>
  2480. <td width="40px;"><div class="square" align="center"></div></td>
  2481. <td width="16px;"><h4>&nbsp;Ext.</h4></td>
  2482. <td width="16px;"><div class="square" align="center"></div></td>
  2483. <td width="16px;"><div class="square" align="center"></div></td>
  2484. <td width="16px;"><div class="square" align="center"></div></td>
  2485. <td width="16px;"><div class="square" align="center"></div></td>
  2486. </tr>
  2487. </table>
  2488. </td>
  2489. </tr>
  2490. </table>
  2491. <!-- END EMERGENCY CONTACT PERSON (Family Members Not Staying with You) -->
  2492. <!-- FINANCING TRANSACTIONS AND EXPOSURES WITH CONNECTED PARTIES / TRANSAKSI PEMBIAYAAN DAN PENDEDAHAN DENGAN PIHAK BERKAITAN -->
  2493. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; border-top:0.8px solid black; margin-top:-101px; margin-bottom:100px;">
  2494. <tr>
  2495. <td colspan="20" style="background-color: black; color:white; padding-top:-10px; padding-bottom:-10px;"><h4 style = "margin-left:6px;">FINANCING TRANSACTIONS AND EXPOSURES WITH CONNECTED PARTIES / <i> TRANSAKSI PEMBIAYAAN DAN PENDEDAHAN DENGAN PIHAK BERKAITAN</i></h4></td>
  2496. </tr>
  2497. </table>
  2498. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-bottom:0.8px solid black; border-left:0.8px solid black; margin-top:-115px; margin-bottom:85px;">
  2499. <tr>
  2500. <td>
  2501. <table style="margin-top:5px;">
  2502. <tr>
  2503. <td width="15px;" align="justify">
  2504. <h4 style = "margin-left:4px;">Do you have any immediate family or close relatives (including parents, brother, sister, dependant and own/ step/ adopted child and their spouses) that are
  2505. employees of RHB Banking Group? / <i>Adakah anda mempunyai ahli keluarga atau saudara terdekat (termasuk ibu-bapa, saudara lelaki, saudara Perempuan
  2506. tanggungan anak sendiri/tiri/angkat dan pasangan mereka) yang merupakan kakitangan RHB Banking Group?</i></h4>
  2507. </td>
  2508. </tr>
  2509. </table>
  2510. <table style="margin-top:-28px;">
  2511. <tr>
  2512. <td width="40px;"><div class="square" align="center" style = "margin-left:20px;"></div></td>
  2513. <td width="16px;"><h4>&nbsp;Yes/ <i>Ya</i></h4></td>
  2514. <td width="40px;"><div class="square" align="center" style = "margin-left:20px;"></div></td>
  2515. <td width="16px;"><h4>&nbsp;No/ <i>Tidak</i></h4></td>
  2516. </tr>
  2517. </table>
  2518. <table style="margin-top:-30px;">
  2519. <tr>
  2520. <td width="15px;">
  2521. <h4 style = "margin-left:4px;">if yes, please fill in the fields below/ <i>Jika ya, sila isikan ruangan di bawah:</i></h4>
  2522. </td>
  2523. </tr>
  2524. </table>
  2525. <table style="margin-top:-30px;">
  2526. <tr>
  2527. <td width="16px;"><h4>&nbsp;Name/<i>Nama</i></h4></td>
  2528. <td width="16px;"><div class="square" align="center"></div></td>
  2529. <td width="16px;"><div class="square" align="center"></div></td>
  2530. <td width="16px;"><div class="square" align="center"></div></td>
  2531. <td width="16px;"><div class="square" align="center"></div></td>
  2532. <td width="16px;"><div class="square" align="center"></div></td>
  2533. <td width="16px;"><div class="square" align="center"></div></td>
  2534. <td width="16px;"><div class="square" align="center"></div></td>
  2535. <td width="16px;"><div class="square" align="center"></div></td>
  2536. <td width="16px;"><div class="square" align="center"></div></td>
  2537. <td width="16px;"><div class="square" align="center"></div></td>
  2538. <td width="16px;"><div class="square" align="center"></div></td>
  2539. <td width="16px;"><div class="square" align="center"></div></td>
  2540. <td width="16px;"><div class="square" align="center"></div></td>
  2541. <td width="16px;"><div class="square" align="center"></div></td>
  2542. <td width="16px;"><div class="square" align="center"></div></td>
  2543. <td width="16px;"><div class="square" align="center"></div></td>
  2544. <td width="16px;"><div class="square" align="center"></div></td>
  2545. <td width="16px;"><div class="square" align="center"></div></td>
  2546. <td width="16px;"><div class="square" align="center"></div></td>
  2547. <td width="16px;"><div class="square" align="center"></div></td>
  2548. <td width="16px;"><div class="square" align="center"></div></td>
  2549. <td width="16px;"><div class="square" align="center"></div></td>
  2550. <td width="16px;"><div class="square" align="center"></div></td>
  2551. <td width="16px;"><div class="square" align="center"></div></td>
  2552. <td width="16px;"><div class="square" align="center"></div></td>
  2553. <td width="16px;"><div class="square" align="center"></div></td>
  2554. <td width="16px;"><div class="square" align="center"></div></td>
  2555. <td width="16px;"><div class="square" align="center"></div></td>
  2556. <td width="16px;"><div class="square" align="center"></div></td>
  2557. <td width="16px;"><div class="square" align="center"></div></td>
  2558. <td width="16px;"><div class="square" align="center"></div></td>
  2559. <td width="16px;"><div class="square" align="center"></div></td>
  2560. <td width="16px;"><div class="square" align="center"></div></td>
  2561. <td width="16px;"><div class="square" align="center"></div></td>
  2562. </tr>
  2563. </table>
  2564. <table style="margin-left: -3px; margin-top:-22px; margin-bottom: 9px">
  2565. <tr>
  2566. <td colspan="5" style="padding-top:-10px; padding-bottom:-10px;" width="68px;">
  2567. <table>
  2568. <tr>
  2569. <td width="20px;"><h4>&nbsp;MyKad No. /</h4></td>
  2570. </tr>
  2571. </table>
  2572. <table style="margin-top:-22px;">
  2573. <tr>
  2574. <td width="20px;"><h4><i>&nbsp;No. MyKad</i></h4></td>
  2575. </tr>
  2576. </table>
  2577. </td>
  2578. <td colspan="5">
  2579. <table style="margin-left:-5px;">
  2580. <tr>
  2581. <td width="17px;"><div class="square" align="center"></div></td>
  2582. <td width="17px;"><div class="square" align="center"></div></td>
  2583. <td width="17px;"><div class="square" align="center"></div></td>
  2584. <td width="17px;"><div class="square" align="center"></div></td>
  2585. <td width="17px;"><div class="square" align="center"></div></td>
  2586. <td width="17px;"><div class="square" align="center"></div></td>
  2587. <td>
  2588. <table style="margin-top:-15px; margin-right: -5px;">
  2589. <tr>
  2590. <td>_</td>
  2591. </tr>
  2592. </table>
  2593. </td>
  2594. <td width="17px;"><div class="square" align="center"></div></td>
  2595. <td width="17px;"><div class="square" align="center"></div></td>
  2596. <td>
  2597. <table style="margin-top:-15px; margin-right: -5px;">
  2598. <tr>
  2599. <td>_</td>
  2600. </tr>
  2601. </table>
  2602. </td>
  2603. <td width="17px;"><div class="square" align="center"></div></td>
  2604. <td width="17px;"><div class="square" align="center"></div></td>
  2605. <td width="17px;"><div class="square" align="center"></div></td>
  2606. <td width="17px;"><div class="square" align="center"></div></td>
  2607. </tr>
  2608. </table>
  2609. </td>
  2610. <td colspan="5" style="padding-top:-15px; padding-bottom:-10px;" width="69px;">
  2611. <table style="margin-left:-7px;">
  2612. <tr>
  2613. <td width="140px;"><h4>&nbsp;Passport No./<i>No. Pasport</i> (Non-civillian No.)</h4></td>
  2614. </tr>
  2615. </table>
  2616. </td>
  2617. <td colspan="5">
  2618. <table style="margin-left:-13px;">
  2619. <tr>
  2620. <td width="17px;"><div class="square" align="center"></div></td>
  2621. <td width="17px;"><div class="square" align="center"></div></td>
  2622. <td width="17px;"><div class="square" align="center"></div></td>
  2623. <td width="17px;"><div class="square" align="center"></div></td>
  2624. <td width="17px;"><div class="square" align="center"></div></td>
  2625. <td width="17px;"><div class="square" align="center"></div></td>
  2626. <td width="17px;"><div class="square" align="center"></div></td>
  2627. <td width="17px;"><div class="square" align="center"></div></td>
  2628. <td width="17px;"><div class="square" align="center"></div></td>
  2629. <td width="20px;"><div class="square" align="center"></div></td>
  2630. </tr>
  2631. </table>
  2632. </td>
  2633. </tr>
  2634. </table>
  2635. <table style="margin-top:-30px;">
  2636. <tr>
  2637. <td width="15px;">
  2638. <h4 style = "margin-left:4px;">Relationship/<i>Hubungan________________________________________</i></h4>
  2639. </td>
  2640. </tr>
  2641. </table>
  2642. </td>
  2643. </tr>
  2644. </table>
  2645. <!-- END FINANCING TRANSACTIONS AND EXPOSURES WITH CONNECTED PARTIES / TRANSAKSI PEMBIAYAAN DAN PENDEDAHAN DENGAN PIHAK BERKAITAN -->
  2646. <!-- FINANCIAL OBLIGATION SELF-DECLARATION / AKUAN OBLIGASI KEWANGAN -->
  2647. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; border-top:0.8px solid black; margin-top:-101px; margin-bottom:100px;">
  2648. <tr>
  2649. <td colspan="20" style="background-color: black; color:white; padding-top:-10px; padding-bottom:-10px;"><h4 style = "margin-left:6px;">FINANCIAL OBLIGATION SELF-DECLARATION/ <i>AKUAN OBLIGASI KEWANGAN</i></h4></td>
  2650. </tr>
  2651. </table>
  2652. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-bottom:0.8px solid black; border-left:0.8px solid black; margin-top:-115px; margin-bottom:85px;">
  2653. <tr>
  2654. <td>
  2655. <table style="margin-top:-3px;">
  2656. <tr>
  2657. <td width="15px;" align="justify">
  2658. <h4 style = "margin-left:2px;">Followings are my/our outstanding debts with financial institutions and/or non-financial institutions in Malaysia / <i>Berikut adalah hutang saya/kami yang tertunggak
  2659. dengan institusi kewangan dan/atau institusi bukan kewangan di Malaysia.</i></h4>
  2660. </td>
  2661. </tr>
  2662. </table>
  2663. <table style="margin-top:-16px; margin-left:5px; margin-right:15px;" width="100%;" cellspacing="0" cellpadding="-7">
  2664. <tr>
  2665. <td style="border:1px solid black;background-color:#B3B1B1" width="18%"><h4 style = "margin:10px, 9px;" align="justify">Bank/ Finance Company/ Others/ <i>Bank/ Syarikat Kewangan/ Lain-lain</i></h4></td>
  2666. <td style="border:1px solid black;background-color:#B3B1B1" width="32%"><h4 style = "margin:10px, 9px;" align="justify">Type of Facility/ Financing [Housing/ Car/ Personal/ Others] / <i>Jenis Kemudahan/ Pembiayaan [Rumah/Kereta/Pribadi/Lain-lain]</i></h4></td>
  2667. <td style="border:1px solid black;background-color:#B3B1B1" width="16%"><h4 style = "margin:10px, 9px;" align="justify">Financing Amount (RM) / <i>Jumlah Pembiayaan (RM)</i></h4></td>
  2668. <td style="border:1px solid black;background-color:#B3B1B1" width="16%"><h4 style = "margin:10px, 9px;" align="justify">Outstanding Balance (RM) / <i>Baki Belum Jelas (RM)</i></h4></td>
  2669. <td style="border:1px solid black;background-color:#B3B1B1" width="17%"><h4 style = "margin:10px, 9px;" align="justify">Monthly Payment Amount (RM) / <i>Jumlah Bayaran Bulanan (RM)</i></h4></td>
  2670. </tr>
  2671. <tr>
  2672. <td style="border:1px solid black;"height="25px;"></td>
  2673. <td style="border:1px solid black;"height="25px;"></td>
  2674. <td style="border:1px solid black;"height="25px;"></td>
  2675. <td style="border:1px solid black;"height="25px;"></td>
  2676. <td style="border:1px solid black;"height="25px;"></td>
  2677. </tr>
  2678. <tr>
  2679. <td style="border:1px solid black;"height="25px;"></td>
  2680. <td style="border:1px solid black;"height="25px;"></td>
  2681. <td style="border:1px solid black;"height="25px;"></td>
  2682. <td style="border:1px solid black;"height="25px;"></td>
  2683. <td style="border:1px solid black;"height="25px;"></td>
  2684. </tr>
  2685. <tr>
  2686. <td style="border:1px solid black;"height="25px;"></td>
  2687. <td style="border:1px solid black;"height="25px;"></td>
  2688. <td style="border:1px solid black;"height="25px;"></td>
  2689. <td style="border:1px solid black;"height="25px;"></td>
  2690. <td style="border:1px solid black;"height="25px;"></td>
  2691. </tr>
  2692. <tr>
  2693. <td style="border:1px solid black;"height="25px;"></td>
  2694. <td style="border:1px solid black;"height="25px;"></td>
  2695. <td style="border:1px solid black;"height="25px;"></td>
  2696. <td style="border:1px solid black;"height="25px;"></td>
  2697. <td style="border:1px solid black;"height="25px;"></td>
  2698. </tr>
  2699. <tr>
  2700. <td style="border:1px solid black;"height="25px;"></td>
  2701. <td style="border:1px solid black;"height="25px;"></td>
  2702. <td style="border:1px solid black;"height="25px;"></td>
  2703. <td style="border:1px solid black;"height="25px;"></td>
  2704. <td style="border:1px solid black;"height="25px;"></td>
  2705. </tr>
  2706. </table>
  2707. <table style="margin-top:-14px;">
  2708. <tr>
  2709. <td width="15px;" align="justify">
  2710. <h4 style = "margin-left:2px;">I, hereby declare that the above information provaided by me are true and correct and in the event that RHB Islamic Bank (Bank) subsequently discovered that
  2711. any of the information provided are found to be false, incorrect or incomplete, the Bank shall have the absolute discretion to cancle or vary the facility approved./ <br>
  2712. <i>Saya, mengesahkan bahawa maklumat yang disediakan oleh saya adalah benar dan betul dan sekiranya Bank kemudian mendapati sebarang maklumat yang
  2713. disediakan adalah tidak benar, salah atau tidak lengkap, pihak Bank berhak mengikuti budi bicara mutlaknya membatal atau mengubah kemudahan yang telah diluluskan.
  2714. </i></h4>
  2715. </td>
  2716. </tr>
  2717. </table>
  2718. </td>
  2719. </tr>
  2720. </table>
  2721. <!-- END FINANCIAL OBLIGATION SELF-DECLARATION / AKUAN OBLIGASI KEWANGAN -->
  2722. <!-- FINANCING DISBURSEMENT ACCOUNT/ AKAUN PEMBAYARAN PEMBIAYAAN -->
  2723. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; border-top:0.8px solid black; margin-top:-101px; margin-bottom:100px;">
  2724. <tr>
  2725. <td colspan="20" style="background-color: black; color:white; padding-top:-10px; padding-bottom:-10px;"><h4 style = "margin-left:6px;">FINANCING DISBURSEMENT ACCOUNT/ <i>AKAUN PEMBAYARAN PEMBIAYAAN</i></h4></td>
  2726. </tr>
  2727. </table>
  2728. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-bottom:0.8px solid black; border-left:0.8px solid black; margin-top:-115px; margin-bottom:85px;">
  2729. <tr>
  2730. <td>
  2731. <table style="margin-top:-5px;">
  2732. <tr>
  2733. <td width="15px;" align="justify">
  2734. <h4 style = "margin-left:2px;">I would like the approved Personal Financing-i (Facility) amount to be credited into my / <i>Sila kreditkan jumlah Pembiayaan Peribadi-i yang diluluskan ke dalam</i></h4>
  2735. </td>
  2736. </tr>
  2737. </table>
  2738. <table style="margin-top:-28px;">
  2739. <tr>
  2740. <td width="30px;"><div class="square" align="center" style = "margin-left:10px;"></div></td>
  2741. <td width="15px;"><h4>&nbsp;PFi for Pensioner (RHBIB/RHB account only) /<i>Pembiayaan Peribadi-i untuk Pesara (Akaun RHB/RHBIB sahaja)</i></h4></td>
  2742. </tr>
  2743. </table>
  2744. <table style="margin-top:-23px;">
  2745. <tr>
  2746. <td width="16px;"><h4 style = "margin-right:-120px;">&nbsp;RHB/RHB Islamic Account No./<i><br>&nbsp;No. Akaun RHB/RHB Islamic</i></h4></td>
  2747. <td width="16px;"><div class="square" align="center"></div></td>
  2748. <td width="16px;"><div class="square" align="center"></div></td>
  2749. <td width="16px;"><div class="square" align="center"></div></td>
  2750. <td width="16px;"><div class="square" align="center"></div></td>
  2751. <td width="16px;"><div class="square" align="center"></div></td>
  2752. <td width="16px;"><div class="square" align="center"></div></td>
  2753. <td width="16px;"><div class="square" align="center"></div></td>
  2754. <td width="16px;"><div class="square" align="center"></div></td>
  2755. <td width="16px;"><div class="square" align="center"></div></td>
  2756. <td width="16px;"><div class="square" align="center"></div></td>
  2757. <td width="16px;"><div class="square" align="center"></div></td>
  2758. <td width="16px;"><div class="square" align="center"></div></td>
  2759. <td width="16px;"><div class="square" align="center"></div></td>
  2760. <td width="16px;"><div class="square" align="center"></div></td>
  2761. <td width="16px;"><div class="square" align="center"></div></td>
  2762. <td width="16px;"><div class="square" align="center"></div></td>
  2763. <td width="16px;"><div class="square" align="center"></div></td>
  2764. <td width="16px;"><div class="square" align="center"></div></td>
  2765. <td width="16px;"><div class="square" align="center"></div></td>
  2766. <td width="16px;"><div class="square" align="center"></div></td>
  2767. </tr>
  2768. </table>
  2769. <table style="margin-top:-23px;">
  2770. <tr>
  2771. <td width="30px;"><div class="square" align="center" style = "margin-left:10px;"></div></td>
  2772. <td width="15px;"><h4>&nbsp;PFi for Civil Sector /<i>Pembiayaan Peribadi-i untuk Sektor Awam</i></h4></td>
  2773. <td width="30px;">
  2774. <table style="margin-top:13px; margin-left:30px;" width="100%;" cellspacing="0" cellpadding="-11.5">
  2775. <tr>
  2776. <td width="50px;"><div class="square" align="center" style = "margin-left:-5px;"></div></td>
  2777. <td width="25px;"><h4>&nbsp;RHB/RHB Islamic Account /<i>Akaun RHB/RHB Islamic</i></h4></td>
  2778. </tr>
  2779. <tr style="margin-top:10px;">
  2780. <td width="50px;"><div class="square" align="center" style = "margin-left:-5px;"></div></td>
  2781. <td width="25px;"><h4>&nbsp;Other Bank (please specify) /<i>Bank lain (sila nyatakan) _____________</i></h4></td>
  2782. </tr>
  2783. </table>
  2784. </td>
  2785. </tr>
  2786. </table>
  2787. <table style="margin-top:-15px;">
  2788. <tr>
  2789. <td width="30px;"><h4 style = "margin-right:10px;margin-top:25px;margin-left:10px;">&nbsp;Account No./<i>No. Akaun</i></h4></td>
  2790. <td width="16px;"><div class="square" align="center"></div></td>
  2791. <td width="16px;"><div class="square" align="center"></div></td>
  2792. <td width="16px;"><div class="square" align="center"></div></td>
  2793. <td width="16px;"><div class="square" align="center"></div></td>
  2794. <td width="16px;"><div class="square" align="center"></div></td>
  2795. <td width="16px;"><div class="square" align="center"></div></td>
  2796. <td width="16px;"><div class="square" align="center"></div></td>
  2797. <td width="16px;"><div class="square" align="center"></div></td>
  2798. <td width="16px;"><div class="square" align="center"></div></td>
  2799. <td width="16px;"><div class="square" align="center"></div></td>
  2800. <td width="16px;"><div class="square" align="center"></div></td>
  2801. <td width="16px;"><div class="square" align="center"></div></td>
  2802. <td width="16px;"><div class="square" align="center"></div></td>
  2803. <td width="16px;"><div class="square" align="center"></div></td>
  2804. <td width="16px;"><div class="square" align="center"></div></td>
  2805. <td width="16px;"><div class="square" align="center"></div></td>
  2806. <td width="16px;"><div class="square" align="center"></div></td>
  2807. <td width="16px;"><div class="square" align="center"></div></td>
  2808. <td width="16px;"><div class="square" align="center"></div></td>
  2809. <td width="16px;"><div class="square" align="center"></div></td>
  2810. </tr>
  2811. </table>
  2812. <table style="margin-top:-25px; margin-bottom:-13px;">
  2813. <tr>
  2814. <td width="15px;" align="justify">
  2815. <h4 style = "margin-left:2px;">I declare, confirm and undertake that the details of the account stated above are correct and valid and that it is an individually-held account which is active and
  2816. non-dormant (i.e. not inactive for more than 6 months). I acknowledge that there could be delays in the processing of my application or that the Facility amount
  2817. may not be creadited into my account if the details given are not correct. Any charges imposed or levied on the account shall be my sole and absolute responsibility
  2818. and liability/ <br><i>Saya mengakui, mengesahkan dan mengakujanji bahawa butiran akaun yang dicatatkan di atas adalah betul dan sah dan ianya adalah pegangan individu yang aktif
  2819. dan tidak dorman (iaitu tidak aktif selama 6 bulan). Saya mengakui bahawa mungkin berlaku kelewatan di dalam pemprosesan permohonan saya atau jumlah
  2820. Pembiayaan Peribadi-i mungkin tidak dapat dikreditkan ke dalam akaun saya sekiranya butiran yang diberikan tidak betul. Sebarang bayaran yang dikenakan atau dilevikan di atas akaun tersebut
  2821. adalah tanggungjawab dan liabiliti saya sepenuhnya.</i></h4>
  2822. </td>
  2823. </tr>
  2824. </table>
  2825. </td>
  2826. </tr>
  2827. </table>
  2828. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="margin-top:-90px; margin-bottom:80px; margin-left:500px;">
  2829. <tr>
  2830. <td>
  2831. <table style="margin-top:-8px;">
  2832. <tr>
  2833. <td width="165px;"><h6>version 9.0</h6></td>
  2834. </tr>
  2835. </table>
  2836. </td>
  2837. </tr><tr>
  2838. <td>
  2839. <table style="margin-top:-50px;">
  2840. <tr>
  2841. <td width="165px;"><h6>(September 2018)</h6></td>
  2842. </tr>
  2843. </table>
  2844. </td>
  2845. </tr>
  2846. <div style = "page-break-before: always;"></div>
  2847. </table>
  2848. <!-- END FINANCING DISBURSEMENT ACCOUNT/ AKAUN PEMBAYARAN PEMBIAYAAN -->
  2849. <!-- SETTLEMENT INSTRUCTION -->
  2850. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; border-top:0.8px solid black; margin-top:-101px; margin-bottom:100px;">
  2851. <tr>
  2852. <td colspan="20" style="background-color: black; color:white; padding-top:-10px; padding-bottom:-10px;"><h4 style = "margin-left:6px;">SETTLEMENT INSTRUCTION</h4></td>
  2853. </tr>
  2854. </table>
  2855. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-bottom:0.8px solid black; border-left:0.8px solid black; margin-top:-115px; margin-bottom:85px;">
  2856. <tr>
  2857. <td>
  2858. <table style="margin-top:25px; margin-left:5px; margin-right:15px;" width="100%;" cellspacing="0" cellpadding="-7">
  2859. <tr>
  2860. <td style="border:1px solid black;background-color:#B3B1B1" width="5%"><h4 style = "margin:10px, 9px;" align="center"><b>No.</b></h4></td>
  2861. <td style="border:1px solid black;background-color:#B3B1B1" width="25%"><h4 style = "margin:10px, 9px;" align="center"><b>Institutions/Cooperatives Institusi/Koperasi</b></h4></td>
  2862. <td style="border:1px solid black;background-color:#B3B1B1" width="25%"><h4 style = "margin:10px, 9px;" align="center"><b>Settlement Amount/<br> Jumlah Pembayaran</b></h4></td>
  2863. <td style="border:1px solid black;background-color:#B3B1B1" width="45%"><h4 style = "margin:10px, 9px;" align="center"><b>Settlement Due Date (If applicable) <br> Tarikh Akhir Pembayaran (Jika Berkenaan)</b></h4></td>
  2864. </tr>
  2865. <tr>
  2866. <td style="border:1px solid black;"height="40px;"></td>
  2867. <td style="border:1px solid black;"height="40px;"></td>
  2868. <td style="border:1px solid black;"height="40px;"></td>
  2869. <td style="border:1px solid black;"height="40px;"></td>
  2870. </tr>
  2871. <tr>
  2872. <td style="border:1px solid black;"height="40px;"></td>
  2873. <td style="border:1px solid black;"height="40px;"></td>
  2874. <td style="border:1px solid black;"height="40px;"></td>
  2875. <td style="border:1px solid black;"height="40px;"></td>
  2876. </tr>
  2877. <tr>
  2878. <td style="border:1px solid black;"height="40px;"></td>
  2879. <td style="border:1px solid black;"height="40px;"></td>
  2880. <td style="border:1px solid black;"height="40px;"></td>
  2881. <td style="border:1px solid black;"height="40px;"></td>
  2882. </tr>
  2883. <tr>
  2884. <td style="border:1px solid black;"height="40px;"></td>
  2885. <td style="border:1px solid black;"height="40px;"></td>
  2886. <td style="border:1px solid black;"height="40px;"></td>
  2887. <td style="border:1px solid black;"height="40px;"></td>
  2888. </tr>
  2889. <tr>
  2890. <td style="border:1px solid black;"height="40px;"></td>
  2891. <td style="border:1px solid black;"height="40px;"></td>
  2892. <td style="border:1px solid black;"height="40px;"></td>
  2893. <td style="border:1px solid black;"height="40px;"></td>
  2894. </tr>
  2895. </table>
  2896. <table style="margin-top:-5px;">
  2897. <tr>
  2898. <td width="15px;" align="justify">
  2899. <h4 style = "margin-left:2px;">I, hereby instruct the Bank to deduct any amount from the approved Personal Financing-i to settle any outstanding balance on my behalf according to the details
  2900. as per compiled in the above. I agree to pay the settlement balance in excess of the approved Personal Financing-i (if any) after the Bank has made peyment in
  2901. accordance to my instruction here and pursuant to the settlement letter by the respective instution that is/are enclosed herewith. I also agree that I will not do or
  2902. take any claims/actions towards RHB Islamic Bank Berhad in acting according to my instruction herein. /<br><br>
  2903. <i>Adalah saya dengan ini membenarkan pihak Bank untuk memotong dari Pembiayaan Peribadi-i yang diluluskan untuk menjelaskan baki pinjaman/pembiayaan
  2904. bagi pihak saya sepertimana butiran yang telah dilampirkan di atas. Saya bersetuju akan menjelaskan baki penyelesaian (sekiranya ada) selepas pihak Bank
  2905. telah membuat pembayaran sepertimana butiran yang dinyatakan di sini dan juga di dalam Surat Penyelesaian Pinjaman/Pembiayaan dari institusi berkenaan
  2906. yang disertakan bersama surat ini. Saya juga bersetuju tidak akan membuat sebarang tuntutan/tindakan terhadap RHB Islamic Bank Berhad dalam bertindak mengikuti arahan saya di sini.</i></h4>
  2907. </td>
  2908. </tr>
  2909. </table>
  2910. </td>
  2911. </tr>
  2912. </table>
  2913. <!-- END SETTLEMENT INSTRUCTION -->
  2914. <!-- AUTHORIZATION OF MAKING PAYMENT DEDUCTION FROM DISBURSEMENT / KEBENARAN PEMOTONGAN DARIPADA BAYARAN PENGELUARAN -->
  2915. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; border-top:0.8px solid black; margin-top:-101px; margin-bottom:100px;">
  2916. <tr>
  2917. <td colspan="20" style="background-color: black; color:white; padding-top:-10px; padding-bottom:-10px;"><h4 style = "margin-left:6px;">AUTHORIZATION OF MAKING PAYMENT DEDUCTION FROM DISBURSEMENT / <i>KEBENARAN PEMOTONGAN DARIPADA BAYARAN PENGELUARAN</i></h4></td>
  2918. </tr>
  2919. </table>
  2920. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-bottom:0.8px solid black; border-left:0.8px solid black; margin-top:-115px; margin-bottom:85px;">
  2921. <tr>
  2922. <td>
  2923. <table style="margin-top:4px;">
  2924. <tr>
  2925. <td width="15px;" align="justify">
  2926. <h4 style = "margin-left:2px;">I hereby authorize and allow the Bank to make direct deduction/payment for the below from the amount approved by the Bank / <i>Saya dengan ini memberi kuasa
  2927. dan membenarkan pihak Bank untuk melakukan pemotongan/pembayaran secara terus daripada jumlah pembiayaan yang diluluskan oleh pihak Bank.</i></h4>
  2928. </td>
  2929. </tr>
  2930. </table>
  2931. <table style="margin-top:-5px; margin-left:5px; margin-right:5px;" width="100%;" cellspacing="0" cellpadding="-7">
  2932. <tr>
  2933. <td style="border:1px solid black;" width="50%">
  2934. <h4 style = "margin-top:20px; margin-left:15px; margin-right:15px;" align="justify">
  2935. 1.0 Stamp Duty/<i>Duti Setem</i><br>
  2936. 2.0 Takaful Contribution/<i>Caruman Takaful</i><br>
  2937. 3.0 Redemption Amount<sup>1</sup>/<i>Jumlah Penebusan Hutang</i><br>
  2938. 4.0 Trading Fee/<i>Yuran Perdagangan</i><br>
  2939. 5.0 Advance payment (2months)<sup>2</sup>/<i>Bayaran pendahuluan (2 bulan)</i><br><br>
  2940. <b style= "margin-left:35px;">Total deduction</b><br><br>
  2941. Note: <br>
  2942. <ol>
  2943. <li>
  2944. If applicable / <i>Jika terpakai</i>
  2945. </li>
  2946. <li>
  2947. Applicable for Applicant under category 'CSVA2' only. These advance
  2948. payment is to facilitate monthly payment for customer in the event of
  2949. any delay in salary deduction / <i>Terpakai untuk pemohon di bawah
  2950. kategori 'CSVA2' sahaja. Bayaran pendahuluan ini bertujuan untuk
  2951. memudahkan pelanggan untuk pembayaran bulanan sekiranya
  2952. terdapat sebarang kelewatan dalam penolakan gaji.</i>
  2953. </li>
  2954. </ol>
  2955. </h4>
  2956. </td>
  2957. <td style="border:1px solid black;" width="20%"><h4 style = "margin-top:-5px; margin-left:15px;" align="justify"></h4></td>
  2958. <td style="border:1px solid black;" width="30%"><h4 style = "margin-top:-115px; margin-left:15px;" align="justify">
  2959. RM ___________________<br>
  2960. RM ___________________<br>
  2961. RM ___________________<br>
  2962. RM ___________________<br>
  2963. RM ___________________<br><br>
  2964. <b>RM ___________________</b><br>
  2965. </h4>
  2966. </td>
  2967. </tr>
  2968. </table>
  2969. <table style="margin-top:-3px; margin-bottom:30px;">
  2970. <tr>
  2971. <td width="15px;" align="justify">
  2972. <h4 style = "margin-left:2px;">
  2973. I also agree that the balance amount of the above financing (after deduction) will be paid by the Bank to me through the bank account which I have specified
  2974. above, or through any means deemed fit by the Bank. I also hereby agree that this authorization is an irrevocable approval if the redemption amount has been
  2975. paid to any thrid party on my behalf by the Bank, and I undertake to pay the whole redemption amount to the Bank if I Where to Withdraw from the Personal
  2976. Financing-i facility. / <br><br>
  2977. <i>Saya juga bersetuju bahawa baki amaun pembiayaan di atas (selepas potongan) akan di bayar oleh bank kepada saya melalui akaun bank sepertimana
  2978. dinyatakan di atas atau melalui apa-apa cara yang difikirkan sesuai oleh Bank. Saya juga dengan ini bersetuju bahawa kebenaran ini adalah kebenaran tidak
  2979. boleh batal sekiranya amaun tebus hutang telah pun dibayar kepada mana-mana pihak ketiga bagi pihak saya oleh Bank dan saya berakujanji akan membayar
  2980. kesemua amaun tebus hutang tersebut kepada Bank jika saya membatalkan Kemudahan Pembiayaan Peribadi-i tersebut.</i>
  2981. </h4>
  2982. </td>
  2983. </tr>
  2984. </table>
  2985. <table style="margin-top:-16px; margin-left:5px; margin-right:15px; margin-bottom:30px;" width="50%" cellspacing="0" cellpadding="-7">
  2986. <tr>
  2987. <td><h4 style="margin-left:4px;">Name/<i>Nama</i></h4></td>
  2988. <td><h4>: _________________________</h4></td>
  2989. </tr>
  2990. <tr style="margin-top:-20px;">
  2991. <td><h4 style="margin-left:4px;">Signature/<i>Tandatangan</i></h4></td>
  2992. <td><h4>: _________________________</h4></td>
  2993. </tr>
  2994. </table>
  2995. </td>
  2996. </tr>
  2997. </table>
  2998. <!-- AND AUTHORIZATION OF MAKING PAYMENT DEDUCTION FROM DISBURSEMENT / KEBENARAN PEMOTONGAN DARIPADA BAYARAN PENGELUARAN -->
  2999. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="margin-top:-118px; margin-bottom:100px; margin-left:500px;">
  3000. <tr>
  3001. <td>
  3002. <table style="margin-top:7px;">
  3003. <tr>
  3004. <td width="165px;"><h6>version 9.0</h6></td>
  3005. </tr>
  3006. </table>
  3007. </td>
  3008. </tr>
  3009. <tr>
  3010. <td>
  3011. <table style="margin-top:-50px;">
  3012. <tr>
  3013. <td width="165px;"><h6>(September 2018)</h6></td>
  3014. </tr>
  3015. </table>
  3016. </td>
  3017. </tr>
  3018. <div style = "page-break-before: always;"></div>
  3019. </table>
  3020. <!-- DEBITING OF ACCOUNT WITH RHB BANK BERHAD / MENDEBIT AKAUN DENGAN RHB BANK BERHAD -->
  3021. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-left:0.8px solid black; border-top:0.8px solid black; margin-top:-101px; margin-bottom:100px;">
  3022. <tr>
  3023. <td colspan="20" style="background-color: black; color:white; padding-top:-10px; padding-bottom:-10px;"><h4 style = "margin-left:6px;"> DEBITING OF ACCOUNT WITH RHB BANK BERHAD/ <i>MENDEBIT AKAUN DENGAN RHB BANK BERHAD</i></h4></td>
  3024. </tr>
  3025. </table>
  3026. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border:0.8px solid black; margin-top:-100px; margin-bottom:85px;">
  3027. <tr>
  3028. <td>
  3029. <table style="margin-top:-10px;">
  3030. <tr>
  3031. <td width="15px;" align="justify">
  3032. <h4 style = "margin-left:2px;">
  3033. Pursuant to the clause 30 of the Bank's Terms and Conditions and upon approval of the Facility, if I have Current of Savings Account(s) including joint account(s)
  3034. with any other person with RHB Bank Berhad, I irrevocably authorise RHB Bank Berhad to debit my account(s) with RHB Bank Berhad and pay such proceeds to
  3035. RHB Islamic Bank Berhad ("Bank") for any amount due from me to the Bank hereunder even if such debiting causes an overdrawn position or any existing
  3036. overdraft limit to be exceeded due to insufficient funds in my RHB Bank Berhad's account(s), and I agree to bear the financial consequences of such overdrawing
  3037. or excess according to the Terms and Conditions imposed by the Bank. / <br><br>
  3038. <i>Menurut Klausa 30 dalam Terma dan Syarat Bank dan setelah mendapat kelulusan keatas Kemudahan, jika saya mempunyai Akaun Semasa atau Akaun Simpanan termasuk
  3039. akaun bersama dengan mana-mana orang lain dengan RHB Bank Berhad, saya memberi kebenaran yang tidak boleh ditarik balik kepada
  3040. RHB Bank Berhad untuk mendebitkan akaun dengan RHB Bank Berhad dan membayar apa-apa hasil kepada RHB Islamic Bank Berhad ("Bank") untuk jumlah
  3041. hutang saya kepada Bank walaupun pendebitan tersebut melebihi had atau mana-mana had overdraf sedia ada yang perlu dilebihkan disebabkan dana yang
  3042. tidak mencukupi dalam akaun RHB Bank Berhad saya, dan saya bersetuju untuk menanggung akibat terhadap pengeluaran melebihi had atau berlebihan mengikuti
  3043. Terma dan Syarat yang dikenakan oleh Bank.
  3044. </i></h4>
  3045. </td>
  3046. </tr>
  3047. </table>
  3048. </td>
  3049. </tr>
  3050. </table>
  3051. <!-- AND DEBITING OF ACCOUNT WITH RHB BANK BERHAD / MENDEBIT AKAUN DENGAN RHB BANK BERHAD -->
  3052. <!-- PURCHASE ORDER AND UNDERTAKING/PESANAN PEMBELIAN DAN AKUJANJI -->
  3053. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border:0.8px solid black; margin-top:-101px; margin-bottom:100px;">
  3054. <tr>
  3055. <td colspan="20" style="background-color: black; color:white; padding-top:-10px; padding-bottom:-10px;"><h4 style = "margin-left:6px;">PURCHASE ORDER AND UNDERTAKING/ <i>PESANAN PEMBELIAN DAN AKUJANJI</i></h4></td>
  3056. </tr>
  3057. </table>
  3058. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border:0.8px solid black; margin-top:-100px; margin-bottom:85px;">
  3059. <tr>
  3060. <td>
  3061. <table style="margin-top:-10px;">
  3062. <tr>
  3063. <td width="15px;" align="justify">
  3064. <h4 style = "margin-left:2px;">I refer to Clause 5 which has been described in the Terms and Conditions sheet and as attached with this application from. I hereby make this order and request
  3065. the Bank to purchase the Specified Commodity at the Purchase Price as per below and I undertake to purchase the Specified Commodity from the Bank. / <i>
  3066. Saya merujuk kepada Klasusa 5 yang diterangkan dalam helaian Terma dan Syarat sepertimana yang dilampirkan bersama borang permohonan ini. Saya dengan ini
  3067. membuat pesanan ini dan meminta pihak Bank membeli Komoditi Ditetapkan pada Harga Belian seperti di bawah dan saya mengakujanji untuk membeli Komoditi Ditetapkan daripada
  3068. pihak Bank.</i></h4>
  3069. </td>
  3070. </tr>
  3071. </table>
  3072. <table style="margin-top:-15px; margin-left:5px; margin-right:15px;" width="100%;" cellspacing="0" cellpadding="-7">
  3073. <tr>
  3074. <td style="border:1px solid black;background-color:#B3B1B1" width="57%"><h4 style = "margin:10px, 9px;" align="justify"><b>
  3075. Purchase Price/<i>Harga Belian</i><br>
  3076. Note: Purchase Price is equivalent to the financing amount approved/ <i>Nota: Harga Belian adalah bersamaan dengan jumlah pembiayaan diluluskan</i>
  3077. </b></h4></td>
  3078. <td style="border:1px solid black;" width="43%"><h4 style = "margin-top:30px; margin-left:9px;" align="left">RM ____________________________ </h4></td>
  3079. </tr>
  3080. <tr>
  3081. <td style="border:1px solid black;background-color:#B3B1B1;"height="40px;"><h4 style = "margin:10px, 9px;" align="left"><b>Commodity Details/ <i>Butiran Komoditi</i></b></h4></td>
  3082. <td style="border:1px solid black;"height="40px;"><h4 style = "margin:10px, 9px;" align="justify">Any commodity traded on the approved trading platform by RHB Islamic Bank /
  3083. <i>Apa-apa Komoditi yang didagangkan di platform dagangan yang diluluskan oleh RHB Islamic Bank</i></h4></td>
  3084. </tr>
  3085. </table>
  3086. <table style="margin-top:-13px;">
  3087. <tr>
  3088. <td width="15px;" align="justify">
  3089. <h4 style = "margin-left:2px;">
  3090. Note*: Customer has the option to take delivery of the Specified Commodity which must be made informed to the Bank within the same working day after SMS
  3091. issuance, whereby all costs (including but not limited to transportation and storage) involed in taking delivery will be fully bome by the Customer./<i>Pelanggan mempunyai pilihan untuk mengambil penghantaran Komoditi Ditetapkan yang mana ianya mesti dimaklumkan kepada pihak Bank pada hari yang sama selepas
  3092. SMS dihantar dimana semua kos (termasuk tetapi tidak terhadap kepada pengangkutan dan penyimpanan) yang terlibat dalam penerimaan penghantaran akan
  3093. ditanggung sepenuhnya oleh Pelanggan.</i></h4>
  3094. </td>
  3095. </tr>
  3096. </table>
  3097. </td>
  3098. </tr>
  3099. </table>
  3100. <!-- END PURCHASE ORDER AND UNDERTAKING/PESANAN PEMBELIAN DAN AKUJANJI -->
  3101. <!-- RHB ISLAMIC BANK APPOINTEMENT AS AGENT / PELANTIKAN RHB ISLAMIC BANK SEBAGAI EJEN -->
  3102. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border:0.8px solid black; margin-top:-101px; margin-bottom:100px;">
  3103. <tr>
  3104. <td colspan="20" style="background-color: black; color:white; padding-top:-10px; padding-bottom:-10px;"><h4 style = "margin-left:6px;">RHB ISLAMIC BANK APPOINTEMENT AS AGENT/ <i>PELANTIKAN RHB ISLAMIC BANK SEBAGAI EJEN</i></h4></td>
  3105. </tr>
  3106. </table>
  3107. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border:0.8px solid black; margin-top:-100px; margin-bottom:85px;">
  3108. <tr>
  3109. <td>
  3110. <table style="margin-top:-5px;">
  3111. <tr>
  3112. <td width="15px;" align="justify">
  3113. <h4>
  3114. Subject to RHB Islamic Bank's approval and the fulfilling of the Bank's Terms and Conditions, I hereby authorize and appoint RHB Islamic Bank Berhad as my
  3115. sole and exclusive agent and / or authorized the Bank to delegate its rights and duties as such agent herein to any third party under Agency (Wakalah) contract
  3116. to act on my behalf for the following transactions/
  3117. <i> Tertakluk kepada kelulusan RHB Islamic Bank dan memenuhi Terma dan Syarat Bank, saya dengan ini memberi kuasa dan melantik RHB Islamic Bank Berhad sebagai ejen tunggal dan eksklusif saya dan / atau membenarkan pihak Bank untuk mewakilkan hak dan
  3118. tanggungjawab sebagai ejen kepada pihak ketiga di bawah kontrak Agensi (Wakalah) untuk bertindak bagi pihak saya untuk transaksi berikut:-</i><br><br>
  3119.  
  3120. The Bank will purchase the Commodity on behalf of the customer from himself and after taking delivery thereafter sell the Commodity on behalf of customer at a
  3121. deferred sale price. / Pihak Bank akan membeli Komoditi bagi pihak pelanggan dari dirinya sendiri dan selepas menerima penghantaran akan menjual Komoditi
  3122. tersebut bagi pihak pelanggan pada harga jualan tertangguh. <br><br>
  3123.  
  3124. I hereby agree that I shall not revoke this agency appointement as long as the Facility remains available. All the actions by the Bank as the Bank as the agent on my behalf
  3125. shall remain binding on me and not be affected by any event taking place which may heve the effect of revoking this appointement unless the Bank has actual
  3126. knowledge of such event. In consideration of the Bank acting as my agent. I shall indemnify the Bank against all costs, losses, claims, damages, actions, liabilities
  3127. and expenses that is possibly made and carried at anytime by any third parties to any parties or RHB Islamic Bank Berhad due to this appointement/
  3128. <i>Saya dengan ini bersetuju bahawa saya tidak akan membatalkan pelantikan agensi ini selagi Kemudahan itu masih ada. Semua tindakan oleh Bank sebagai ejen bagi pihak
  3129. saya akan kekal terikat terhadap saya dan tidak terjejas oleh apa-apa kejadian yang mungkin mempunyai kesan membatalkan pelantikan ini melainkan jika pihak
  3130. Bank mempunyai pengetahuan sebenar kejadian tersebut. Sebagai balasan pihak Bank yang bertindak sebagai ejen saya, saya hendaklah menanggung rugi
  3131. pihak Bank terhadap semua kos, kerugian, tuntutan, ganti rugi, tindakan, liabiliti dan perbelanjaan yang mungkin dibuat dan ditanggung pada bila-bila masa oleh mana-mana pihak ketiga untuk mana-mana
  3132. pihak atau RHB Islamic Bank Berhad kerana perlantikan ini.</i>
  3133. </h4>
  3134. </td>
  3135. </tr>
  3136. </table>
  3137. </td>
  3138. </tr>
  3139. </table>
  3140. <!-- END RHB ISLAMIC BANK APPOINTEMENT AS AGENT / PELANTIKAN RHB ISLAMIC BANK SEBAGAI EJEN -->
  3141. <!-- CREDIT REPORTING AGENCIES (CRA) CONSENT DECLARATION / AKUAN KEBENARAN AGENSI PELAPORAN KREDIT -->
  3142. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border:0.8px solid black; margin-top:-101px; margin-bottom:100px;">
  3143. <tr>
  3144. <td colspan="20" style="background-color: black; color:white; padding-top:-10px; padding-bottom:-10px;"><h4 style = "margin-left:6px;">CREDIT REPORTING AGENCIES (CRA) CONSENT DECLARATION / <i>AKUAN KEBENARAN AGENSI PELAPORAN KREDIT</i></h4></td>
  3145. </tr>
  3146. </table>
  3147. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border:0.8px solid black; margin-top:-100px; margin-bottom:85px;">
  3148. <tr>
  3149. <td>
  3150. <table style="margin-top:-15px;">
  3151. <tr>
  3152. <td width="15px;" align="justify">
  3153. <h4 style = "margin-left:2px;">
  3154. I hereby authorize and consent RHB Islamic Bank to obtain any credit information from CTOS and/or other registered Credit Reporting Agencies as defined under
  3155. the Credit Reporting Agencies Act 2010 without further notice to me to such extent and for the purpose of the following (whichever is applicable): /
  3156. <i>Saya dengan ini memberi kuasa dan memberi kuasa dan memberi kebenaran kepada RHB Islamic Bank untuk mendapatkan apa-apa maklumat kredit daaripada CTOS dari/atau mana-mana Agensi
  3157. Pelaporan Kredit berdaftar seperti yang didefinisikan di bawah Akta Agensi Pelaporan Kredit 2010 tanpa sebarang notis lanjut kepada saya bagi tujuan seperti
  3158. yang berikut (mana-mana yang berkenaan):- </i>
  3159. </h4>
  3160. <table style="margin-top:-16px; margin-left:5px; margin-right:15px; margin-bottom:0px;" width="100%" cellspacing="0" cellpadding="-7">
  3161. <tr>
  3162. <td>
  3163. <h4 style="margin-left:4px;">
  3164. <ul style="list-style-type:none;">
  3165. <li class="checkbox checked"> Credit application processing/ <i>Pemprosesan permohonan kredit</i></li>
  3166. <li class="checkbox checked" style="margin-top: -8px"> Credit limit review/ <i>Kajian semula had kredit</i></li>
  3167. <li class="checkbox checked" style="margin-top: -8px"> Restructuring/ <i>Penyusunan semula</i></li>
  3168. </ul>
  3169. </h4>
  3170. </td>
  3171. <td>
  3172. <h4 style="margin-left:4px;">
  3173. <ul style="list-style-type:none;">
  3174. <li class="checkbox checked" style="margin-top: -8px"> Overlapping/ <i>Pertindihan</i></li>
  3175. <li class="checkbox checked" style="margin-top: -8px"> Upgrading/ <i>Naik Taraf</i></li>
  3176. </ul>
  3177. </h4>
  3178. </td>
  3179. </tr>
  3180. </table>
  3181. </td>
  3182. </tr>
  3183. </table>
  3184. </td>
  3185. </tr>
  3186. </table>
  3187. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="margin-top:-118px; margin-bottom:100px; margin-left:500px;">
  3188. <tr>
  3189. <td>
  3190. <table style="margin-top:7px;">
  3191. <tr>
  3192. <td width="165px;"><h6>version 9.0</h6></td>
  3193. </tr>
  3194. </table>
  3195. </td>
  3196. </tr>
  3197. <tr>
  3198. <td>
  3199. <table style="margin-top:-50px;">
  3200. <tr>
  3201. <td width="165px;"><h6>(September 2018)</h6></td>
  3202. </tr>
  3203. </table>
  3204. </td>
  3205. </tr>
  3206. <div style = "page-break-before: always;"></div>
  3207. </table>
  3208. <!-- END CREDIT REPORTING AGENCIES (CRA) CONSENT DECLARATION / AKUAN KEBENARAN AGENSI PELAPORAN KREDIT -->
  3209. <!-- PRIVACY NOTICE / NOTIS PRIVASI -->
  3210. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border:0.8px solid black; margin-top:-101px; margin-bottom:100px;">
  3211. <tr>
  3212. <td colspan="20" style="background-color: black; color:white; padding-top:-10px; padding-bottom:-10px;"><h4 style = "margin-left:6px;">PRIVACY NOTICE/ <i>NOTIS PRIVASI</i></h4></td>
  3213. </tr>
  3214. </table>
  3215. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border:0.8px solid black; margin-top:-100px; margin-bottom:85px;">
  3216. <tr>
  3217. <td>
  3218. <table style="margin-top:-15px;">
  3219. <tr>
  3220. <td width="15px;" align="justify">
  3221. <h4 style = "margin-left:1px;" align="left">
  3222. I understand that RHB Islamic Bank Berhad (680329-V)("RHB") will use, collect, record, store, share and/or process my personal information, including, but not
  3223. limited to my contact details, background information, financial data, tax residency and other information relevant to my application for the product and / or
  3224. service which:/<i>Saya faham bahawa RHB Islamic Bank Berhad (680329-V)("RHB") akan menggunakan, mengumpul, merekod, menyimpan, berkongsi dan/atau
  3225. memproses maklumat peribadi saya, termasuk, tanpa had, butir-butir pengenalan saya, maklumat latar belakang, data kewangan dan maklumat lain yang
  3226. berkaitan dengan permohonan saya untuk produk dan / atau perkhidmatan yang:</i>
  3227. </h4>
  3228. <h4 style = "margin-left:1px; margin-top:-30px;" align="justify">
  3229. <ol class = "a">
  3230. <li>
  3231. I have provided in this form or through any other contact with RHB Banking Group (which shall include RHB's holding company(s), subsidiary(s), and
  3232. any associated company(s), including any company as a result of any restructuring, merger, sale or acquisition), or/ <i>telah saya berikan di dalam borang ini
  3233. atau melalui sebarang perhubungan lain dengan Kumpulan Perbankan RHB (termasuk syarikat-syarikat induk RHB, syarikat-syarikat subsidiari, dan
  3234. mana-mana syarikat yang berkenaan), termasuk mana-mana syarikat yang berkenaan, atau</i>
  3235. </li>
  3236. <li>
  3237. has been obtained from analysis of my payment and other transactions/services within the RHB Banking Group, or/ <i>diperolehi dari pada analisis pembayaran saya dan urusniaga/perkhidmatan yang lain dalam Kumpulan Perbankan RHB, atau</i>
  3238. </li>
  3239. <li>
  3240. has been obtained from thrid parties such as employers, joint applicants/accountholders, guarantors, legal representatives, industry/financial related
  3241. associations, government/regulatory authorities credit bureaus or credit reporting agencies or other organizations/
  3242. <i>diperolehi daripada pihak ketiga seperti majikan, pemohon bersama/pemegang-pemegang akaun, penjamin-penjamin, wakil-wakil
  3243. perundangan, persatuan-persatuan berkaitan industri/kewangan, biro-biro kredit atau agensi-agensi pelaporan kredit, penjual-penjual, rangkaian-rangkaian sosial dan agensi-agensi pencegahan
  3244. penipuan atau organisasi-organisasi lain.</i>
  3245. </li>
  3246. for any and/or all of the following purposes ("<b>Purpose</b>"), if applicable:/ <i>untuk mana-mana dan/atau semua tujuan-tujuan yang berikut ("<b>Tujuan</b>"), jika berkaitan:</i>
  3247. </ol>
  3248. <ol style="list-style-type:none;margin-top:-1em"class="garis">
  3249. <li>
  3250. providing this product and/or service and notifying me about important changes or developments to the features;/ <i>menyediakan produk dan/atau
  3251. perkhidmatan ini dan memaklumkan saya tentang sebarang perubahan penting atau perkembangan tentang ciri-ciri produk dan/atau perkhidmatan
  3252. tersebut;</i>
  3253. </li>
  3254. <li>
  3255. updating and managing the accuracy of RBH Banking Group's records;/ <i>mengemaskini dan menguruskan ketepatan rekod Kumpulan Perbankan RHB;</i>
  3256. </li>
  3257. <li>
  3258. prevension, detection or prosecution of crime, and complying with legal and regulatory obligations;/ <i>pencegahan, pengesanan atau pendakwaan jenayah,
  3259. dan pematuhan obligasi-obligasi perundangan dan peraturan;</i>
  3260. </li>
  3261. <li>
  3262. assessment and analysis including credit / lending / insurance risks / behaviour scoring / market and product analysis and market research;/ <i>penilaian
  3263. dan analisis termasuk pemarkahan kredit / pinjaman / risiko insurans / kelakuan, analisis pasaran dan produk dan penyelidikan pasaran;</i>
  3264. </li>
  3265. <li>
  3266. communications and ensuring customer satisfaction, which may include conducting surveys to improve the quality of our products and service,
  3267. responding to inquiries and complaints and to generally resolve disputes;/ <i>perhubungan dan memastikan kepuasan pelanggan, yang mungkin termasuk
  3268. menjalankan kajian-kajian meningkatkan kualiti produk-produk dan perkhidmatan-perkhidmatan kami, menjawab pertanyaan dan aduan serta untuk
  3269. menyelesaikan percanggahan secara umumnya;</i>
  3270. </li>
  3271. <li>
  3272. determining the amount of my indebtedness and recovering debt that I owe to RHB;/ <i>menentukan jumlah hutang saya dan pemungutan hutang yang saya berhutang kepada RHB;</i>
  3273. </li>
  3274. <li>
  3275. maintaining my credit history for present and future reference ;/ <i>mengekalkan sejarah kredit saya untuk rujukan semasa dan akan datang;</i>
  3276. </li>
  3277. <li>
  3278. enabling an actual or proposed assignee of RHB, or participant or sub-participant of RHB to evaluate my transactions which are intended to be the
  3279. subject of the assignment, participation or sub-participation; and/ <i>membolehkan pemegang serah hak sebenar atau yang dicadangkan oleh RHB, atau
  3280. peserta atau sub-peserta RHB untuk menilai urus niaga saya yang bertujuan untuk menjadi subjek penyerahhakan, penyertaan atau sub penyertaan; dan</i>
  3281. </li>
  3282. <li>
  3283. <i>cross-selling,marketing and promotions of the of products and/or services of RHB Banking Group and its strategic alliances;/ penjualan silang, pemasaran dan promosi produk dan/atau perkhidmatan Kumpulan Perbankan RHB dan rakan-rakan kongsi strategik; atau </i>
  3284. </li>
  3285. <li>
  3286. <i>for RHB's corporate events (including networking events, launching of products, etc)/contects, of which photograps / images of me may be captured and any be used for RHB's publications; or/ bagi acara-acara korporate RHB (termasuk acara rangkaian, pelancaran produk, dan lain-lain)/pertandingan, di mana gambar / imej saya mungkin akan ditangkap dan boleh digunakan untuk penerbitan RHB. </i>
  3287. </li>
  3288. <li>
  3289. protecting RHB Banking Group's interests and other ancillary or related purposes./ <i>melindungi kepentingan Kumpulan Perbankan RHB dan tujuan sampingan atau tujuan lain yang berkenaan.</i>
  3290. </li>
  3291. </ol>
  3292. </h4>
  3293. <h4 style = "margin-left:-4px; margin-top:-10px;" align="justify">
  3294. I understand and acknowledge that it is necessary for RHB to process my personal information fot the purpose, without which RHB will not be able to provide the product/service that I have requested from RBH and to notify me about important changes or developments to the products/services. Where I have provided RHB with sensitive personal information (in particular, information consisting my physical/mental health for applications of insurance product/services), I hereby provide RHB with my express consent to process the same in the manner described in this Privacy Notice. I may exercise my options in respect of receiving marketing materials(including cross-selling, marketing and promotions as described above)at any time by visiting <a href="#">www.rhbgroup.com</a> or contact 03 92068118./ <i>Saya faham dan mengakui bahawa RHB perlu memproses maklumat peribadi saya untuk tujuan tersebut, tanpanya RHB tidak akan dapat menyediakan produk/perkhidmatan yang anda minta daripada RHB dan untuk memaklumkan saya tentang sebarang perubahan penting atau perkembangan antar produk/perkhidmatan tersebut. Dimana saua telah memberi RHB maklumat peribadi sensitif (Khususnya, maklumat tentang kesihatan fizikal / mental anda untuk permohonan bagi produk insurans/perkhidmatan), saya dengan ini memberikan RHB persetujuan nyata saya untuk memproses mengikut cara yang dinyatakan dalam Notis Privasi ini. Saya boleh menjalankan pilihan saya berkenaan dengan menerima bahan-bahan pemasaran(termasuk penjualan silang, pemasaran dan promosi seperti yang dinyatakan di atas) pada bila-bila masa dengan melawat <a href="#">www.rhbgroup.com</a> atau hubungi 03 92068118.</i><br><br>
  3295. I understand that RHB may disclose my personal information (or sensitive personal information, if applicable) to other compnaies within the RHB Banking Group, service providers, merchants and strategic partners, vendors including debt collection agencies, profesional advesiers, industrial/financial related associations, credit bureaus or credit reporting agencies and fraud prevention agencies, governmental agencies, other financial institutions and any of their respective agents, servants, and/or such persons, whether located withis or outside Malaysia for the purpose, if applicable, subject at all tiems ti any laws (including regulations, standards, guidlines nad/or obligations) applicable to RHB./ Saya faham bahawa RHB mungkin akan mendedahkan maklumat perubadi saya (atau maklumat peribadi sensitif , jika berkenaan) kepada syarikat-syarikat lain di dalam Kumpulan Perbankan RHB, penyedia-penyedia perkhidmatan, perniaga-perniaga dan rakan-rakan kongsi strategik, pembekal-pembekal termasuk agensi-agensi pemungutan hutang, penasihat-penasihat profesional, persatuan-persatuan berkaitan indrustri/kewangan, biro-biro kredit atau agensi-agensi pelaporan kredit dan pencegahan penipuan, agensi-agensi kerajaan, institusi-institusi kewangan yang lain dan mana-mana ejen, pekerja, dan/atau mana-mana orang mereka, sama ada bertempat di dalam atau di luar Malaysia untuk Tujuan tersebut, jika berkenaan, tertakluk pada setiap masa kepada mana-mana undang-undang (termasuk peraturan-peraturan , paiwaian, garis panduan dan/ atau obligasi) yang terpakai kepada RHB.
  3296. </h4>
  3297. </td>
  3298. </tr>
  3299. </table>
  3300. </td>
  3301. </tr>
  3302. </table>
  3303. <!-- END PRIVACY NOTICE / NOTIS PRIVASI -->
  3304. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="margin-top:-118px; margin-bottom:100px; margin-left:500px;">
  3305. <tr>
  3306. <td>
  3307. <table style="margin-top:7px;">
  3308. <tr>
  3309. <td width="165px;"><h6>version 9.0</h6></td>
  3310. </tr>
  3311. </table>
  3312. </td>
  3313. </tr>
  3314. <tr>
  3315. <td>
  3316. <table style="margin-top:-50px;">
  3317. <tr>
  3318. <td width="165px;"><h6>(September 2018)</h6></td>
  3319. </tr>
  3320. </table>
  3321. </td>
  3322. </tr>
  3323. <div style="page-break-before: always;"></div>
  3324. </table>
  3325. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border:0.8px solid black; margin-top:-100px; margin-bottom:85px;">
  3326. <tr>
  3327. <td>
  3328. <table style="margin-top:-15px;">
  3329. <tr>
  3330. <td width="15px;" align="justify">
  3331. <h4 style = "margin-left:-3px;">
  3332. I further understand that I may request for correction ( if my personal information is inaccurate, outdated, incomplete, etc), access to ( a prescribed fee may be charged) or deleteion ( if I no longer have any existing products/services with RHB Banking Group) of my personal information or limit the processing thereof at any time hereafter by submitting such request via post, email, or fax to the following address:/ <i>Saya juga faham bahawa saya boleh meminta untuk membuat pembetulan (jika maklumat peribadi saya adalah tidak tepat, ketinggalan zaman, tidak lengkap, dan lain-lain), akses kepada (fi yang ditetapkan mungkin dikenakan), atau untuk menghapuskan (jika saya tidak lagi mempunyai apa-apa produk/perkhidmatan yang sedia ada dengan Kumpulan Perbankan RHB) ke atas maklumat peribadi saya atau mengehadkan pemprosesan itu pada bila-bila masa selepas ini dengan mengemukakan permintaan tersebut melalui pos, e-mel atau faks kepada alamat berikut :</i><br><br>
  3333. </h4>
  3334. <h4 style="margin-left:2px;">
  3335. <b>RHB Banking Group Customer Care Centre <br> Level 7 Menara AA, Jalan Tun Razak, 50400 Kuala Lumpur, Malaysia. <br>Facsimile number : 03 9206 8088/ Telephone number : 03 9206 8118/ Email : <a href="#">customer.service@rhbgroup.com</a></b> <br><br>
  3336. </h4>
  3337. <h4 style = "margin-left:-3px;">
  3338. I acknowledge that RHB Banking Group may modify or updates its Privacy Notice from time to time, a copy of which is available at <a href="#">www.rhbgroup.com</a> and that I may channel any complaints or inquires I may have in the manner indicated above./ <i>Saya mengakui bahawa Kumpulan Perbankan RHB boleh mengubahsuai atau mengemas kini Notis Privasi ini dari masa ke semasa, di mana salinannya boleh didapati di <a href="#">www.rhbgroup.com</a> dan saya boleh menyalurkan sebarang aduan atay pertanyaan yang saya mungkin ada dengan cara yang ditunjukkan di atas. </i><br><br>
  3339. <b><u>ACKNOWLEDGEMENT AND CONTSENT/ PENGIKTIRAFAN DAN KEBENARAN</u></b><br>
  3340. By providing my personal information and signature, I consent to RHB processing my personal information for any necessary diclosures nad overseas transfers of my personal information to relvenat third parties, for the Purpose, if applicable./ <i>Dengan memberikan maklumat peribadi saya beserta tandatangan, saya mengizinkan RHB memproses maklumat preibadi saya untuk mana-mana pendedahan yang diperlukan dan pemindahan maklumat peribadi saya ke luar negara kepada pihak ketiga yang berkaitan, jika berkenaan.</i><br><br>
  3341. I agree to the disclosure and/or trnasfer of my personal information to relevant third parties as a result of any restructuring, sale or acquisiton of nay company within the RHB Banking Group, provided that the recipient uses my personal informastion for the Purpose, if applicable./ <i>Saya bersetuju dengan pededahan dan/atau pemindahan maklumat peribadi saya kepada pihak ketiga yang berkaitan akibat daripada apa-apa penstrukturan semula, penjualan atau pengambilan mana-mana syarikat dalam Kumpulan Perbankan RHB, dengan syarat bahawa penerima menggunakan maklumat peribadi saya untuk Tujuan tersebut sahaja.</i><br><br>
  3342. I also represent and warrant that I have sufficiently obtained the consent of third party individual(s) (e.gfamily, spouse, related parties, supplementary cardholder and/or emergency contact person, etc) whose personal information I have disclosed to RHB to allow RHB to process the same in relation to the Purpose, if applicable./<i>Saya juga menyatakan dan menjamin bahawa saya telah cukup memperoleh persetujuan individu-individu pihak ke tiga (contohnya keluarga, pasangan, pihak-pihak berkaitan, pemegang kad tambahan dan/atau orang hubungan kecemasan, lain-lain) dimana maklumat peribadi mereka telah anda dedahkan kepada RHB untuk membenarkan RHB membuat pemprosesan yang sama berhubung dengan Tujuan, jika berkenaan.</i>
  3343. </h4>
  3344. </td>
  3345. </tr>
  3346. </table>
  3347. </td>
  3348. </tr>
  3349. </table>
  3350. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="margin-top:-118px; margin-bottom:100px; margin-left:500px;">
  3351. <tr>
  3352. <td>
  3353. <table style="margin-top:7px;">
  3354. <tr>
  3355. <td width="165px;"><h6>version 9.0</h6></td>
  3356. </tr>
  3357. </table>
  3358. </td>
  3359. </tr>
  3360. <tr>
  3361. <td>
  3362. <table style="margin-top:-50px;">
  3363. <tr>
  3364. <td width="165px;"><h6>(September 2018)</h6></td>
  3365. </tr>
  3366. </table>
  3367. </td>
  3368. </tr>
  3369. <div style = "page-break-before: always;"></div>
  3370. </table>
  3371.  
  3372. <!--CONSENT FOR CROSS SELLLING, MARKETING, OR PROMOTING PRODUCTS/SERVICES-->
  3373. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border:0.8px solid black; margin-top:-50px; margin-bottom:100px;">
  3374. <tr>
  3375. <td colspan="20" style="background-color: black; color:white; padding-top:-10px; padding-bottom:-10px;"><h4 style = "margin-left:6px;">CONSENT FOR CROSS SELLING, MARKETING, OR PROMOTING PRODUCTS/SERVICE / <i>KEBENARAN UNTUK JUALAN SILANG, PEMASARAN ATAU/ PROMOSI PRODUK / PERKHIDMATAN</i></h4></td>
  3376. </tr>
  3377. </table>
  3378. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border:0.8px solid black; margin-top:-100px; margin-bottom:85px;">
  3379. <tr>
  3380. <td>
  3381. <table style="margin-top:-15px;">
  3382. <tr>
  3383. <td width="15px;" align="justify">
  3384. <h4 style = "margin-left:2px;">
  3385. I consent to and authorize RHB Islamic Bank Berhad (RHB) to process and disclose any information that I have provided for the purpose of cross seliing,
  3386. marketing, promotions (including administering offers and competitions) to RHB Banking Group (which shall include its holding company, subsidiary's), and
  3387. any associated company(s), including any company as a result of any restructuring, merger, sale or acquisition, whether in or outside Malaysia, strategic partners, service providers and its agent, servant and/ or such persons or third parties, if applicatable
  3388. </h4>
  3389.  
  3390. <h4 style = "margin-left:2px;">
  3391. <i>
  3392. Saya mengizin dan membenarkan RHB memproses dan mendedahkan apa-apa maklumat yang saya telah berikan kepada RHB untuk tujuan penjualan silang, pemasaran dan promosi (termasuk untuk menjelankan tawaran dan pertandingan) kepada Kumpulan Perbankan RHB (di mana termasuk syarikat induk,
  3393. anak-anak syarikat, mana-mana syarikat yang berkaitan dan/atau mana-mana syarikat yang terhasil daripada apa-apa penyusunan semula, penggabungan,
  3394. jualan atau perolehan, sama ada di dalam atau di luar Malaysia), rekan-rekan kongsi strategik, penyedia-penyedia perkhidmatan dan agen-agen, pekerja
  3395. pekerja dan/atau mana-mana orang mereka atau pihak ketiga, jika berkenan
  3396. </i>
  3397. </h4>
  3398. </td>
  3399. </tr>
  3400. </table>
  3401. </td>
  3402. </tr>
  3403. <tr>
  3404. <td style="padding-bottom:-10px; padding-left:10px; padding-right:-10px; border-right:0.8px solid black;">
  3405. <table style="margin-left:17px; margin-bottom: 100px; margin-top:-20px">
  3406. <tr>
  3407. <td width="23px;"><div class="square" align="center"></div></td>
  3408. <td width="100px"><h4>Ya</h4></td>
  3409. <td width="23px;"><div class="square" align="center"></div></td>
  3410. <td width="149px"><h4>Tidak</h4></td>
  3411. </tr>
  3412. </table>
  3413. </td>
  3414. </tr>
  3415. </table>
  3416. <!--END CONSENT FOR CROSS SELLLING, MARKETING, OR PROMOTING PRODUCTS/SERVICES-->
  3417.  
  3418. <!--DECLARATION/ AKUAN-->
  3419. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border:0.8px solid black; margin-top:-86px; margin-bottom:100px;">
  3420. <tr>
  3421. <td colspan="20" style="background-color: black; color:white; padding-top:-10px; padding-bottom:-10px;"><h4 style = "margin-left:6px;">DECLARATION / <i>AKUAN</i></h4></td>
  3422. </tr>
  3423. </table>
  3424. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border:0.8px solid black; margin-top:-100px; margin-bottom:85px;">
  3425. <tr>
  3426. <td>
  3427. <table style="margin-top:-15px;">
  3428. <tr>
  3429. <td width="15px;" align="justify">
  3430. <h4 style = "margin-left:2px;">
  3431. I hereby confirm and declare that all information provided by me is complete, true and correct and that I authorize RHB Islamic Bank Berhad ("Bank") to verify
  3432. any information provided and to obtain from any source including Inland Revenue Board as the Bank considers appropriate any information which the
  3433. Bank may require. The Bank may, at its sole and absolute discreation, approve or reject my application. I agree that by signing and / or using the financing
  3434. facilities, I agree to be bound by and to comply with all the terms and conditions of the Bank which will be sent to me upon approval of my application
  3435. and any other terms and conditions imposed by the Bank from time to time for financing facilities and all amendments there to and agree that financing
  3436. facilities may only be used subject to such terms and conditions. I understand that the financing facilities when issued remain the property of the Bank and
  3437. must be paid to the Bank upon request and shall be subject to cancellation within thirty (30) calendar days prior notice. I irrevocably and unconditionally agree,
  3438. authorize and permit the Bank to disclose or release to Bank Negara Malaysia, Cagamas Berhad, the credit bureau established by Bank Negara Malaysia
  3439. including but not limited to the Central Credit Reference Information System (CCRIS) and such other authorities pursuant to any applicable law, regulations or
  3440. directive (whether having the force of law or otherwise) or any party as the Bank shall deem fit, any information with respect to me for any purpose including
  3441. but not limited to the purpose of assessing my credit worthiness. I hereby confirm that no further permission or consent from me is necessary or required in
  3442. relation to all of the above disclosures. I hereby declare that I have not breached or contravened the provisions of Section 57 of the Islamic Financial Services
  3443. Act 2013 read together with Bank Negara Malaysia (BNM) Guidelines on Credit Transactions and Exposures with Connected Parties for Islamic
  3444. Banks and/or of any replacement standars/ guidelines/ specification/ circulars issued by BNM from time to time in connection herewith. I shall not dispute the
  3445. contents of the faxed copy received by RHB Islamic Bank Berhad which shall be deemed as the original application and I shall produce the original
  3446. application to the Bank upon request. I agree to abide by the Anti-Money Laundering laws of Malaysia. I have been briefed on the description and benefits pursuant to the Product Disclosure Sheet that has been given to me on the RHB Islamic Personal Financing-i herein
  3447. I hereby confirm that the preferred language for this application which I/we opt for is as stated below (Please tick where applicable)/
  3448. </h4>
  3449. </td>
  3450. </tr>
  3451. </table>
  3452. </td>
  3453. </tr>
  3454. </table>
  3455. <!--END DECLARATION/ AKUAN-->
  3456.  
  3457. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="margin-top:-100px; margin-bottom:80px; margin-left:500px;">
  3458. <tr>
  3459. <td>
  3460. <table style="margin-top:-8px;">
  3461. <tr>
  3462. <td width="165px;"><h6>version 9.0</h6></td>
  3463. </tr>
  3464. </table>
  3465. </td>
  3466. </tr><tr>
  3467. <td>
  3468. <table style="margin-top:-50px;">
  3469. <tr>
  3470. <td width="165px;"><h6>(July 2018)</h6></td>
  3471. </tr>
  3472. </table>
  3473. </td>
  3474. </tr>
  3475. <div style = "page-break-before: always;"></div>
  3476. </table>
  3477.  
  3478. <!--TRANSLATE DECLARATION/ AKUAN-->
  3479. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border:0.8px solid black; margin-top:50px; margin-bottom:85px;">
  3480. <tr>
  3481. <td>
  3482. <table style="margin-top:-15px;">
  3483. <tr>
  3484. <td width="15px;" align="justify">
  3485. <h4 style = "margin-left:2px;">
  3486. <i>
  3487. Saya dengan ini mengesankan dan mengaku bahawa kesemua maklumat yang diberikan oleh saya adalah lengkap, benar dan tepat dan saya memberi
  3488. kebenaran kepada RHB Islamic Bank Berhad ("Bank") untuk mengesahkan sebarang maklumat yang diberikan dan didapati daripada mana-mana sumber
  3489. termasuk Lembaga Hasil Dalam Negeri sebarang maklumat yang dianggap perlu atau diperlukan oleh Bank. Bank berhak atas budi bicara mutlaknya untuk
  3490. melulus atau menolak permohonan saya. Saya bersetuju dengan menandatangani dan / atau menggunakan kemudahan pembiayaan ini, saya bersetuju untuk
  3491. diikat oleh dan mematuhi dengan kesemua Terma dan Syarat perjanjian Bank yang akan dihantar kepada saya setelah permohonan saya diluluskan dan kesemua
  3492. Terma dan Syarat lain dan pindaan yang dikenakan oleh Bank dari semasa ke semasa untuk kemudahan pembiayaan serta bersetuju bahawa kemudahan
  3493. pembiayaan digunakan tertakluk pada Terma dan Syarat tersebut. Saya faham bahawa kemudahan pembiayaan Bank adalah sentiasa hakmilik Bank dan
  3494. hendaklah dibayar/diserahkan kepada Bank apabila diminta dan boleh dibatalkan oleh Bank dengan memberi notis tiga puluh hari (30) hari kelendar. Saya
  3495. dengan perihal tidak boleh dibatalkan dan dengan tiada syarat bersetuju, member kebenaran dan membenarkan Bank untuk memberi kepada Bank Negara Malaysia,
  3496. Cagamas Berhad dan biro kredit yang ditubuhkan oleh Bank Negara Malaysia termasuk tetapi tidak terhad kepada Sistem Maklumat Rujukan Kredit Pusat dan lain-lain
  3497. pihak berkuasa di bawah sebarang undang-undang, peraturan atau perintah (samada mempunyai kuasa undang-undang atau tidak) atau mana-mana pihak yang ditentukan sesuai
  3498. dan berkenaan oleh Bank, sebarang maklumat berkenan dengan saya untuk apa-apa tujuan termasuk tetapi tidak terhad kepada tujuan menilai kemampuan pembiayaan saya. Saya/Kami
  3499. dengan ini mengesahkan bahawa tiada kebenaran atau kelulusan selanjutnya dari saya/kami adalah perlu berkaitan dengan perkara tersebut di atas. Saya dengan ini
  3500. mengaku bahawa saya tidak pernah melanggar peruntukan Seksyen 57 Akta Perkhidmatan Kewenangan Islam 2013 dibaca bersama dengan Garis Panduan Bank Negara berkenaan Urus Niaga
  3501. Kredit dan Pendedahan dengan Pihak Berkaitan bagi perbankan Islam dan/atau mana-mana garis panduan pengganti/spesifikasi/pekeliling yang dikeluarkan oleh BNM dari semasa ke semasa
  3502. yang berkaitan dengannya. Saya tidak akan mempertikaikan isi kandungan salinan faks yang diterima oleh RHB Islamic Bank Berhad yang akan dikira sebagai
  3503. permohonan benar dan saya akan mengeluarkan permohonan benar kepada Bank apabila diminta. Saya bersetuju mematuhi undang-undang Malaysia yang berkaitan dengan Pencegahan Pengubahan Wang
  3504. Haram dan Pembenterasan Pembiayaan Keganasan. Saya telah diberitahu tentang keterangan dan faedah berhubung dengan Helalan Pendedahan Produk yang telah diberikan kepada saya
  3505. berkaitan dengan Pembiayaan Peribadi-i RHB Islamic yang dipohon di sini.
  3506. Saya dengan ini mengesahkan bahawa pilihan bahasa untuk permohonan ini adalah seperti yang dinyatakan di bawah (Sila tanda mana yang berkenan).
  3507. </i>
  3508. </h4>
  3509. </td>
  3510. </tr>
  3511. </table>
  3512. </td>
  3513. </tr>
  3514. <tr>
  3515. <td style="padding-bottom:-10px; padding-left:10px; padding-right:-10px; border-right:0.8px solid black;">
  3516. <table style="margin-left:0px; margin-bottom: 50px; margin-top: -20px">
  3517. <tr>
  3518. <td width="23px;"><div class="square" align="center"></div></td>
  3519. <td width="100px"><h4>English / Bahasa Inggris</h4></td>
  3520. <td width="23px;"><div class="square" align="center"></div></td>
  3521. <td width="149px"><h4>Bahasa Malaysia</h4></td>
  3522. </tr>
  3523. </table>
  3524. </td>
  3525. </tr>
  3526. <tr>
  3527. <td style="padding-bottom:-10px; padding-left:10px; padding-right:-10px; border-right:0.8px solid black;">
  3528. <table style="margin-left:25px; margin-bottom: 100px; margin-top:-65px">
  3529. <tr>
  3530. <td width="330px"><h4>Name / Nama : _____________________________ </h4></td>
  3531. <td width="149px"><h4>Signature / Tandatangan : _____________________________ </h4></td>
  3532. </tr>
  3533. <tr>
  3534. <td width="330px" style="padding-top: -28px"><h4>IC No. / No. KTP : _____________________________ </h4></td>
  3535. </tr>
  3536. <tr>
  3537. <td width="330px" style="padding-top: -28px; padding-bottom: -90px;"><h4>Date / Tarikh : _____________________________ </h4></td>
  3538. </tr>
  3539. </table>
  3540. </td>
  3541. </tr>
  3542. </table>
  3543. <!--END TRANSLATE DECLARATION/ AKUAN-->
  3544.  
  3545. <!--FOR OFFICE USE ONLY / UNTUK KEGUNAAN PEJABAT SAHAJA-->
  3546. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border:0.8px solid black; margin-top:-90px;">
  3547. <tr>
  3548. <td colspan="20" style="background-color: black; color:white; padding-top:-10px; padding-bottom:-10px;"><h4 style = "margin-left:6px;">FOR OFFICE USE ONLY / <i>UNTUK KEGUNAAN PEJABAT SAHAJA</i></h4></td>
  3549. </tr>
  3550. </table>
  3551. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="border-right:0.8px solid black; border-bottom:0.8px solid black; border-left:0.8px solid black; margin-top:-115px; margin-bottom:85px;">
  3552. <tr>
  3553. <td>
  3554. <table style="margin-top:5px;">
  3555. <tr>
  3556. <td width="15px;" align="justify">
  3557. <h4 style = "margin-left:2px;">For Branch/Sales Use only / <i>Untuk Kegunaan Cawangan/Jualan sahajar :</i> </h4>
  3558. </td>
  3559. </tr>
  3560. </table>
  3561. <table style="margin-top:-15px; margin-left:5px; margin-right:15px;" width="100%;" cellspacing="0" cellpadding="-7">
  3562. <tr>
  3563. <td style="border:1px solid black;" height="100px;" width="25%">
  3564. <h4 style="margin-left: 10px; margin-top: 90px;">Prepared/Checked By : <br>Staff Name : </h4>
  3565. </td>
  3566. <td style="border:1px solid black;" height="100px;" width="25%"><h4 style = "margin-top:115px; margin-left:9px; margin-bottom:-3px;">Branch :</h4></td>
  3567. <td style="border:1px solid black;" height="100px;" width="25%"><h4 style = "margin-top:80px; margin-left:9px; margin-bottom:-3px;">Verified/Concurred By : <br>
  3568. Branch Manager's <br>
  3569. Name/Stamp/Signature</h4></td>
  3570. <td style="border:1px solid black;" height="100px;" width="25%"><h4 style = "margin-top:120px; margin-left:9px;">Date :</h4></td>
  3571. <td style="border:1px solid black;" height="100px;" width="25%">
  3572. <table style="margin-top:13px; margin-left:30px;" width="100%;" cellspacing="0" cellpadding="-11.5">
  3573. <tr>
  3574. <td width="60px;">
  3575. <h4 style="margin-top: -5px; margin-left:-17px;">For approval : </h4></td>
  3576. </tr>
  3577. <tr>
  3578. <td width="50px;"><div class="square"style = "margin-left:2px;"></div></td>
  3579. <td><h4 style = "margin-left:-11px;">Recommanded</h4></td>
  3580. </tr>
  3581. <tr style="margin-top:10px;">
  3582. <td width="50px;"><div class="square"style = "margin-left:2px;"></div></td>
  3583. <td><h4 style = "margin-left:-11px;">Not recommanded</h4></td>
  3584. </tr>
  3585. </table>
  3586. </td>
  3587. </tr>
  3588. </table>
  3589. <table style="margin-top:5px;">
  3590. <tr>
  3591. <td width="15px;" align="justify">
  3592. <h4 style = "margin-top:30px; margin-bottom:-1px; margin-left:2px;color:#0554A8;"><u>SHARIAH COMPLIANCE CHECKLIST</u></h4>
  3593. </td>
  3594. </tr>
  3595. </table>
  3596. <table style="margin-top:5px; margin-left:5px; margin-right:15px;" width="100%;" cellspacing="0" cellpadding="-7">
  3597. <tr>
  3598. <td style="border:1px solid black;background-color:#8FB7C4"colspan="2"><h4 style = "margin:10px, 9px;" align="center"><b>Shariah Requirements</b></h4></td>
  3599. </tr>
  3600. <tr>
  3601. <td style="border:1px solid black;background-color:#E3E3E3" colspan="2"><h4 style = "margin:10px, 9px;" align="center"><b>Application Process</b></h4></td>
  3602. </tr>
  3603. <tr>
  3604. <td style="border:1px solid black;" width="80%">
  3605. <h4 style = "margin:10px, 9px;" align="left">Have you explained the terms applicable to Shariah Contact?<br><br>
  3606. Notes:
  3607. <ol class="akhir">
  3608. <li> <u>Commodity Murabbahah:</u> Sale of commodities at cost plus profit at an agreed price.</li><br><br>
  3609. <li> <u>Tawwaruq:</u> Consists of two sale and purchase contracts where the first involves the sale of an asset to a purchase on a deffered
  3610. basis and the subsequent sale of the asset to a third party on a cash basis.</li><br><br>
  3611. <li> <u>Wakalah:</u>A contract where bank is being appointed by the customer as an agent to execute transactions on behalf of the customer.</li>
  3612. </ol>
  3613. </h4>
  3614. </td>
  3615. <td style="border:1px solid black;" width="20%">
  3616. <div class="square3" style="margin-left: 20px"></div>
  3617. <h4 style="margin-top: -14px; margin-left: 54px">Yes</h4>
  3618. <div class="square3" style="margin-left: 20px"></div>
  3619. <h4 style="margin-top: -24px; margin-left: 54px">N/A</h4>
  3620. </td>
  3621. </tr>
  3622. <tr>
  3623. <td style="border:1px solid black;"colspan="2" height="80px"><h4 style="margin-top:-30px; margin-left:9px;" align="left">Remarks/Notes:</h4></td>
  3624. </tr>
  3625. </table>
  3626. <table style="margin-top:5px;">
  3627. <tr>
  3628. <td width="15px;" align="justify">
  3629. <h4 style = "margin-top:1px; margin-bottom:-1px; margin-left:2px;">Attended By: <br><br><br>
  3630. ................................</h4>
  3631. <h4 Style="color:#CC99C9; margin-top:1px; margin-bottom:-5px">(Name & Staff ID)</h4>
  3632. </td>
  3633. </tr>
  3634. </table>
  3635. </td>
  3636. </tr>
  3637. </table>
  3638. <!--END FOR OFFICE USE ONLY / UNTUK KEGUNAAN PEJABAT SAHAJA-->
  3639. <table cellpadding="4" cellspacing="0" width="100%" height="239px;" style="margin-top:-100px; margin-bottom:80px; margin-left:500px;">
  3640. <tr>
  3641. <td>
  3642. <table style="margin-top:-8px;">
  3643. <tr>
  3644. <td width="165px;"><h6>version 9.0</h6></td>
  3645. </tr>
  3646. </table>
  3647. </td>
  3648. </tr><tr>
  3649. <td>
  3650. <table style="margin-top:-50px;">
  3651. <tr>
  3652. <td width="165px;"><h6>(September 2018)</h6></td>
  3653. </tr>
  3654. </table>
  3655. </td>
  3656. </tr>
  3657. </table>
  3658. <!--END CONSENT FOR CROSS SELLLING, MARKETING, OR PROMOTING PRODUCTS/SERVICES-->
  3659. </body>
  3660. </html>
Advertisement
Add Comment
Please, Sign In to add comment
Advertisement
Public Pastes
Advertisement
We use cookies for various purposes including analytics. By continuing to use Pastebin, you agree to our use of cookies as described in the Cookies Policy.  OK, I Understand
Not a member of Pastebin yet?
Sign Up, it unlocks many cool features!