SRFver6.1 May2024
SRFver6.1 May2024
SRFver6.1 May2024
Accountholder / Co-
Accountholder(s) Full
Name
NRIC / Passport No. of
Accountholder / Co- Contact No.
Accountholder(s)
Loan Account No.
Deposit Account No.
☐ E-Mail Address
Preferred Mode of
Delivery ☐ Mailing Address
(Please choose one only)
☐ Self-Collect Branch Name: _______________________________________
☐ I / We would like to make partial prepayment of RM___________________ / full settlement by giving notice period
of ☐ 7 days* ☐ 1 month* ☐ 3 months* from the Bank’s receipt date.
Note:
In the event that I have provided short notice, please charge penalty / interest in lieu of notice accordingly, as stipulated in the
Letter Offer.
In the event that the partial prepayment / full settlement within the lock in period, please charge the prepayment / full
settlement fees accordingly, as stipulated in the Letter Offer.
Please debit my Deposit Account (Deposit Account No. as above) for the partial prepayment / full settlement amount and / or
penalty and / or interest in lieu and / or prepayment / full settlement fees (if any).
☐ I / We would like to make full settlement and request for Redemption Statement (maximum 3 months from the date
hereof).
Note:
Please credit into my Deposit Account (Deposit Account No. as above) should there be excess redemption sum (if any) upon full
settlement.
☐ I / We would like to request to release the earmarking from my deposit account to settle my / our loan.
6. Reprinting Loan Statement (Fee: MYR2 per page, irrespective of the period)
☐ I / We would like to request for a copy of the Loan Statement for the above mentioned loan account from
___________________ (dd/mm/yyyy) to ________________(dd/mm/yyyy).
9. Other Services
Declarations
By submitting this service request(s), I / We hereby declare and confirm:-
a) the particulars stated above have been checked and are true and correct;
b) that I / We understand that the above requests are subject to the Bank’s approval and that the Bank reserves the
right to decline this request.
c) to debit from my Deposit Account (Account No. as above) for the payment of any fees & charges incurred.
d) that I /We understand that the instalment amount will revise / change accordingly if there is any changes in the
Standardised Base Rate (SBR) / Base Rate (BR) / Base Lending Rate (BLR) (applicable to service request on
prepayment).
Accountholder Co-Accountholder
Signature Signature
_______________________________
Officer Name:
Date:
Branch/Department:
☐ Saya / Kami ingin membuat bayaran pendahuluan separa berjumlah sebanyak RM___________________ / penyelesaian
penuh dengan memberi notis pemberitahuan sebanyak ☐ 7 hari* ☐ 1 bulan* ☐ 3 bulan* dari tarikh penerimaan Bank.
2. Penyelesaian Penuh & Penyata Penebusan (Fi: MYR50 untuk setiap permohonan)
☐ Saya / Kami ingin membuat penyelesaian penuh & Penyata Penebusan pada ______________________________________.
(maksimum 3 bulan dari tarikh ini).
Nota:
Sila kredit ke Akaun Simpanan (Akaun Simpanan yang dinyatakan diatas) apabila jumlah penebusan ada berlebihan semasa
kemudahan penyelesaian.
Firma Peguam:______________________________________________________________________________________
Alamat Firma Peguam: _______________________________________________________________________________
Orang yang boleh dihubungi: ____________________ No. Telefon Firma Peguam: ______________________________
6. Salinan Penyata Akaun Pinjaman (Fi: MYR2 untuk setiap halaman, tanpa mengira tempoh)
☐ Saya / Kami ingin memohon Salinan Penyata Akaun Pinjaman yang dinyatakan di atas dari__________(hh/bb/tttt)
hingga ________________(hh/bb/tttt).
8. Permintaan untuk Salinan Dokumen Sekuriti (Fi: MYR25 untuk setiap dokumen setiap salinan)
Saya / Kami ingin memohon salinan dokumen :
☐ Surat Tawaran ☐ Perjanjian Jual Beli ☐ Geran Hakmilik ☐ Gadaian ☐ Perjanjian Pinjaman ☐ Surat Ikatan Penyerahhakan
☐Lain-lain; Sila Jelaskan:______________________________
9. Lain-Lain Perkhidmatan
Pengisytiharan
Dengan mengemukakan permintaan perkhidmatan ini, saya / kami dengan ini mengisytiharkan dan mengesahkan bahawa:
a) butir- butir yang dinyatakan di atas telah disemak dan adalah benar dan betul;
b) saya / kami memahami bahawa permintaan di atas adalah tertakluk kepada kelulusan Bank dan Bank berhak untuk menolak
permintaan ini.
c) sila debit Akaun Simpanan saya / kami (No. akaun simpanan yang dinyatakan di atas) untuk bayaran fi dan caj yang
dikenakan.
d) saya / kami memahami bahawa amaun ansuran akan dikemaskini / berubah dengan sewajarnya sekiranya terdapat
sebarang perubahan pada Kadar Asas Standard (SBR) / Kadar Asas (BR) / Kadar Pinjaman Asas (BLR) (tertakluk kepada
permintaan perkhidmatan pada bayaran pendahuluan separuh).
_________________________
Nama:
Tarikh:
Cawangan/ Jabatan: