Customer Loan
Application Form
General Information
Principal Name
Alias Name
Sex
-- Select --
Male
Female
Race
-- Select --
Chinese
Malay
Indian
Eurasian
Others
Date of Birth
Residential Status
-- Select --
Singaporean
Permanent Resident (PR)
Employment Pass (EP)
S Pass (SP) / Work Permit (WP)
Foreigner (excl. EP / SP / WP)
Other
Nationality
Country of Birth
Marital Status
-- Select --
SINGLE
MARRIED
WIDOWED
DIVORCED
Vehicle Number
Employment Details
Pass Type
-- Select --
Work Permit
S Pass
Employment Pass
Dependent’s Pass
Long Term Visit Pass
Pass Status
-- Select --
Valid
Pending change of Employer
Invalid
Pass Expiry Date
Employment Sector
Occupation
Duration with current company
Contact details
Mobile Number
Email Address
Home/Office Telephone Number
Personal details
NRIC
No. of Dependants
-- Select --
0
1
2
3
4 and above
Highest Qualification
-- Select --
Primary
N / O level
ITE
Diploma
Degree and above
Residential Information
Registered Address
Ownership of Property
-- Select --
No, do not own any residential property
Yes, mortgage
Yes, fully paid
Ownership of Private Residential Property
-- Select --
No, do not own private residential property
Yes, mortgage
Yes, fully paid
Type of Housing
-- Select --
Detached House
Semi-detached House
Terrace House
Condominium
Executive Condominium
Apartment
HDB Ownership
Number of Owners
Date of Purchase
Address
Type of HDB
-- Select --
1-ROOM FLAT (HDB)
2-ROOM FLAT (HDB)
3-ROOM FLAT (HDB)
4-ROOM FLAT (HDB)
5-ROOM FLAT (HDB)
EXECUTIVE FLAT (HDB)
STUDIO APARTMENT (HDB)
Outstanding HDB Loan Balance:
Monthly Loan Instalment
CPF Housing Withdrawal Details
Address
Principal Withdrawal Amount
Monthly Instalment Amount
Accrued Interest Amount
Total Amount of CPF Allowed for Property
CPF Contributions History (up to 15 months)
For Month
Paid On
Amount ($)
Employer Contribution
Notice of Assessment (Detailed, Last 2 years)
Year of Assessment:
Year of Assessment:
Type:
Type:
Assessable Income:
Assessable Income:
Income Breakdown
Employment:
Trade:
Rent:
Interest:
Income Breakdown
Employment
Trade:
Rent:
Interest:
Additional Information
Requested Loan Amount
-- Select --
$300 - $1,000
$1,001 - $3,000
$3,001 - $6,000
$6,001 - $10,000
$10,001 - $20,000
$20,001 - $50,000
$50,001 & Above
Total outstanding unsecured loan(s) with Bank(s)
Total Outstanding Loan(s) with Moneylender(s)
Purpose of Loan
By submitting this loan application, I hereby consent and authorize Orange Credit Pte Ltd to release any or all of my personal, loan, and contract details to the Moneylender Credit Bureau (MLCB), and Prescribed Credit Bureau (PCB) as per Moneylenders Rule 22CA. I understand and acknowledge that this information is to be provided to MLCB and PCB solely for the purpose of generating a credit report. Furthermore, I understand that MLCB may disclose this information to the registrar and any public agency deemed necessary by the registrar.
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