Loan Service Request Form (Page 2 of 2) in pdf

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Change of designated Savings/Current Account for monthly instalment servicing purposes

From A/C No.: ______________________________________________________to A/C No.: ___________________________________________________________

Note: This will include all instalments, interest, fees, other charges and expenses payable (such as fire insurance premium deduction).

Other Additional Request(s) / Comment(s) (if applicable)

________________________________________________________________________________________________________________________________________________________________________

Declaration

By submitting this application,

I/ we, the customer hereby: -

agree that the approval of this application is subject to the Bank’s discretion and that the Bank reserves the right to decline this application without giving any reason.

agree to the terms and condition herein and agree to pay any fees/charges/costs incurred by the Bank or by any third party appointed by the Bank with our consent in relation to

this request.

warrant that all information and documents provided by me/us are true and accurate and I/we have not willfully withheld any material facts.

authorize the Bank to conduct credit checks and to obtain and/ or verify any information about me/ us from/with any source as the Bank may deem fit.

understand that all documents submitted are not returnable and agree to provide any additional information and supporting documents from time to time as may be required by the

Bank.

acknowledge that if my/our request on change of security is approved by the Bank, there may be a time lapse in the discharge of the existing security charged to the Bank for any

reason whatsoever and I/we agree that the Bank shall not be liable for any losses, damages, costs and charges that may be incurred by me/us as a result thereof.

_______________________________________________________________

_________________________________________________________________

Signature of Main Applicant / Date:

Signature of Joint Applicant / Date:

Name :

Name:

Note: Signature(s) must be the same as per the Bank’s records.

For Bank’s Use Only

Remarks:

Signature verified by __________________________________________________ Branch/Unit _______________________________________ Date ________________________

14042016

Loan Service Request Form Page 2

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