(AFFIN) - Form - Moratorium C19 - FINAL - 25 Feb2020
(AFFIN) - Form - Moratorium C19 - FINAL - 25 Feb2020
(AFFIN) - Form - Moratorium C19 - FINAL - 25 Feb2020
Tarikh / Date
Peminjam / Pelanggan
Borrower(s) / Customer(s):
.. ...........
1
Saya / Kami memohon penangguhan pembayaran bagi akaun pinjaman / pembiayaan di atas untuk tempoh 6 bulan.
Saya / Kami memahami bahawa permohonan ini tertakluk kepada kelulusan pihak pengurusan Bank.
I / We would like to apply moratorium for a period of 6 months for the abovementioned financing facility(ies). I /We
understand that this application is subject to approval by the Bank Managemen .
Saya/ Kami terkesan dengan penularan COVID-19 yang sedang berlaku sekarang di mana kesan kepada saya/kami adalah
seperti berikut:-
I / We are affected with COVID-19 widespread and the impacts are as follows:-
Kehilangan Pekerjaan / Loss of job
Bercuti Tanpa Gaji / Scheduled Unpaid Leave
Perniagaan Terjejas / Business is impacted
Lain- lain (sila nyatakan) / Others (please specify) ___________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Saya / Kami sertakan bukti-bukti (contoh: Penyata Bank terkini, Surat Pengesahan Majikan dll) sebagai dokumen sokongan.
I / We enclose evidence (example: Latest Bank a emen , Em lo e confi ma ion Le e e c e .al) as supporting
document(s).
..
3.
Nama / Name:
No. KP / NRIC No: Diterima oleh / Received by:
(Nama staf / Staff name)
4.
Nama / Name: Biometric Disahkan & disertakan/
No. KP / NRIC No: Biometric verified & enclosed.
NOTA/ NOTE
*Borang ini perlu ditandatangani oleh pemohon-pemohon yang sah bagi Akaun yang dinyatakan..
*Alamat surat menyurat, alamat e-mel dan nombor telefon yang dinyatakan di atas akan dikemaskini di dalam sistem.
*This form is to be signed by all parties related to the account.
*Latest mailing address, email and contact numbers will be updated in the system.
E-mail : cod.support@affinbank.com.my