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    PRA Self Declaration Version 1 0 March 2021

    Uploaded by

    moorthysanmukam
    This self-declaration form is for customers applying for Payment Relief Assistance (PRA) from the bank. It requires customers to disclose if they are enrolled in any other PRA programs with other banks. If so, it asks for details about up to three active PRA programs including the bank, end date, facility type, terms, and monthly installment amounts. The customer must declare that all information provided is true and accurate before signing and dating the form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    PRA Self Declaration Version 1 0 March 2021

    Uploaded by

    moorthysanmukam
    30 views1 page
    This self-declaration form is for customers applying for Payment Relief Assistance (PRA) from the bank. It requires customers to disclose if they are enrolled in any other PRA programs with other banks. If so, it asks for details about up to three active PRA programs including the bank, end date, facility type, terms, and monthly installment amounts. The customer must declare that all information provided is true and accurate before signing and dating the form.

    Original Title

    PRA Self Declaration Version 1 0 March 2021 (4)

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    © © All Rights Reserved

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    This self-declaration form is for customers applying for Payment Relief Assistance (PRA) from the bank. It requires customers to disclose if they are enrolled in any other PRA programs with other banks. If so, it asks for details about up to three active PRA programs including the bank, end date, facility type, terms, and monthly installment amounts. The customer must declare that all information provided is true and accurate before signing and dating the form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    30 views1 page

    PRA Self Declaration Version 1 0 March 2021

    Uploaded by

    moorthysanmukam
    This self-declaration form is for customers applying for Payment Relief Assistance (PRA) from the bank. It requires customers to disclose if they are enrolled in any other PRA programs with other banks. If so, it asks for details about up to three active PRA programs including the bank, end date, facility type, terms, and monthly installment amounts. The customer must declare that all information provided is true and accurate before signing and dating the form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    PAYMENT RELIEF ASSISTANCE (PRA) SELF-DECLARATION FORM

    PRODUCT : MORTGAGE / PERSONAL LOAN/FINANCING-i

    No. Declaration

    1. Are you currently enrolled in Payment Relief Assistance (PRA) with other bank(s) within Malaysia?
    Yes No

    If yes, please proceed with the questions below. If no, you may proceed to sign-off the declaration form.

    2. How many PRA(s) have you enrolled into?


    One (1) Two (2) Three (3) More than three (3) ____________________
    Please specify total PRA enrolled

    3. PRA 1: The following questions are pertaining to your PRA 1.


    Which bank did you enroll your
    PRA with?
    _____________________________________
    When is your PRA expected to
    end?
    _____________________________________ (eg: June 2021)
    What is the type of facility for your Personal Loan / Housing Loan / Hire Purchase Credit Others______________
    PRA? Financing-i Home Financing-i (HP) / HP-i Card Please specify the facility
    What were the terms offered for Reduction of monthly Deferment of Others ______________________________
    your PRA? instalments repayment/payment Please specify the terms offered
    What is your current monthly
    RM__________________________________
    instalment amount under PRA?
    When PRA ends, what is your
    RM__________________________________
    expected monthly instalment?

    4. PRA 2: The following questions are pertaining to your PRA 2.


    Which bank did you enroll your
    PRA with?
    _____________________________________
    When is your PRA expected to
    end?
    _____________________________________ (eg: June 2021)
    What is the type of facility for your Personal Loan / Housing Loan / Hire Purchase Credit Others______________
    PRA? Financing-i Home Financing-i (HP) / HP-i Card Please specify the facility
    What were the terms offered for Reduction of monthly Deferment of Others ______________________________
    your PRA? instalments repayment/payment Please specify the terms offered
    What is your current monthly
    RM__________________________________
    instalment amount under PRA?
    When PRA ends, what is your
    RM__________________________________
    expected monthly instalment?

    5. PRA 3: The following questions are pertaining to your PRA 3.


    Which bank did you enroll your
    PRA with?
    _____________________________________
    When is your PRA expected to
    end?
    _____________________________________ (eg: June 2021)
    What is the type of facility for your Personal Loan / Housing Loan / Hire Purchase Credit Others______________
    PRA? Financing-i Home Financing-i (HP) / HP-i Card Please specify the facility
    What were the terms offered for Reduction of monthly Deferment of Others ______________________________
    your PRA? instalments repayment/payment Please specify the terms offered
    What is your current monthly
    RM__________________________________
    instalment amount under PRA?
    When PRA ends, what is your
    RM__________________________________
    expected monthly instalment?

    I represent and declare that the information provided above is true, accurate and complete and I have not withheld any
    information of myself. I understand that this declaration is to be used in assessing my loan/financing application.

    Customer Name:
    Customer NRIC:
    Date:

    1.0_March 2021

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