Customer Loan
Application Form
Loan Details
Loan amount (SGD) *
Main Purpose for Loan *
-- Select --
Personal Loan
Business Loan
Renovation Loan
Wedding Loan
Debt Consolidation Loan
Others
Do you have any outstanding with other moneylender? *
-- Select --
Yes
No
Total outstanding with all moneylenders *
No. of moneylenders *
Total monthly repayment for moneylender loans *
Personal Information
NRIC/FIN
Name *
Gender
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Male
Female
Race
-- Select --
Chinese
Malay
Indian
Eurasian
Others
Date of Birth
Marital Status
-- Select --
Single
Married
Divorced
Widowed
Residential Status
-- Select --
Singaporean
Permanent Resident (PR)
Employment Pass (EP)
S Pass (SP) / Work Permit (WP)
Foreigner (excl. EP / SP / WP)
Other
Nationality
Ownership of Private Residential Property
-- Select --
Yes
No
Employment Detail (For Work Pass Holder)
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
Occupation
Name of Employer
Contact Details
Mobile Number
Email Address
Registered Address
HDB Ownership
Address
No. of Owners
Type of HDB Dwelling
Lease Commencement Date
Term of Lease
Date of Purchase
Date of Transfer of Ownership
Outstanding HDB Loan Balance
Monthly Loan Instalment
Vehicle Ownership Records
Vehicle No.
CPF Contributions History (up to 15 months)
For Month
Paid On
Amount ($)
Employer Contribution
CPF Housing Withdrawal
Address
Principal Withdrawal Amount
Monthly Instalment Amount
Accrued Interest Amount
Total Amount of CPF Allowed for Property
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:
I authorise QuickLoan Pte Ltd to conduct credit checks and verify information given in this application with the following companies/organizations or parties without prior reference to me: Moneylenders Credit Bureau (MLCB), Credit Association of Singapore (CAS), Singapore Commercial Credit Bureau (SCCB), Credit Bureau Singapore (CBS) and Registry of Moneylenders. I understand and agree that some/all information is to be submitted to MLCB for the purpose of producing a credit report and the information may be disclosed by MLCB to the Registry of Moneylenders and any public agency (when deemed necessary by the Registry of Moneylenders).
Submit
Fill up the application form using your Singpass.
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