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CHJ Credit Application Form 

 

Applicant Particular

Valid for age 18 years and above only
*Example: 801234025789

Employment Particular

First Reference Information

Please fill 1st reference details at below :
*Valid for age 18 years and above only. Spouse and Relative only.
eg : 0123456789
*Example: 801234025789
eg : Father, Mother, Wife

Second Reference Information

Please fill 2nd reference details at below :
*Valid for age 18 years and above only. Spouse and Relative only.
eg : 0123456789
*Example: 801234025789
eg : Father, Mother, Wife

Branch & Sales Person (copy)

Click or drag files to this area to upload. You can upload up to 8 files.
*Please upload NRIC, Motorcycle License(if any), and/or other related document.
To. Chin Hin (Jitra) Sdn. Bhd., Lot 1521, Pantai Halban, Jalan Kepala Batas – Jitra, 06000 Jitra, Kedah.

Consent Authorisation
Pursuant to the CRA Act 2010 and Central Bank of Malaysia Act, I / we the undersigned do hereby give my / our consent to CTOS DATA SYSTEMS SDN BHD (“CTOS”), RAM CREDIT INFORMATION SDN BHD (“RAM”), FIS DATA REFERENCE SDN BHD (“FDR”) and CREDIT BUREAU MALAYSIA SDN BHD (“CBM”) a registered credit reporting agency under the CRA Act 2010 to process my / our company and personal data.

By this consent, I / We understand and agree that:

i) You may conduct credit / trade check, CCRIS and DCHEQUE checks on us and where applicable with CTOS, RAM, FDR and CBM at any time for as long as I / we have a trade relationship with you or where any dues remain Unpaid and outstanding with you, for any one or more of the following purposes:

√ Opening of account
√ Credit/Account monitoring
√ Debt recovery
√ Credit/Account evaluation
√ Credit/Account review
√ Legal documentation consequent to a contract or facility granted by you.
√ Credit/Account review
√ Employment Evaluation

ii) You may disclose any information on the Parties’ conduct of their accounts with you, to any business entity/ies for bona fide trade checking at any time. The Parties are also aware and understand that such information will be provided to a credit reporting agency/ies, who may in turn share such information to Subscribers of their service.
iii) Where you require any processing of our application to be processed by any processing centre located outside Malaysia (including your Head Office), the Parties hereby give consent to CTOS, RAM, and CBM to disclose their credit, CCRIS & DCHEQUE reports to such locations outside Malaysia.
iv) Apart from the above, the Parties undersigned do give our consent to you and the CTOS, RAM, FDR and CBM to process my / our personal data as per the PDPA Act.

LETTER OF CONSENT AND AUTHORITY ON DISCLOSURE
I "Applicant name state at application form" (NRIC No. "Applicant NRIC state at application form") the Hirer of vehicle Registration No. Pursuant to the Hire Purchase Agreement dated "Date of Application Date" made between me and CHIN HIN (JITRA) SDN. BHD. (11416-A) (hereinafter called “the Owner”) hereby expressly confirm agree and undertake as follows:

1. I hereby irrevocably and unconditionally consent and authorize that all information records and documents relating to the Hire Purchase Agreement may be forwarded by the Owner to any Bureau or agencies established for the purpose of collecting information from any institution including but not limited to CHIN HIN (JITRA) SDN. BHD. And other bodies bureaux or corporations as the case may be.
2. I further agree that the Owner shall not in any event be liable for any claim, loss, damage or liability howsoever arising whether on contract, tort negligence, strict liability or any basic (including direct or indirect, special, incidental, consequential or punitive damages or loss of profits or savings) arising from any inaccuracy or loss, deletion or modification of data or for any other reason whatsoever relating to any information records and documents forwarded by the Owner as aforesaid to CHIN HIN (JITRA) SDN. BHD. such or bodies bureaux or corporations as the case may be or in relation to any access or use, or the inability to access or use by anybody, bureau or corporation or reliance on the information therein, whether caused by any technical, hardware or software failure of any kind, the interruption, error, omission, delay, viruses, or otherwise howsoever.
3. I hereby irrevocably and unconditionally consent and authorize that all information relating to the Hire Purchase Agreement made available or continued to be made available to the Owner after the execution of to the Hire Purchase Agreement may be forwarded or made known by the Owner to any bureau or agencies established for the purpose of collecting information from any institution but not limit to CHIN HIN (JITRA) SDN. BHD. and other bodies bureaux or corporations as the case may be.
4. From time to time inquiries may be made by third parties about my personal particulars completed by the me leading to the Hire Purchase Agreement and as to the my credit standing pertaining to this transaction with a view of entering into prospective transaction with the Owner. In such an event I hereby consent and authorize the Owner to disclose to any such persons all such information the Owner shall deem relevant in the Owner's absolute discretion in the circumstances.
5. I expressly undertake and represent that the information furnished by me to the Owner in connection with the Hire Purchase Agreement including information relating to my repayment capability in relation to the Hire Purchase Agreement or financial or asset position does not contain any untrue statement or omits to state any fact the omission of which makes the statement therein in the light of the circumstances under which they were made misleading and all expression of expectation intention belief and opinion contained therein have been honestly and reasonably made by me to the Owner.
6. I hereby unconditionally and irrevocably consent that the Owner may give, produce, divulge, reveal or otherwise made available such information as may be necessary regarding my account(s) or the Hire Purchase Agreement to all other Owners in respect of any hire purchase transaction.

Phone

+604 733 5032

Fax

+604 733 5016

Email

chinhin@chinhin.com

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