Apply Installment Plan (NOT Credit card user) Fill in your detail. Application Products Monthly Options* 6 Months12 Months18 Months24 Months36 Months Full name* IC No* Mobile No* Email address* Address* State* ---JohorSelangorMelakaNegeri SembilanKuala LumpurPerakPulau PinangKedahPerlisPahangTerengganuKelantanSabahSarawakLabuan Have a Car Loan / House Loan on its own? ---YesNo Job Details Job Type* ---EmployeeSelf Employed Company name* Office address* Office Phone No* Service period* Position* Department Monthly income* If Emergency Occurrence (Not Gurantor) Individuals who are not settled together Full name* Address* Can not be identical to the applicant's address Mobile No* Relationship with Applicant* ---ParentBrotherSisterRelative Except for relationships: Wives, Fathers, Friends Information for Auto Debit Bank* ---MaybankAmbankAlliance BankBank MuamalatCIMB BankPublic BankRHBStandard CharteredBSN Account number* Submit Documents Capture IC* Capture payslip* Capture Bank Statement* By filling out and submitting this application form, confirm that I have agreed and permit Esystem to use the data filled for application and promotional purposes. All personal data is subject to the Personal Data Protection Act 2010.