PMFT Rules

CUSTOMER DUE DILIGENCE

BORROWER & SURETY

1. Is there any other individual or company that will benefit from the loan? (Beneficial Borrower)

YES (Please State)

NO

Purpose of Loan: Business / Education / Medical / Renovation / Domestic / Pay Bill / Others:
____________________________
*If Business, please state the Business purpose exactly: _____________________________

*If answer is YES – senior management approval / signature is required above

2. Are you a politically-exposed person?

YES (Please State)

NO

*If answer is YES – senior management approval / signature is required above

DECLARATION BY BORROWER & SURETY
1. We declare that all information provided above is true and accurate.
Acknowledge by:
Borrower(s) / Surety(ies)
Name & ID No: _____________________________
_________________________________________________________
Signature & Date

"politically-exposed person" means -
a) a domestic politically-exposed person;
b) a foreign politically-exposed person; or
c) a politically-exposed person of an international organisation;

" beneficial owner", in relation to a borrower, means -
a) an individual who ultimately owns or controls the borrower, or any one of 2 or more individuals who, acting together, ultimately own or control the borrower;
b) an individual who exercises ultimate effective control over the or any one of 2 or more individuals who, acting together, exercise ultimate effective control over the borrower; or
c) a person on whose behalf a relevant loan is obtained by the borrower;

OFFICIAL USE

PMFT Risk Assessment	How does borrower/surety support his loan repayment / source of fund?	Remarks:
Low / Medium / High	Salary / Bonus / Second job / OT / Family support / Business Earning / Other Source of Income	Remarks:

**For Other Source of Income, kindly refer and get Borrower to complete Section 5 of the form.

Business / Personal Loan Application Form

MONEYLENDER ACT (CHAPTER 188)

(Original Enactment: Act 31 of 2008)

REVISED EDITION 2010 (31ST MARCH 2010)

Application Date:

1. Particulars of Borrower(s) / Surety(ies) – Individual / Firm
Name(s) [Individual]	Date of Birth	Age	NRIC/FIN/Business UEN No.

Company Name & Address		Nationality	For Receipt & Borrower’s Statement, Preferred method
		Singapore Citizen Singapore PR Foreigner	By E-mail By Post By Message
Home Address		Work Contact No	Designation

Past 3 months Monthly Gross Salary
Month 1:		Month 2:		Month 3:
Annual Income	Loan Amount $	Mobile No	Home No	Email

2. Volunteered contact details of Next of Kin / person to contact for my servicing this loan (eg. Spouse, Parents, In-laws, children (age 21 & above), Next of Kin’s relatives
Name(s) [individual]	Mobile No.	Relationship
1.
2.
3.
4.
5.
6.

I willingly volunteer these contacts and you may contact them anytime if I fail to respond to your attempt to contact me.

__________________________
___________________________
Borrower’s Signature / Date
Surety(ies) Signature / Date

3. Financial Information
Company	Loan Amount	Repayment Schedule
1.
2.
3.
4.
5.
6.

4. Other Details
a) Type of Loan:	Secured / Unsecured	Personal / Business / Education / Medical / Renovation / Domestic / Others:
b) Details of Security [if any] :

5. Declaration for Other Source of Income
Type of Income: Rental / CPF Payout / Insurance Payout / Family Support / Others:
Amount	Date of receipt (if any):	Documentations (if any):
I/We* NRIC/FIN No. hereby declare truly, correctly and completely without holding back any information which may affect the Lender’s decision in granting the loan to me/us*. ____________________________ ______________________________ Borrower’s Signature / Date Surety(ies) Signature / Date

6. Declaration
I/We* NRIC/FIN No. declare that, at the time of this loan application, I/We* am/are not bankrupt under the Bankruptcy Act (CAP.20) and the above information given by me/us* are true to the best of my/our* knowledge. ____________________________ ______________________________ Borrower’s Signature / Date Surety(ies) Signature / Date

FAST MONEY PTE. LTD.

CONSENT FOR RELEASE OF INFORMATION

I(Name Of Applicant), ,(Identity Card/ Passport Number/ Fin No.) , hereby consent and authorize FAST MONEY PTE. LTD. (the “Company”) to release all or some of my personal / loan / contract details to the following company / organization or parties:

(1) DP SME Credit Bureau
(2) Credit Association of Singapore (CAS)
(3) Dun & Bradstreet (Singapore) Pte Ltd
(4) Other Licensed Moneylenders
(5) Third party Debt Collection agency (Fast Money Debt Recovery Services Pte. Ltd.) or approved debt collectors
(6) My Employer, My Company and office colleagues
(7) Next of kin or any parties that may be able to assist in the recovery of the loan
(8) Any law firm engaged for the recovery of the loan
(9) Third Party Accountants / Auditors for the purpose of accounting, auditing and filing of the required company documents to government agencies
(10) Sivren Pte Ltd for the purpose of acting as a Data Intermediary / application software and database provider
(11) Voluntary Welfare Organisations
(12) Debt Management Agencies

For the purpose of collating such information for credit management, assessment purposes and debts recovery, which information are accessible by subscribers to the above-mentioned parties. I am informed and understand that FAST MONEY PTE. LTD. is a contributor and subscriber of information with the above-mentioned parties.

In this connection, my personal / loan / contract details shall include inter alia, my personal particulars including name, identity card / passport / FIN number, home address, income, assets, liabilities, loan amount, interest rate, loan disbursement date, tenure of loan, loan servicing history.

I agree to disclose true copies of my income or financial substantiation documents and/or other documents as may be required by the company, which documents shall thereby become and remain the company's properties;

I authorise the company to conduct credit checks and verify information given in this application with any person/authority without prior reference to me;

I expressly permit and authorise the company and the company's officers to disclose, reveal and divulge any and all information and particulars relating to and in connection with me, any and all of my accounts with the company (whether held alone or jointly), any transactions or dealings between me and the company, this application and/or any facilities granted to me or any such person (including my next of kin or contact person which I volunteered above) at any time and from time to time, including, but not limited to any of my guarantor or surety, any person who is jointly or jointly and severally liable or indebted to the company with me, any of the company's subsidiaries, branches, agents, correspondents, agencies or representative offices, any governmental agencies and authorities in Singapore and elsewhere, contractors, third party service providers or such other persons that may have entered into contractual relations with the company, any credit bureau and any of the company's potential assignees and transferees;

I, the undersigned, hereby confirm that I have read, and the moneylender / moneylender’s agent has explained clearly to me in English / Mandarin / Malay and I understood of the above. I confirm that I have been informed that all the information shall be submitted to Moneylender Credit Bureau for providing credit report. By law and regulations, such information may be disclosed by MLCB to the Registrar and any public agency.

For any further clarifications or changes for the data provided by you and the purposes that it will be used for, you may contact SHAAN NGOH (Data Protection Officer) at 62244746 / 62244749

Signature & Date: ____________________________

Name of Signatory: ______________________________________

NRIC No. / Passport Number / FIN No.: _______________________