ACCREDIT PTE. LIMITED (Licence No. )

Registered Address: 2 Jurong East Street 21

#04-01A/B IMM Building Singapore 609601

Branch Address:

Phone:

(UEN: 201842153H)

APPLICANT’S CONSENT FOR RELEASE OF INFORMATION

I/We fully understand that the submission of required documents in support of my/our loan application does not mean automatic approval thereof. I/We am/are aware that I/we will need to furnish my/our original copy of NRIC / Photo Identify Card upon application for my/our loan.

I/We hereby agrees that Accredit Pte Limited and its related or affiliated companies (hereafter collectively referred to as "Group") may collect, use, process, disclose, and/or transfer any personal data supplied by the User in connection with this Agreement for the purposes of administering, maintaining and terminating my/our account and keeping me/us informed of updates, changes and developments relating to the services, the scope of which may include but is not limited to:

i.	administering and maintaining Borrower's account to retrieve my Statement of Account (SOA) &/or Official Receipts electronically, etc;
ii.	engaging third party service providers to perform certain aspects of the Services, not limited to customer profiling, market analysis and research purposes;
iii.	unless I notify Accredit that I do not wish to receive such information, sending from time to time information through email or SMS about my account information (SOA ready for my retrieval), & services from Accredit.
iv.	notifying me about important changes to the regulations from Ministry of Law and/or services;
v.	responding to queries or feedback from me; and
vi.	for such other purposes as permitted by applicable law or with my consent.
By applying, I/we authorize Accredit Pte Limited to conduct Credit Checks and verify information given in the application.
I/We consent Accredit Pte Limited to disclose my/our name, ID number, nationality, date of birth, contact details, payment records, loan application and/or related information to:
	Moneylenders Credit Bureau (MLCB).
I/We also hereby grant consent to
	Moneylenders Credit Bureau (MLCB). i. Generate the Credit Bureau Reports, and/or ii. Create research reports and analysis ie score, grade or rating for credit assessments, credit related analytic purpose, etc.
	I/We hereby certify that I/we am/are not an undischarged bankrupt and there has been no statutory demand served to me/us or any legal proceedings commenced against me, all the data and information in this application are complete and accurate. Any falsehood information or statement in this loan application shall give rise to rejection of the loan applied.
	I hereby consent Accredit Pte Ltd to keep this Loan Application Form; and a copy of every document supporting the application received by us on or after the appointed day- (i) in a case where the loan application is not approved, for a period of 5 years after the date on which the form or copy is received; or (ii) in a case where the loan application is approved, for a period of 5 years after the date on which the loan is fully repaid or on which the contract for the loan is otherwise terminated.

Signature of Applicant:____________________	Signature of Surety:____________________
Name of Applicant:	Name of Surety:
NRIC / FIN No. of Applicant:	NRIC / FIN No. of Surety:
Date of Application:	Date of Application:

ACCREDIT PTE. LIMITED (Licence No. )

Registered Address: 2 Jurong East Street 21

#04-01A/B IMM Building Singapore 609601

Branch Address:

Phone:

(UEN: 201842153H)

Loan Application	How I know about Accredit?	Loan Amount Requested: $ 0.00
Application Details (with Surety)
Name (as in NRIC / Passport)

ID Type

NRIC / FIN No.

Nationality

Gender

Female
Male

Date of Birth (dd/mm/yyyy)

Age

Loan Type

Unsecured Secured

Reason for Loan

Loan Category ( if any )

Not Applicable Debt Assistance Scheme Debt Consolidation

Address and Contact Details

Residence Address(1):

Postal

Blk/No.

Unit No.

Street

Residence Address(2) if any:

Postal

Blk/No.

Unit No.

Street

Residential Type: Owned               Siblings
                             HDB Rental       Rent
                             Parents              Others ______________

Mobile :

Home :

Property Ownership: Does not own any property    HDB 1-room
                                  HDB 2-room                          HDB 3-room
                                  HDB 4-room                          HDB 5-room
                                  HDB Public Rental Scheme Landed
                                  Apartment / Condo / Executive Condo

Office : Ext (if any) :

Email :

Employment Details

Name of Company:

Company’s Address:

Postal

Blk/No.

Unit No.

Street

Workplace Address (if any):

Postal

Blk/No.

Unit No.

Street

Position:

Start Date of Employment:
(dd/mm/yyyy)

Specialization:

Length of Current Employment: years
months

Annual Income: $ 0.00

Monthly Income: $ 0.00

Salary Paid Regular Non Regular

Pay date of Salary:

ACCREDIT PTE. LIMITED (Licence No. )

Registered Address: 2 Jurong East Street 21

#04-01A/B IMM Building Singapore 609601

Branch Address:

Phone:

(UEN: 201842153H)

Outstanding Loans with Licensed Moneylenders or Other Lenders

Name of Lender	Loan Amount	Payment Frequency

Bank Account Details (if any)
Name of the Bank:	Account Number:

Other Information
No of Dependents

ACCREDIT PTE. LIMITED (Licence No. )

Registered Address: 2 Jurong East Street 21

#04-01A/B IMM Building Singapore 609601

Branch Address:

Phone:

(UEN: 201842153H)

BORROWER’S LETTER OF AUTHORIZATION
I, NRIC / FIN No. , hereby consent to allow representatives of Accredit Pte Limited to visit my House for the purpose of repaying the loan that I have taken from Accredit Pte Limited.
Accredit Pte Limited and/or representative(s) is/are not liable in any way(s) to me for any inconvenience, embarrassment loss, damage, cost or expense of any nature suffered or incurred by me in respect of or in connection with this loan agreement.

_______________________________________

Signed by:

Date :

Loan Application

Surety for Applicant’s Name:

Loan Amount Requested: $ 0.00

Surety Details
Name (as in NRIC / Passport)

ID Type

NRIC / FIN No.

Nationality

Gender

Female
Male

Date of Birth (dd/mm/yyyy)

Age

Address and Contact Details

Residence Address(1):

Postal

Blk/No.

Unit No.

Street

Residence Address(2) if any:

Postal

Blk/No.

Unit No.

Street

Residential Type: Owned                   Siblings
                             HDB Rental           Rent
                             Parents                 Others ___________

Mobile :

Alternative No :

Office : Ext (if any) :

Email :

Employment Details

Name of Company:

Office Address:

Postal

Blk/No.

Unit No.

Street

Workplace Address (if any):

Postal

Blk/No.

Unit No.

Street

Position:	Start Date of Employment: (dd/mm/yyyy)
Specialization:	Length of Current Employment: years months
Annual Income: $ 0.00	Monthly Income: $ 0.00
Salary Paid Regular Non Regular	Pay date of Salary:

ACCREDIT PTE. LIMITED (Licence No. )

Registered Address: 2 Jurong East Street 21

#04-01A/B IMM Building Singapore 609601

Branch Address:

Phone:

(UEN: 201842153H)

Outstanding Loans with Licensed Moneylenders or Other Lenders

Name of Lender	Loan Amount	Payment Frequency

Other Information
No of Dependents

ACCREDIT PTE. LIMITED (Licence No. )

Registered Address: 2 Jurong East Street 21

#04-01A/B IMM Building Singapore 609601

Branch Address:

Phone:

(UEN: 201842153H)

SURETY’S LETTER OF AUTHORIZATION

I, NRIC / FIN No. , hereby consent to allow representatives of Accredit Pte Limited to visit my House for the purpose of repaying the loan that I have taken from Accredit Pte Limited.

Accredit Pte Limited and/or representative(s) is/are not liable in any way(s) to me for any inconvenience, embarrassment loss, damage, cost or expense of any nature suffered or incurred by me in respect of or in connection with this loan agreement.

ACCREDIT PTE. LIMITED (Licence No. )

Registered Address: 2 Jurong East Street 21

#04-01A/B IMM Building Singapore 609601

Branch Address:

Phone:

(UEN: 201842153H)

IMPORTANT INFORMATION FOR BOROWERS/SURETY
1.	Please do not disclose your personal particulars, including your SingPass to anyone.
2.	Do take note that as a licensed moneylender, we are not allowed to ask you to reveal, or obtain from you, your confidential passwords, including SingPass and internet banking passwords.
3.	Accredit Pte Limited is a licensed moneylender approved by the Registry of Moneylenders.
4.	Accredit Pte Limited does not send flyers, SMS/Whatsapp or call you stating that we provide loans services as it is against the laws and regulations. We would only communicate with you through SMS / Whatsapp or call you on matters pertaining to your outstanding loans with us.
5.	In the event you have received loans advertisement stating that it is from Accredit Pte Limited, please ignore it and inform us immediately.
6.	DO NOT RESPOND TO THOSE LOAN ADVERTISEMENTS. DO NOT TAKE LOAN FROM THEM.
7.	Please call us at our office number should you need any verification.
BORROWER’S / SURETY’S DECLARATION & ACKNOWLEDGMENT
I/We, the undersigned, hereby confirm that I/We have read, and it was clearly explained to me/us, and I/We have understood the above.
I/We hereby declare that the information given here by me/us is/are true and correct.
I/We accept that it is my responsibility to update any changes to my/our personal particulars, especially and changes my places of residence must, within reasonable period and/or within 2 weeks.

Is there any other individual or company that will benefit from the loan	Yes No
Are you a politically-exposed person?	Yes No
Any Bankruptcy / Pending Writ of Summons / Lawsuits?	Yes No
Have you ever been convicted of a crime before?	Yes No

Signature of Applicant:____________________	Signature of Surety:____________________
Name of Applicant:	Name of Surety:
NRIC / FIN No. of Applicant:	NRIC / FIN No. of Surety:
Date of Application:	Date of Application: