APPLICATION FORM FOR CONSUMER FINANCING

The Manager Bank Muamalat Malaysia Berhad I/We wish to apply for the following financing facility and furnish below particulars for your consideration :TYPE OF APPLICATION: TYPE OF FACILITY: Single Application House Financing Land Financing Educational Financing CAMPAIGN/ PACKAGE: Joint Application House Re-Financing Aitab Vehicle Financing Mcash Shophouse/ShopLot Financing Aitab Non-Vehicle Financing Bank Guarantee Shophouse/ ShopLot Re-Financing Personal Financing Others: TENURE : years BRANCH DATE : :

AMOUNT REQUESTED:RM

A. PERSONAL DETAILS (MAIN APPLICANT)

TITLE: IDENTIFICATION TYPE: IDENTIFICATION NO: i. FULL NAME: New Identity Card New Identity Card Old Identity Card Army IC Police IC (as per identification card) Passport

ii. Old Identity Card/ Army IC/ Police IC/ Passport CURRENT ADDRESS: ADDRESS POSTCODE STATE RESIDENTIAL STATUS: STAY DURATION: TEL NO. (H) TEL NO. (H/P) TOWN COUNTRY Owned years FAX NO. EMAIL Employer's Quarters Relatives Rented DATE OF BIRTH: CITIZENSHIP: Citizen BUMIPUTRA STATUS: GENDER: Male RACE : Malay RELIGION : Islam Buddha HIGHEST EDUCATION : MARITAL STATUS: NO. OF DEPENDENTS: Non-Citizen Yes Female Chinese Christian Others:.. Primary Secondary Tertiary Master Doctorate Professional Single Married Widowed/Divorced < 12 years old 12 - 18 years old > 18 years old MOTHER'S MAIDEN NAME: POSTCODE STATE TEL NO. FAX NO. TOWN COUNTRY PREFERRED MAILING ADDRESS: Current Hometown RELATED TO BMMB STAFF: Yes If yes, please specify: Staff Name/ ID No.: Relationship: Dept./ Branch: No AGE: No Indian Hindu Others: years Permanent Resident

HOMETOWN ADDRESS: ADDRESS

B. EMPLOYMENT DETAILS
CURRENT EMPLOYMENT EMPLOYER'S NAME: NATURE OF BUSINESS: TYPE OF EMPLOYMENT COMPANY: Government & Its Agency Public Ltd. (Bhd) Sole-Proprietorship EMPLOYER'S ADDRESS: ADDRESS POSTCODE STATE TEL NO. (O) EMAIL : PREVIOUS EMPLOYMENT (if any) *To be filled if the applicant has less than 1 year of working experience with the present employer. EMPLOYER'S NAME: NATURE OF BUSINESS: EMPLOYER'S ADDRESS: ADDRESS POSTCODE STATE TEL NO. (O) TOWN COUNTRY FAX NO. YEARS OF SERVICE: OCCUPATION: POSITION: Clerical/ Gen. Admin Officer/ Executive Managerial Director Professional Uniform body Self-employed Others:.. TOWN COUNTRY FAX NO. International Co. Private Ltd. (Sdn Bhd) Self-employed Financial Institution Partnership Others: DATE JOINED: YEARS OF SERVICE: EMPLOYMENT STATUS: CONFIRMATION OF EMPLOYMENT: RETIREMENT AGE: RETIREMENT DATE: years Permanent Confirmed years (only if applicable) Contract Self-employed N/A OCCUPATION: POSITION: Clerical/ Gen. Admin Officer/ Executive Managerial Director Professional Uniform body Self-employed Others:..

Under probation

june '09

C. SPOUSE DETAILS
TITLE: IDENTIFICATION NO: i. FULL NAME: New Identity Card OCCUPATION: EMPLOYER'S NAME: EMPLOYER'S ADDRESS: ADDRESS TOWN COUNTRY POSTCODE STATE TEL NO. (O) MONTHLY INCOME: RETIREMENT AGE: years RETIREMENT DATE: (only if applicable) TOWN COUNTRY ii. Old Identity Card/ Army IC/ Police IC/ Passport HOMETOWN ADDRESS: ADDRESS POSTCODE STATE TEL NO. (H) TEL NO. (H/P) (as per identification card)

D. REFERENCE (Parents or close relatives who are not staying with the applicant)
1.TITLE: HOMETOWN ADDRESS: POSTCODE STATE 2.TITLE: HOMETOWN ADDRESS: POSTCODE STATE TOWN COUNTRY FULL NAME: TEL NO. (H) TEL NO. (O) TEL NO. (H/P) TOWN COUNTRY (as per identification card) FULL NAME: TEL NO. (H) TEL NO. (O) TEL NO. (H/P) (as per identification card)

RELATIONSHIP TO APPLICANT:

RELATIONSHIP TO APPLICANT:

E. MONTHLY INCOME AND EXPENDITURE

MONTHLY INCOME: BASIC SALARY/ INCOME FIXED ALLOWANCE: 1) 2) 3) OTHER INCOME: 1) 2) 3) TOTAL GROSS INCOME RM RM RM RM RM RM RM RM MONTHLY EXPENDITURE: EPF RM SOCSO RM OTHER EXPENDITURE/ FINANCIAL COMMITMENT: 1) HOUSE 2) VEHICLE 3) CREDIT CARD RM RM RM

4) PERSONAL / OD RM 5) OTHERS: RM 6) OTHERS: RM TOTAL FINANCIAL COMMITMENT RM

F. EXISTING BANKING RELATIONSHIP WITH OTHER FINANCIAL INSTITUTIONS

FINANCING FACILTY : TYPE OF FACILITY BANK'S NAME APPROVED LIMIT (RM) O/S BALANCE (RM) MONTHLY INSTALMENT (RM)

G. EXISTING BANKING RELATIONSHIP WITH BMMB (FOR BANK'S USE)

DEPOSIT: SAVINGS ACCOUNT CURRENT ACCOUNT GENERAL INVESTMENT ACCOUNT FINANCING FACILTY : TYPE OF FACILITY 1. 1. 1. ACCOUNT NO. RM 2. 2. 2. ACCOUNT NO. RM

APPROVED LIMIT (RM)

O/S BALANCE (RM)

MONTHLY INSTALMENT (RM)

june '09

JOINT APPLICATION
A. PERSONAL DETAILS (CO-APPLICANT)
TITLE: IDENTIFICATION TYPE: IDENTIFICATION NO: i. FULL NAME: New Identity Card New Identity Card Old Identity Card RELATIONSHIP TO MAIN APPLICANT: DATE OF BIRTH: CITIZENSHIP: Citizen BUMIPUTRA STATUS: GENDER: Male RACE : Malay Relatives Rented RELIGION : Islam Buddha FAX NO. EMAIL HIGHEST EDUCATION : Non-Citizen Yes Female Chinese Christian Others:.. AGE: years Permanent Resident No Indian Hindu Others: Army IC Police IC (as per identification card) Passport

ii. Old Identity Card/ Army IC/ Police IC/ Passport CURRENT ADDRESS: ADDRESS POSTCODE STATE RESIDENTIAL STATUS: STAY DURATION: TEL NO. (H) TEL NO. (H/P) TOWN COUNTRY Owned years Employer's Quarters

HOMETOWN ADDRESS: ADDRESS POSTCODE STATE TEL NO. FAX NO. TOWN COUNTRY PREFERRED MAILING ADDRESS: Current Hometown

Primary Secondary Tertiary Master Doctorate Professional MARITAL STATUS: Single Married Widowed/Divorced NO. OF DEPENDENTS: < 12 years old 12 - 18 years old > 18 years old MOTHER'S MAIDEN NAME: RELATED TO BMMB STAFF: Yes If yes, please specify: Staff Name/ ID No.: Relationship: Dept./ Branch: No

B. EMPLOYMENT DETAILS
CURRENT EMPLOYMENT EMPLOYER'S NAME: NATURE OF BUSINESS: TYPE OF EMPLOYMENT COMPANY: Government & Its Agency International Co. Public Ltd. (Bhd) Private Ltd. (Sdn Bhd) Sole-Proprietorship Self-employed EMPLOYER'S ADDRESS: ADDRESS POSTCODE STATE TEL NO. (O) EMAIL : TOWN COUNTRY FAX NO. OCCUPATION: POSITION: Financial Institution Clerical/ Gen. Admin Managerial Professional Partnership Officer/ Executive Director Uniform body Others: DATE JOINED: YEARS OF SERVICE: years EMPLOYMENT STATUS: CONFIRMATION OF EMPLOYMENT: RETIREMENT AGE: Permanent Confirmed years Contract Self-employed Others:..

Self-employed N/A

Under probation

PREVIOUS EMPLOYMENT (if any) *To be filled if the applicant has less than 1 year of working experience with the present employer. EMPLOYER'S NAME: NATURE OF BUSINESS: EMPLOYER'S ADDRESS: ADDRESS POSTCODE STATE TEL NO. (O) TOWN COUNTRY FAX NO. YEARS OF SERVICE: OCCUPATION: POSITION: Clerical/ Gen. Admin Officer/ Executive

Managerial Director

Professional Uniform body

Self-employed Others:..

C. SPOUSE DETAILS
TITLE: FULL NAME: OCCUPATION: EMPLOYER'S NAME: EMPLOYER'S ADDRESS: ADDRESS TOWN COUNTRY POSTCODE STATE TEL NO. (O) MONTHLY INCOME: TOWN COUNTRY (as per identification card)

IDENTIFICATION NO: i. New Identity Card ii. Old Identity Card/ Army IC/ Police IC/ Passport HOMETOWN ADDRESS: ADDRESS POSTCODE STATE TEL NO. (H) TEL NO. (H/P)

june'09

D. REFERENCE (Parents or close relatives who are not staying with the applicant)
1. TITLE: HOMETOWN ADDRESS: POSTCODE STATE 2. TITLE: HOMETOWN ADDRESS: POSTCODE STATE TOWN COUNTRY TOWN COUNTRY FULL NAME: TEL NO. (H) TEL NO. (O) TEL NO. (H/P) (as per identification card) FULL NAME: TEL NO. (H) TEL NO. (O) TEL NO. (H/P) (as per identification card)

RELATIONSHIP TO APPLICANT:

RELATIONSHIP TO APPLICANT:

E. MONTHLY INCOME AND EXPENDITURE

MONTHLY INCOME: BASIC SALARY/ INCOME FIXED ALLOWANCE: 1) 2) 3) OTHER INCOME: 1) 2) 3) TOTAL GROSS INCOME RM RM RM RM RM RM RM RM MONTHLY EXPENDITURE: EPF RM SOCSO RM OTHER EXPENDITURE/ FINANCIAL COMMITMENT: 1) HOUSE RM 2) VEHICLE RM 3) CREDIT CARD RM 4) PERSONAL / OD RM 5) OTHERS: RM 6) OTHERS: RM TOTAL FINANCIAL COMMITMENT RM -

F. EXISTING BANKING RELATIONSHIP WITH OTHER FINANCIAL INSTITUTIONS

FINANCING FACILTY : TYPE OF FACILITY BANK'S NAME APPROVED LIMIT (RM) O/S BALANCE (RM) MONTHLY INSTALMENT (RM)

G. EXISTING BANKING RELATIONSHIP WITH BMMB (FOR BANK'S USE)

DEPOSIT: SAVINGS ACCOUNT CURRENT ACCOUNT GENERAL INVESTMENT ACCOUNT FINANCING FACILTY : TYPE OF FACILITY 1. 1. 1. ACCOUNT NO. RM 2. 2. 2. ACCOUNT NO. RM

APPROVED LIMIT (RM)

O/S BALANCE (RM)

MONTHLY INSTALMENT (RM)

june'09

APPLICATION FORM FOR CONSUMER FINANCING

The Manager Bank Muamalat Malaysia Berhad I/We wish to apply for the following financing facility and furnish below particulars for your consideration :TYPE OF APPLICATION: TYPE OF FACILITY: Single Application House Financing Land Financing Educational Financing CAMPAIGN/ PACKAGE: Joint Application House Re-Financing Aitab Vehicle Financing Mcash Shophouse/ShopLot Financing Aitab Non-Vehicle Financing Bank Guarantee Shophouse/ ShopLot Re-Financing Personal Financing Others: TENURE : years BRANCH DATE : :

AMOUNT REQUESTED: RM

A. COMPANY/ PARTNERSHIP/ SOLE PROPRIETORSHIP

COMPANY'S NAME: (as per registration certificate) TYPE OF COMPANY: Government & Its Agency Public Ltd. (Bhd) Sole-Proprietorship BUMIPUTRA STATUS: International Co. Private Ltd. (Sdn Bhd) Self-employed Yes No No Financial Institution Partnership Others: DATE OF INCORPORATION: YEARS IN BUSINESS OPERATION: NATURE OF BUSINESS: PREFERRED MAILING ADDRESS: Business ADDRESS TOWN COUNTRY EMAIL POSTCODE STATE TEL NO. (O) FAX NO. TOWN COUNTRY Registered REGISTERED ADDRESS: years REGISTRATION NO: AUTHORISED CAPITAL: RM PAID-UP CAPITAL: RM

RELATED TO BMMB STAFF: Yes If yes, please specify: Staff Name/ ID No.: Relationship: Dept./ Branch: BUSINESS ADDRESS: ADDRESS POSTCODE STATE TEL NO. (O) FAX NO.

B. DIRECTORS/ PARTNERS INFORMATION

NAME 1. 2. 3. 4. NRIC NO. SHAREHOLDINGS RM %

C. MONTHLY INCOME AND EXPENDITURE

MONTHLY BUSINESS TURNOVER: PROFIT FOR THE PREVIOUS YEARS: YEAR: YEAR: RM MONTHLY BUSINESS EXPENDITURE: M R COMPANY'S NETWORTH: RM RM RM -

D. EXISTING BANKING RELATIONSHIP WITH OTHER FINANCIAL INSTITUTIONS

FINANCING FACILTY : TYPE OF FACILITY BANK'S NAME APPROVED LIMIT (RM) O/S BALANCE (RM) MONTHLY INSTALMENT (RM)

E. EXISTING BANKING RELATIONSHIP WITH BMMB (FOR BANK'S USE)

DEPOSIT: SAVINGS ACCOUNT CURRENT ACCOUNT GENERAL INVESTMENT ACCOUNT FINANCING FACILTY : TYPE OF FACILITY 1. 1. 1. ACCOUNT NO. RM 2. 2. 2. ACCOUNT NO. RM

APPROVED LIMIT (RM)

O/S BALANCE (RM)

MONTHLY INSTALMENT (RM)

june '09

SECURITY
OTHERS(for personal financing/ other financing, if applicable)
FOR BANK'S USE Clean Security Deposit GIA Stock/Shares Unit Trust Name/ Remark (if applicable) Others: FINANCING REQUIRED: RM Account No./ Referrence No./ Certificate No./ Receipt No.: 1. 2. 3. 4. Security Value (RM): ( ( ( ( %) %) %) %) PERSONAL FINANCING TYPE: FINANCING TERMS TENURE: PROFIT RATE: %

Micro Cash Others: TYPE OF REPAYMENT: Salary deduction at source If Micro, source of repayment from: PPI/ SI from BMMB FREQUENCY OF PAYMENT: Monthly Quarterly Half-yearly Yearly Bullet payment Others:. PPI/ SI from other Bank Post-dated cheque Payment over counter/CDM

PROPERTY(for house financing/ other financing, if applicable)

PURCHASE TYPE: Purchase From Developer Purchase From Vendor Auction DEVELOPER'S NAME (if any) : VENDOR'S NAME (if any) : CHARGEE BANK (if any) : PROPERTY TYPE : Residential Industrial PROPERTY SUB TYPE : Semi-Detached Townhouse Condominium BUILDING TYPE : Commercial Complex Single Storey 2 1/2 Storey CONSTRUCTION STATUS : Commercial Vacant Land Terrace/ Link Cluster Shophouse Factory 1 1/2 Storey Triple Storey Bungalow Apartment Shop/Office Lot Vacant Land Double Storey Others: BUILT UP AREA: LAND AREA: TITLE TRANSFER RESTRICTION : LOCATION STATUS : LAND STATUS : Own Construction Re-financing FOR BANK'S USE DEVELOPER'S STATUS : Premier Tier 1 Tier 2 Non Panel No Commercial Mixed Bumi Lot Not Applicable Medium Growth Leasehold Leasehold Period: ...years Leasehold Expiry Date: Remaining Period: ..years RM Indicative Valuation Low Growth Industrial Mining Native Land Tier 3 N/A

Contractor (Non-HDA) BRIDGING FINANCING BY BMMB ? LAND USE : Argicultural Residential Malay Reserve State Consent High Growth Freehold Yes

SPA/ PRO-FORMA INVOICE/ AUCTION PRICE: DATE SPA/ PRO-FORMA INVOICE/ AUCTION: VALUATION REPORT: Full Valuation VALUER'S NAME: VALUATION DATE: FINANCING REQUIREDRM

Completed (If Completed, CF available? YES / NO ) Under Construction (Stage of Completion ..%) Owner Occupied Master Title Investment For Company Use (for director/worker etc.) Strata Title

USE OF PROPERTY: TITLE PARTICULARS : TITLE STAGE :

Individual Title

VALUATION PRICE:RM FINANCING TERMS MOF: DURATION PROFIT RATE TYPE OF REPAYMENT: Salary deduction at source PPI/ SI from BMMB PPI/ SI from other Bank Post-dated cheque Payment over counter/CDM TENURE:

TITLE NO./ UNIT NO. : MUKIM : PROPERTY ADDRESS: ADDRESS POSTCODE STATE

LOT NO. / PLOT NO. : TOWN / DISTRICT : STATE :

SUB-PRODUCT TYPE

1. RM TOWN COUNTRY 2. RM

VEHICLE/ MACHINERY(for vehicle financing/ other financing, if applicable)

PURCHASE TYPE: DEALER'S NAME (if any) : SALESMAN'S NAME: VENDOR'S NAME (if any) : CHARGEE BANK (if any) : VEHICLE/ MACHINERY TYPE: MAKE: MODEL: ENGINE/ SERIAL NO.: CHASIS NO.: YEAR MADE: REGISTRATION NO.: HP AGREEMENT (Ref. No.): USE OF VEHICLE/MACHINERY: Personal Commercial C.C. COLOUR REGISTRATION DATE: New Used Unregistered Recond Registered Recond CASH PRICE: PROFIT RATE (FLAT): EFFECTIVE YIELD (IRR): PROFIT AMOUNT: TOTAL PAYABLE: MONTHLY RENTAL: FINAL INSTALLMENT/ SELLING PRICE: RM DEALER'S HANDLING FEE: RM RM RM RM RM FINANCING REQUIRED: RM CONTACT NO: Purchase From Dealer Auction Purchase From Vendor FOR BANK'S USE DEALER STATUS : Panel Non-Panel Direct walk-in VALUATION: VALUER 1. BMMB VALUATION GUIDE 2. 3. FINANCING TERMS DEPOSIT: RM MOF: % TENURE: % % YEARS PRO-FORMA INVOICE/ AUCTION PRICE: RM DATE PRO-FORMA INVOICE/ AUCTION: RM DATE

TYPE OF REPAYMENT: Salary deduction at source PPI/ SI from BMMB PPI/ SI from other Bank Post-dated cheque Payment over counter/CDM EWP: RM

june '09

june '09

APPLICANT'S DECLARATION
1. I/We hereby declare that the information given in this financing form and other documents are true and I/We do not conceal any information that may affect my/our application. 2. I/We have not committed any act of bankruptcy as defined under Section 3 of the Bankcruptcy Act 1967. 3. I/We hereby authorize the Bank to contact my/our employer or any party to obtain any information required by the Bank. 4. I/We hereby give my/our consent for BMMB to proceed with the credit checking with any credit difference agencies. Pursuant to that, I/We hereby authorize the Bank to give, furnish, divulge or otherwise disclose, to the said credit reference agencies of any information, statements or facts with respect to the matters relating to my/our facility(ies) or account(s) with the Bank. 5. The Bank has the right to decline or reject my application should the Bank in its absolute discretion decides that my credit appraisal quality does not meet the Banks requirement. The Bank also has the right to withdraw any of the financing facilities being approved if the information given by me/us is/are false.

Name: Date:

Name: Date:

Authorised Company Chop & Signature Date:

FOR BANK'S USE ONLY

Interviewed by:

Remark (if any):

Name & Staff Designation Date:

june '09

GUARANTOR
A. PERSONAL DETAILS
TITLE: IDENTIFICATION TYPE: IDENTIFICATION NO: i. FULL NAME: New Identity Card New Identity Card Old Identity Card RELATIONSHIP TO MAIN APPLICANT: DATE OF BIRTH: CITIZENSHIP: TOWN COUNTRY Owned years FAX NO. EMAIL Employer's Quarters Relatives Rented GENDER: RACE : RELIGION : Citizen Male Malay Islam Buddha HIGHEST EDUCATION : MARITAL STATUS: NO. OF DEPENDENTS: BUMIPUTRA STATUS: POSTCODE STATE RESIDENTIAL STATUS: STAY DURATION: TEL NO. (H) TEL NO. (H/P) Non-Citizen Yes Female Chinese Christian Others:.. Primary Secondary Tertiary Master Doctorate Professional Single Married Widowed/Divorced < 12 years old 12 - 18 years old > 18 years old MOTHER'S MAIDEN NAME: POSTCODE STATE TEL NO. FAX NO. TOWN COUNTRY PREFERRED MAILING ADDRESS: Current Hometown RELATED TO BMMB STAFF: Yes If yes, please specify: Staff Name/ ID No.: Relationship: Dept./ Branch: No AGE: No Indian Hindu Others:.. years Army IC Police IC (as per identification card) Passport

ii. Old Identity Card/ Army IC/ Police IC/ Passport CURRENT ADDRESS: ADDRESS

Permanent Resident

HOMETOWN ADDRESS: ADDRESS

B. EMPLOYMENT DETAILS
CURRENT EMPLOYMENT EMPLOYER'S NAME: NATURE OF BUSINESS: TYPE OF EMPLOYMENT COMPANY: Government & Its Agency International Co. Public Ltd. (Bhd) Private Ltd. (Sdn Bhd) Sole-Proprietorship Self-employed EMPLOYER'S ADDRESS: ADDRESS POSTCODE STATE TEL NO. (O) EMAIL : TOWN COUNTRY FAX NO. OCCUPATION: POSITION: Financial Institution Clerical/ Gen. Admin Managerial Professional Partnership Officer/ Executive Director Uniform body Others: DATE JOINED: YEARS OF SERVICE: years EMPLOYMENT STATUS: CONFIRMATION OF EMPLOYMENT: RETIREMENT AGE: Permanent Confirmed years Contract Self-employed Others:..

Self-employed N/A

Under probation

PREVIOUS EMPLOYMENT (if any) *To be filled if the applicant has less than 1 year of working experience with the present employer. EMPLOYER'S NAME: NATURE OF BUSINESS: EMPLOYER'S ADDRESS: ADDRESS POSTCODE STATE TEL NO. (O) TOWN COUNTRY FAX NO. YEARS OF SERVICE: OCCUPATION: POSITION: Clerical/ Gen. Admin Officer/ Executive

Managerial Director

Professional Uniform body

Self-employed Others:..

C. MONTHLY INCOME AND EXPENDITURE

MONTHLY INCOME: BASIC SALARY/ INCOME FIXED ALLOWANCE: 1) 2) 3) OTHER INCOME: 1) 2) 3) TOTAL GROSS INCOME RM RM RM RM RM RM RM RM MONTHLY EXPENDITURE: EPF RM SOCSO RM OTHER EXPENDITURE/ FINANCIAL COMMITMENT: 1) HOUSE RM 2) VEHICLE RM 3) CREDIT CARD RM 4) PERSONAL / OD RM 5) OTHERS: RM 6) OTHERS: RM TOTAL FINANCIAL COMMITMENT RM -

june '09

D. EXISTING BANKING RELATIONSHIP WITH OTHER FINANCIAL INSTITUTIONS

FINANCING FACILTY : TYPE OF FACILITY BANK'S NAME APPROVED LIMIT (RM) O/S BALANCE (RM) MONTHLY INSTALMENT (RM)

E. EXISTING BANKING RELATIONSHIP WITH BMMB (FOR BANK'S USE)

DEPOSIT: SAVINGS ACCOUNT CURRENT ACCOUNT GENERAL INVESTMENT ACCOUNT FINANCING FACILTY : TYPE OF FACILITY 1. 1. 1. ACCOUNT NO. RM 2. 2. 2. ACCOUNT NO. RM

APPROVED LIMIT (RM)

O/S BALANCE (RM)

MONTHLY INSTALMENT (RM)

F. GUARANTOR'S DECLARATION
1. I hereby declare that I will be a GUARANTOR to ___________________________________________ for the financing amount of RM__________________ and you are at liberty to check with my employer or my bank representative for any information on my financial position and 2. The information given in financing application form (guarantor) and other documents are true and I do not conceal any information which may affect the 3. I have not committed any act of bankruptcy as defined under Section 3 of the Bankcruptcy Act 1967. 4. I hereby authorize the Bank to contact my employer or any party to obtain any information required by the Bank. 5. I hereby give my consent for BMMB to proceed with the credit checking with any credit difference agencies. Pursuant to that, I hereby authorize the Bank to give, furnish, divulge or otherwise disclose, to the said credit reference agencies of any information, statements or facts with respect to the matters relating to my facility(ies) or account(s) with the Bank.

Signature of Guarantor Date:

june '09

10