Application Form

Financial Assistance and Instalment Relief (FAIR) Program

* - Fields required to be filled in.




(as per NRIC / Passport / Business Registration)
















(example: abc@def.com)

 














 





Note: For Hire Purchase / Hire Purchase-i, you may also key in Vehicle Registration Number.










Note: For Hire Purchase / Hire Purchase-i, you may also key in Vehicle Registration Number.










Note: For Hire Purchase / Hire Purchase-i, you may also key in Vehicle Registration Number.










Note: For Hire Purchase / Hire Purchase-i, you may also key in Vehicle Registration Number.





 


Note: For accounts with existing Standing Instruction (SI) with AFFIN BANK / AFFIN ISLAMIC, the Bank will suspend the Auto Fund Transfer Service (AFT) for the loan / financing payment until the end of deferment period.



If you require extended tenure for more than two years, please specify.
Note: For Hire Purchase / Hire Purchase-i & Fixed Rate Loan / Financing , extension of tenure is only up to two (2) years from the original remaining tenure.





 












 



 


Note: For uploading of Supporting Document, document only in PDF or JPEG format is allowed.



Note: For uploading of Supporting Document, document only in PDF or JPEG format is allowed.



Note: For uploading of Supporting Document, document only in PDF or JPEG format is allowed.



Note: For uploading of Supporting Document, document only in PDF or JPEG format is allowed.

 














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