BTEC Application Form 2023-23052023

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BORANG PERMOHONAN PINDAHAN BAKI & EASYCASH BSN / BSN BALANCE TRANSFER & EASYCASH APPLICATION FORM

No. Kad Kredit BSN / BSN Credit Card No. : No. Kad Pengenalan / NRIC No. :
No. Tel. Bimbit / Mobile Tel. No. :
Nama seperti dalam Kad Pengenalan / Name as in NRIC :
E-mel / E-mail :

PERMOHONAN PINDAHAN BAKI BSN / BSN BALANCE TRANSFER APPLICATION


Sila tanda / Please tick ( )
FI PENDAHULUAN SATU KALI ATAS AMAUN YANG
PELAN / KADAR PEMINDAHAN BAKI BSN (SETIAP TAHUN) / AMAUN PEMINDAHAN MINIMUM /
TEMPOH / TENURE DILULUSKAN / ONE-TIME UPFRONT FEE ON
PLAN BSN BALANCE TRANSFER RATE (PER ANNUM) MINIMUM TRANSFER AMOUNT
APPROVED AMOUNT
BA 6 bulan / months 0.00% 1.99%
BB 12 bulan / months 0.00% 3.99%
BC 24 bulan / months 3.99%
BD 36 bulan / months 3.99%
BE 48 bulan / months 4.99%
JENIS PELAN / NO. KAD KREDIT/-i BANK LAIN / BANK PENGELUAR / JUMLAH PINDAHAN /
TYPE OF PLAN OTHER BANK CREDIT CARD/-i NO. ISSUING BANK TRANSFER AMOUNT (RM)

JUMLAH KESELURUHAN / TOTAL AMOUNT


Saya bersetuju bahawa BSN berhak meluluskan atau menolak permohonan saya atas budi bicaranya tanpa memberi sebarang sebab. Saya memberi kebenaran kepada BSN untuk
menyemak dan menerima semua maklumat berkaitan akaun saya dengan pengeluar (pengeluar-pengeluar) Kad atau mana-mana bank atau institusi kewangan yang lain untuk tujuan
ini. Saya dengan ini bersetuju dengan Terma dan Syarat Perjanjian Pemegang Kad BSN dan Program Pindahan Baki. / I agree that BSN shall reserve the absolute right to approve or
reject my application as it deems fit without assigning any reason. I authorise BSN to check and receive all information relating to my account with the Card issuer(s) or financial
institution(s) for the purpose herein. I hereby agree to all Terms and Conditions of the BSN Cardmembers Agreement and Balance Transfer Programme.

Tandatangan Pemohon Kad Utama / Signature of Principal Applicant


Tarikh / Date __________________________________________________

PERMOHONAN PELAN EASYCASH BSN / BSN EASYCASH PLAN APPLICATION


BUTIR – BUTIR PERMOHONAN / APPLICATION DETAILS

Jumlah / Amount : RM , . ATAU / OR Jumlah daripada had kredit sedia ada / Amount from available credit limit : %
Sila tanda / Please tick ( )
PELAN / KADAR (SETIAP TAHUN) / FI PENDAHULUAN TUNAI SATU KALI ATAS AMAUN YANG JUMLAH TUNAI MINIMUM /
TEMPOH / TENURE
PLAN RATE (PER ANNUM) DILULUSKAN / ONE-TIME CASH ADVANCE FEE ON APPROVED AMOUNT MINIMUM CASH AMOUNT
AA 6 bulan / months 0.00% 1.99%

AB 12 bulan / months 0.00% 3.99%


AC 24 bulan / months 3.99%
AD 36 bulan / months 3.99%
AE 48 bulan / months 4.99%
AF 60 bulan / months 5.99%
AG 72 bulan / months 5.99%

BUTIR-BUTIR PINDAHAN WANG / FUND TRANSFER DETAILS


Nama bank / Bank Name : Jenis Akaun / Account Type :
Simpanan / Savings Semasa / Current

No. Akaun / Account No. :

Saya bersetuju bahawa BSN berhak meluluskan atau menolak permohonan saya atas budi bicaranya tanpa memberi sebarang sebab. Saya dengan ini mengaku bahawa saya telah
membaca dan memahami segala Terma dan Syarat bagi kemudahan Pelan EasyCash BSN yang diperolehi daripada Bank (melalui Eksekutif Jualan, cawangan atau
www.bsn.com.my) dan bersetuju untuk terikat dengan terma dan syarat tersebut. / I agree that BSN shall reserve the absolute right to approve or reject my application as it deems
fit without assigning any reason. I hereby acknowledge that I have read and fully understood the Terms and Conditions for the BSN EasyCash Plan facility obtained from the Bank
(via Sales Executive, branch or www.bsn.com.my) and agree to be bound by it.

Untuk memohon, ikuti langkah berikut / To apply, follow these simple steps :
Langkah 1 / Step 1 - Lengkapkan borang permohonan yang dilampirkan /
Complete the attached Application Form
Tandatangan Pemohon Kad Utama / Signature of Principal Applicant
Langkah 2 / Step 2 - E-mel ke / E-mail to: [email protected]
Tarikh / Date __________________________________________________
UNTUK KEGUNAAN BANK SAHAJA / FOR BANK USE ONLY
No. Kakitangan/Ejen / Kod Cawangan BSN / Kod Sumber BSN / Kod Pengesahan Kualiti / Tarikh Penerimaan QA /
Staff/Agent No. BSN Branch Code BSN Source Code Quality Assurance ID QA Receive Date

6
PKK/-i (05/23)

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