SENARAI SEMAK / CHECKLIST

BNMTELELINK
Jabatan LINK dan Pejabat BNM
Bank Negara Malaysia
Jalan Dato’ Onn
50480 Kuala Lumpur
Web form: https://telelink.bnm.gov.my/

Senarai Semak Untuk Permohonan Laporan Kredit (CCRIS)

Checklist For Credit Report (CCRIS) Application

TANDA (√) /
BORANG DAN DOKUMEN / FORM AND DOCUMENT
TICK (√)
A BORANG / FORMS
Borang Permohonan Laporan Kredit / Credit Report Request Form (CBS01)
Pengisytiharan Pinjaman / Loan Declaration
KAD PENGENALAN (/MyKad) ATAU PASPORT (bukan warganegara) /
B
IDENTIFICATION CARD (NRIC) OR PASSPORT (foreigner)
MyKad (depan dan belakang) / NRIC (front and back)
Pasport / Passport
C DUA (2) DOKUMEN SAMPINGAN / TWO (2) SUPPORTING DOCUMENTS
o Lesen memandu yang sah (depan dan belakang) /
Valid driving licence (front and back)
o Bil utiliti1 seperti bil air, bil elektrik, bil telefon, dll /
Utility bill1 such as water bill, electricity bill, telephone bill, etc.
o Penyata akaun bank1 / Bank account statement1
o Penyata kad kredit1 / Credit card statement1
o Penyata KWSP1 / EPF statement1
o Lain-lain (sila nyatakan) / Others (please specify)

• Bagi setiap permohonan, sila kemukakan Senarai Semak, Borang (A) dan Dokumen-dokumen (B dan C).
For each application, please submit the Checklist, Forms (A) and Documents (B and C).

• Sila tandakan “Tiada” dalam borang Pengisytiharan Pinjaman sekiranya tiada sebarang maklumat.
Please indicate “NIL” in the Loan Declaration form if there is no information.

• Sila pastikan Borang CBS01 lengkap diisi/ditandatangan dan salinan MyKad serta DUA dokumen
sampingan1 adalah jelas dan boleh dibaca (dengan nama dan alamat/nombor akaun pemohon tertera
pada setiap salinan).
Please ensure that the CBS01 Form is complete/signed and copies of MyKad plus the TWO supporting
documents1 are legible (with the name and address/account number of the applicant stated on each
copy).
 CBS01

BANK NEGARA MALAYSIA

CENTRAL BANK OF MALAYSIA
BORANG PERMOHONAN LAPORAN KREDIT
CREDIT REPORT REQUEST FORM
Sila lengkapkan borang bagi memudahkan proses permohonan. Setiap permohonan mestilah disertai dengan sesalinan kad
pengenalan (MyKad) atau pasport (bagi warga bukan Malaysia) dan DUA dokumen sokongan seperti lesen memandu, bil utiliti
dan sebagainya yang boleh membantu BNMTELELINK mengesahkan identiti anda.
Please complete this form to expedite the processing of the request. Please attach a photocopy of your identity card (MyKad) or
passport (for non-Malaysians) and TWO OTHER documents such as driving licence, utility bills etc. which can assist
BNMTELELINK in verifying your identity.

Kepada: BNMTELELINK, Jabatan LINK & Pejabat BNM, Bank Negara Malaysia, Sila Nyatakan
To: Jalan Dato’ Onn, 50480 Kuala Lumpur
Web form: https://telelink.bnm.gov.my/ Tujuan Permohonan
Untuk semakan
Daripada: Nama Pemohon / Name of Applicant : maklumat
From:
……………………………………….………………………………………….………….. Rekod belum dikemas
Nombor MyKad/Pasport / NRIC Number/Passport Number : kini

Permohonan pinjaman
……………………………………………………………………………………………… ditolak –
Tarikh Lahir / Date of Birth : Nama institusi
kewangan:
……………………………………………………………………………………………… …………………………..
Alamat Surat-menyurat / Mailing Address :
Permohonan AKPK
………………………………………………………………………………………………
Permohonan oleh pihak
……………………………………………………………………………………...………. ketiga:

……………………………………………………………………………………………… …………………………..

Nombor Telefon / Telephone Number. : ..……………………………………………. Lain-lain. Sila nyatakan:

E-mel / E-mail : ……………………………………………………………………………
…………………………..
Saya seperti nama di atas ingin menyemak Laporan Kredit untuk (sila tandakan √ ):
I would like to request for a Credit Report on (please tick √ )

Saya adalah subjek di atas / I am the above subject

Saya mewakili pihak Perniagaan / I am acting on behalf of the Business

Nama Perniagaan / Nombor Pendaftaran Perniagaan / Pilihan Bahasa /

Name of Business Business Registration Number Language Selection

……..…………………………….……… ..………………………………….…… Bahasa Malaysia

Saya mewakili si mati/ individu yang terlantar sakit atau uzur / English
I am acting on behalf of the deceased / bedridden/ medically invalid individual

Nama si mati / Name of deceased: ……………………….………………..................………...

Nama individu yang terlantar sakit atau uzur/ Untuk Kegunaan

Name of a bedridden or medically invalid individual: …………………………………………… Pejabat Sahaja
For Office Use Only
Nombor MyKad / NRIC Number.: …………………….……………......................…………….
Pengambilan Laporan Kredit / Collection of Credit Report: Pegawai bertugas
Officer-in-charge
Di cawangan Institusi Kewangan / From Financial Institutions (branch)
Nama Institusi Kewangan & Alamat / Name of Financial Institution & Address
Catatan
....................................................................................................................................... Remarks
E-mel / E-mail
(Laporan kredit ini dihantar dalam format PDF. Sila gunakan perisian WinZIP atau WinRAR berserta
kata laluan untuk membuka laporan kredit tersebut)
(The credit report is in PDF format. Please use the software such as WinZip or WinRAR to view the credit
report which has been encrypted with password)
Tandatangan: Tarikh:
Signature: Date:
Borang ini boleh didapati daripada laman sesawang Biro Kredit (http://creditbureau.bnm.gov.my). Sila hantarkan borang ini ke BNMTELELINK
melalui https://telelink.bnm.gov.my/. / This form can be obtained from the Credit Bureau website (http://creditbureau.bnm.gov.my). Please send this
form to BNMTELELINK via https://telelink.bnm.gov.my/.
 Pengisytiharan Pinjaman1
Loan Declaration1
No. Nama Institusi Kewangan Jenis Pinjaman 2 Nombor Akaun / Kad Had Pinjaman / Kredit
No. Name of Financial Institution Loan Type2 Account / Card No. Loan / Credit Limit

1. Merujuk kepada pinjaman yang sedia ada contohnya, pinjaman perumahan, pinjaman sewa-beli, kad kredit
dan sebagainya.
Refers to the existing credit facilities; e.g. housing loan, hire-purchase, credit card, etc.

2. Jika anda tidak mempunyai sebarang pinjaman, sila nyatakan sebagai ‘TIADA’.
If you do not have any borrowings, please indicate ‘NIL’.

Permohonan Semakan Maklumat / Request for Data Review

Ruangan ini hanya perlu diisi SELEPAS anda mendapatkan Laporan Kredit dan anda ingin mempertikaikan maklumat
yang dilaporkan oleh institusi kewangan di dalam Laporan Kredit anda.
To be filled up only AFTER obtaning the Credit Report and if you have disputes on the information reported by the financial
institutions in your Credit Report.

Penjelasan lanjut mengenai permohonan semakan maklumat saya adalah seperti berikut:-
Detailed explanations on the data review request is as follows:

…………………………………………………………………………………………………………………....................................................

……………………………………………………………………………………………………………………................................................

……………………………………………………………………………………………………………………................................................

……………………………………………………………………………………………………………………................................................

……………………………………………………………………………………………………………………................................................

……………………………………………………………………………………………………………………................................................

(Sila sertakan dokumen sokongan seperti surat pelepasan daripada bank, penyata bank, resit pembayaran, atau lain-lain /
Please attach the supporting documents, i.e. release letter from the bank, bank statements, payment receipts, etc)

Tandatangan: Tarikh:
Signature: Date:
 PERMOHONAN LAPORAN KREDIT UNTUK INDIVIDU / CREDIT REPORT REQUEST FOR INDIVIDUAL

Dokumen-dokumen yang diperlukan/Required documents

1. Satu salinan kad pengenalan (MyKad) /pasport (warga bukan Malaysia) /

A photocopy of your identity card (NRIC) / passport (non- Malaysian)

2. Mana-mana Dua dokumen daripada senarai di bawah:

Any Two documents from the list below:

a) Satu salinan Pasport / A photocopy of your passport

b) Satu salinan Lesen Memandu (yang sah) dengan gambar (depan & belakang)
A photocopy of the valid driving licence with photograph (front & back)

c) Satu salinan bil utiliti (bil air, bil elektrik, bil telefon, bil ASTRO, dll)
A photocopy of utility bill (e.g electric bill, water bill, telephone bill, ASTRO bill, etc.)

d) Satu salinan Buku Akaun Simpanan (muka depan) / A photocopy of Savings Account Passbook (front page)

e) Satu salinan Penyata KWSP (muka depan) / A photocopy of EPF statement (front page)

f) Satu salinan Penyata Akaun Bank (muka depan) / A photocopy of Bank Account Statement (front page)

g) Satu salinan Penyata Kad Kredit (muka depan) / A photocopy of Credit Card Statement (front page)

PERMOHONAN LAPORAN KREDIT UNTUK SYARIKAT SDN BHD / CREDIT REPORT REQUEST FOR PTE LTD BUSINESS

Dokumen-dokumen yang diperlukan/Required documents

1. Satu salinan kad pengenalan (MyKad) atau pasport (jika bukan rakyat Malaysia) kakitangan yang diberi kuasa untuk
mengambil laporan tersebut;
A copy of identity card (NRIC) or passport (for non-Malaysian) of the authorised person;

2. Sila sertakan sesalinan yang telah disahkan benar oleh Setiausaha Syarikat berserta tarikh;
Please attach a dated certified true copies by the Company Secretary:

a) Sijil Pendaftaran Syarikat (Borang 9) yang bertarikh / A dated Certificate of Registration of Company (Form 9)

b) Senarai terkini Pengarah-pengarah Syarikat (Borang 49) yang bertarikh /

A dated latest list of Directorship of Company (Form 49),

c) Sijil Pertukaran Nama Syarikat (Borang 13) yang bertarikh, jika ada, dan /
A dated Certificate of Registration of Change of Name of Company (Form 13), if applicable,

d) Surat kuasa daripada syarikat perniagaan berkenaan. Surat kuasa hendaklah ditanda-tangani oleh Setiausaha
Syarikat dan sekurang-kurangnya DUA (2) orang Pengarah Syarikat menggunakan kepala surat syarikat. /
An authorisation letter from the business concerned. The authorisation letter must be signed by the Company
Secretary and at least TWO (2) Directors of the company using the company’s letterhead.

Sila ambil perhatian bahawa tarikh surat kuasa dan semua salinan dokumen hendaklah disahkan dalam masa 14 hari bekerja
sebelum tarikh penyerahan Borang Permohonan Laporan Kredit.
The authorisation letter and certified true copies must be dated within 14 working days before the submission date of credit
report request form.

PERMOHONAN LAPORAN KREDIT UNTUK SI MATI / CREDIT REPORT REQUEST FOR A DECEASED

Dokumen-dokumen yang diperlukan/Required documents

1. Satu salinan sijil kematian / A copy of death certificate

2. Satu salinan Surat Tadbir Kuasa / A copy of Letter of Administration

3. Satu salinan kad pengenalan (MyKad) Pentadbir Kuasa / A copy of identity card (MyKad) of the Administrator

Sila maklum bahawa bagi permohonan untuk lain-lain tujuan, sila layari laman sesawang Biro Kredit di [email protected]
untuk maklumat janjut.
Please note that for other types of applications, please refer to the credit bureau’s website at creditbureau.bnm.gov.my for further
information.
Borang ini boleh didapati daripada laman sesawang Biro Kredit (http://creditbureau.bnm.gov.my). Sila hantarkan borang ini ke BNMTELELINK
melalui https://telelink.bnm.gov.my/. / This form can be obtained from the Credit Bureau website (http://creditbureau.bnm.gov.my). Please send this
form to BNMTELELINK or via https://telelink.bnm.gov.my/