PROJEK LINTASAN KOTA HOLDINGS SDN. BHD.

APPLICATION FOR MOTORCAR INTEREST SUBSIDY

HOLDINGS KOTA SHAH ALAM EXPRESSWAY

NAME : ___________________________________________________

DESIGNATION : ___________________________________________________

GRADE : ___________________________________________________

AMOUNT : ___________________________________________________
FINANCED

PURPOSE : ___________________________________________________

MODEL : ___________________________________________________

INSURANCE : ___________________________________________________

PURCHASE : ___________________________________________________
FROM
___________________________________________________

___________________________________________________

TYPE : NEW/ SECOND HAND

AGE OF MOTORCAR, IF A SECONDHAND : _________________________

AND YEAR BEING MADE

FREQUENCY LOAN : ______________________________________________

PERIOD OF : ______________________________________________
REPAYMENT

INSURANCE - NAME OF COMPANY : _________________________

AMOUNT TO BE INSURED : _____________________

SIGNATURE : _____________________________

DATE : _____________________________
For Official Use

I have processed this application and found that:-

* It is in conformity with the PROLINTAS Motorcar Interest Subsidy

* It is not in conformity with the PROLINTAS Motorcar Interest Subsidy

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________________ ___________ __________________ ____________

Processed by Date Checked by Date
Human Capital Human Capital Manager
Executive

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I have perused this application and found

a) i) That the application is in conformity with the PROLINTAS Motorcar Interest Subsidy

ii) That the documents and computations of Prolintas Motorcar Interest Subsidy are correct

_______________________________________________________________________

_______________________________________________________________________

b) I * recommend / do not recommend the Motorcar Interest Subsidy.

Date: ________________

Recommended for approval by : ____________________________________________________

Signature of General Manager Finance & Corporate Affairs
/ Chief Financial Officer

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* Approved / Not approved

Date : ____________________ ____________________________________________________

Signature of Group Chief Executive
Note :

No payment will be entertained without this form

* Delete whichever not applicable

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Documents to provide : 1) Copy of HP agreement 2) Copy of car registration document or log book (both sides)