HIDAYAH FACTORS SDN BHD Company No.

584087-A
A-1-20, Phoenix Business Park, Jalan 2/142a, Km 10, Jalan Cheras, 56100 Kuala Lumpur, Malaysia
Tel : (603) 9101 2267 / 9100 4178 Fax : (603) 9102 2267 website : www.hidayahfactors.com

APPLICATION FOR BAI AL-DAYN FACTORING FACILITY

PARTICULARS OF APPLICANT

1) Company Name:

2) Registered Address : Date Incorporation / Reg. :

Company/ Reg No :

Office Tel. No. :

Fax No :

Contact Person :
3) Business Address :
Mobile No :

Authorised Capital :

Paid-up Capital :

4) Nature of Business :

5) Type of Company :
Private Limited Partnership Proprietorship

6) Status of Company :
Bumiputra Company Non-Bumiputra Company Foreign Company

7) Company's Major Shareholder :

Name of Shareholders No. of Shares %

i.

ii.

iii.

iv.

8) Board of Directors

Directors Name NRIC No.

i.

ii.

iii.

iv.

v.

vi.

vii.

viii.

Note : Please use separate attachment if the above space is insufficient

 DOCUMENTS TO BE SUBMITTED WITH THIS APPLICATION

Private Limited Company Partnership / Proprietorship

- Memorandum Of Articles - Business Reg. (Form B & D)

- Form 24 & 49 - Financial Account (3 years)
- Audited Account (3 years) - Bank Statement (3 months)
- Bank Statement (3 months) - MOF Registration Certificate
- MOF Registration Certificate - NRIC for All Partnership / Proprietorship
- NRIC for All Directors & Guarantor - Copy Letter Of Offer for other
- Copy Letter Of Offer for other banking facilities. (if any)
banking facilities. (if any) - Any other documents and information which
- Any other documents and information which facilitate and support this application.
facilitate and support this application. - Company Profile
- Company Profile

I / We certify that the above information and the facts set forth in this application (including any supplemental document(s), if
any, attached to and made a part of this application) are true and correct. I / We further hereby authorised HIDAYAH FACTORS
SDN BHD to obtain any information from any source whatsoever which HIDAYAH FACTORS SDN BHD may so require for the
purpose of assessing this application. I/we hereby confirm and declare that all the information provided by me/us is
complete, true and correct and that I/we authorize HIDAYAH FACTORS SDN BHD and its representatives to verify any
information provided and to obtain from any source including, consumer reporting, credit reporting agency, or reference
schemes you considers appropriate any information and so long as there is existing business relationship/credit facilities.
I/we agree and permit HIDAYAH FACTORS SDN BHD to disclose or release data/information relating to
company/business/individual to credit bureau or central bureau."

Signature of Director's / Owner's

Name Name
NRIC No. NRIC No.

Name Name
NRIC No. NRIC No.

Company's R/Stamp

Date :
 HIDAYAH FACTORS SDN BHD Company No. 584087-A
A-1-20, Phoenix Business Park, Jalan 2/142a, Km 10, Jalan Cheras, 56100 Kuala Lumpur, Malaysia
Tel : (603) 9101 2267 / 9100 4178 Fax : (603) 9102 2267 website : www.hidayahfactors.com

PARTICULARS OF DIRECTORS/ GUARANTOR

NAME, RESIDENCE ADDRESS & TEL PERSONAL/ CO'S BANK & OTHER RELATED
PAST EXPERIENCE
NO. ACC. NO. BUSINESS/ COMPANIES

1)

2)

3)

4)