Client Type:
NewExisting
PART A:
Title Select Title...MrMrsMiss
Given Name
Surname
Date of Birth
Gender Select Gender...MaleFemaleOther
Home Phone
Mobile Number
Personal Email Address
Marital Status Select Marital Status...SingleMarriedDivorcedWidowed
Home Province
District
Village
Residential Address
Section
Lot
Suburb
Spouse Details (If Applicable)
Employer Name
Occupation
Mobile
Employer's Address
PART B:
Name of Employer
Position/Occupation
Company Phone
Employee File Number
Department
Work Email Address
Date of Employment
Payroll Officer
PART C:
Product Type Select Product Type...Tribe TechRapidfones
Product Name
Product Initial Price: K
30% Upfront Payment: K
Remaining Balance: K
Number of Fortnights
New Loan Amount: K
Repayment Amount: K
PART D:
1. Valid ID (eg; Work ID, NID, Driver's License or Passport)
2. Confirmation Letter of Employment
3. One-month Bank Statement
4. Copy of Pay Variance Advise (PVA)
5. Two Copies of Recent Pay Slips
6. Copy of completed Irrevocable Salary Deduction Authority (ISDA) form
7. Copy of Product Quotation
8. Copy of 30% Upfront Payment Receipt
PART E:
I, have authorized the amount of K to be deducted per fortnight for consecutive fortnights commencing pay No. for the total payment of K which includes interest owned to Money Markets of PNG.
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