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Please type your employer address here
Please type your residential address If you are stay out.
Please type your spouse company name and address here
Please type reference full address here
Please type your reference full address here
Declaration:
I have provided Prolific Limited (the "Company") with the information in this form to enable the company to refer my application to Prime Credit (Asia) Limited (the "Lender"), who will in turn assess whether to make the loan I have requested. The information contained herein is true in all material respects and I acknowledge it will be the basis on which this loan may be made. I represent that no bankruptcy, litigation or administrative proceedings are current or to my knowledge threatened nor do I/we have arrangements with other lenders, which might prevent my/our repayment of the loan. I have read the statement in respect of the Personal Data (Privacy) Ordinance in this application. Prime Credit (Asia) Limited may or may not grant this loan at its sole discretion and no explanation need be provided in respect of its decision.
Note: After you submit the online application form , please send us the Required documents by post or fax within one week.
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