Borang Tempahan – Rumah2u

Borang Tempahan Rumah

PT / LOT *

HARGA JUALAN (RM) *

NAMA PEMAJU *

JUMLAH PINJAMAN (RM) *

JENIS RUMAH *

JENIS PINJAMAN *

AGEN JUALAN *

BENTUK PINJAMAN *

NAMA PROJEK *

Nama *

Email address *

No. K/P *

Jantina * Lelaki Perempuan

Alamat Rumah *

Alamat Tetap /Kampung *

No .Tel : (R) *

(H/P) (optional)

Jawatan *

Tarikh Lahir *

Skim Perkhidmatan *

Gaji Bersih *

seperate

Nama Suami / Isteri *

No. K/P *

Alamat Rumah *

No .Tel : (R) *

(H/P) (optional)

Tandatangan Pemohon

*Sila Masukkan Signature Anda Sebelum Membuat Bayaran

Deposit Bayaran

Item Quantity	Total
× Bayaran Deposit Rumah 1	RM500.00
Cart Subtotal	RM500.00
Order Total	RM500.00

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