A. TO BE FILLED UP BY CUSTOMER/DIISI OLEH PELANGGAN

Name / Nama :

NRIC no. / No. k/p : Email / Emel :

Address / Alamat :

Bank account no. / no.bank akaun : /

Phone no. / : H/P / T.bimbit Hse / Rumah :

No. telefon Off / Pejabat

I am/my family member is a COVID-19 patient1 / Saya/ahli keluarga saya ialah pesakit COVID-191

Unexpected medical expenses2 / Belanja perubatan di luar jangkaan 2

Spouse's business3/salary4 affected / Perniagaan 3 /gaji pasangan 4 saya terjejas

Others / Lain-lain :

Pilihan saya untuk menjelaskan baki ansuran dan untung tambahan akibat daripada penangguhan tersebut:

increase financing tenure / menambah tempoh pembiayaan

partial payment during relief period5 / bayaran separa dalam tempoh pelepasan 5

Others: / Lain-lain :

Extension of financing tenure beyond retirement is to be made via deduction of: / Pension fund6 /

Bayaran untuk sambungan tempoh pembiayaan selepas pesaraan akan dibuat melalui: Dana pencen 6

Compulsory documents to be attached / Lampiran wajib:

1. Confirmation letter from hospital/doctor / Surat pengesahan dari hospital/doktor

2. Hospital/medical bills / Bil hospital/perubatan

3. Registration Certification (ROC) & relevant documents showing spouse's shareholding /

Sijil Pendaftaran Perniagaan (SSM) dan dokumen berkenaan yang menunjukkan pegangan saham pasangan

4. Letter from spouse's employer / Surat daripada majikan pasangan

5. Proof of standing instruction for partial payment / Bukti arahan bayaran berjadual

6. Consent letter for pension deduction / Surat kebenaran potongan pencen

7. Any other relevant supporting documents / Lain-lain document yang berkenaan

Declaration / Pengisytiharan :

Signature / Tandatangan

Date / Tarikh :

TEMPORARY COVID-19 FINANCIAL RELIEF REQUEST FORM /

BORANG PERMOHONAN PELEPASAN KEWANGAN SEMENTARA

I hereby declare that the above information together with the supporting document(s) provided herein are true and accurate.

I understand that the Company has sole and absolute discretion to defer the same and repayment shall resume immediately

after the financial relief period expires. By signing this form, I have expressly agreed to pay the additional profit arising from

such deferment and consented to Company collecting, storing and processing the above data(s) in relation to this request. /

Saya dengan ini mengisytiharkan bahawa maklumat dan dokumen-dokumen yang diberikan di atas adalah benar dan tepat.

Saya memahami bahawa penangguhan bayaran adalah atas budi bicara Syarikat dan bayaran balik akan diteruskan serta

merta selepas tempoh pelepasan kewangan tamat. Dengan menandatangani di atas borang ini, saya telah memberi

persetujuan nyata untuk membayar untung tambahan akibat daripada penangguhan tersebut dan membenarkan Syarikat

untuk mengumpul, menyimpan dan memproses data berkenaan premohonan di atas.

My request for deferment of monthly instalment to alleviate my financial burden due to /

This temporary financial relief request must be submitted before 30.04.2020 via pertanyaan

@yir.com.my/pertanyaan@yyp.com.my. Due to system limitation, customer's salary

deduction will be refunded manually subject to approval of this request. / Permohonan

pelepasan kewangan sementara ini mesti dihantar sebelum 30.04.2020 melalui pertanyaan@

yir.com.my/pertanyaan@yyp.com.my. Disebabkan had sistem, gaji pelanggan yang dipotong

akan dibayar balik secara manual tertakluk pada kelulusan permohonan ini.

Saya memohon penangguhan ansuran bulanan untuk meringankan beban kewangan saya kerana:

My option to settle remaining instalments and additional profit arising from such deferment /

Note / Nota :

B. ASSESSMENT BY COLLECTION/RECOVERY DEPARTMENT / Penilaian oleh Jabatan Collection/Recovery

1. Account information (Refer All Financing Account Report attached) /

Maklumat akaun (Rujuk kepada lampiran All Financing Account Report)

2. Document(s) attached / Lampiran :

Confirmation letter from hospital/doctor / Surat pengesahan dari hospital/doktor

Hospital/medical bills / Bil hospital/perubatan

Sijil Pendaftaran Perniagaan (SSM) dan dokumen berkenaan yang menunjukkan pegangan saham pasangan

Letter from spouse's employer / Surat daripada majikan pasangan

Proof of standing instruction for partial payment / Bukti arahan bayaran berjadual

Consent letter for pension deduction / Surat kebenaran potongan pencen

Others / Lain-lain :

3. Verification performed on the following and no discrepancy noted /

Pengesahan telah dibuat seperti yang berikut dan tiada percanggahan didapati :

Financing(s) have not been in arrears for >3 MIAs as at 1.04.2020 /

Pembiayaan tiada bayaran tunggakan > 3 bulan pada 1.04.2020 Yes / Ya No / Tidak

Customer's SDS remains active / SPG pelanggan masih aktif Yes / Ya No / Tidak

Request is supported with valid supporting documents /

Permohonan ini disokong oleh dokumen yang sah Yes / Ya No / Tidak

Extension of financing tenure beyond retirement is supported with consent letter for pension deduction / Sambungan

tempoh pembiayaan selepas pesaraan disokong oleh surat kebenaran potongan pencen Yes / Ya No / Tidak

4. Request is / Permohonan :

Recommended for deferment of monthly instalment for / 3 months / 3 bulan months / bulan

Penangguhan ansuran bulanan disyorkan untuk tempoh 6 months / 6 bulan

Not recommended due to / tidak disyorkan kerana :

Financing(s) in arrears for > 3 MIAs / Bayaran tunggakan pembiayaan > 3 bulan

Customer is no longer in SDS / SPG pelanggan sudah berhenti

Invalid supporting document(s) / Dokumen sokongan tidak sah

Others / Lain-lain :

Received and assessed by / Recommend / Permohonan disyorkan

Diterima dan dinilai oleh Reject / Permohonan ditolak

AM/SE/Exec, COL/RCY HOD/SM/M, COL/RCY

Initial/Date: Initial/Date:

Remarks / Komen

C. APPROVAL BY TWO (2) AUTHORISED PERSONNEL / KELULUSAN OLEH 2 KAKITANGAN YANG DIBERI KUASA

Approve / Permohonan diluluskan Approve / Permohonan diluluskan

Reject / Permohonan ditolak Reject / Permohonan ditolak

CBO/SGM/GM/AGM CEO/CBOInitial/Date: Initial/Date:

Remarks / Komen

Registration Certification (ROC) & relevant documents showing spouse's shareholding /

TEMPORARY COVID-19 FINANCIAL RELIEF REQUEST FORM /

BORANG PERMOHONAN PELEPASAN KEWANGAN SEMENTARA

Revision: 00 (dated 27.03.2020)

I ammy family member is a COVID19 patient: OffUnexpected medical expenses: OffSpouses business: OffOthers Lainlain: Offincrease financing tenure menambah tempoh pembiayaan: Offpartial payment during relief period: OffOthers Lainlain_2: OffPension fund: Off1: 2: 4: 5: 3: 6: 7: 9: 8: 10: 11: 12: