HSBC Middle East Finance Company Limited MEFCO Date: ____________________________________

Application Form For Individuals Branch: ____________________________________

(Please Complete in BLOCK LETTERS)

PERSONAL DETAILS
First Name ........................................................................... Middle Name ............................................................................. Last Name ......................................................................................................
as per passport as per passport as per passport

Passport No: ................................................................................... Issue Date ....................................................................... Expiry Date ......................................................................................................

Emirates ID No: ....................................................................................................... Expiry Date .......................................... Date of Birth .................................................................................................

Driving Licence ........................................................................................................ Expiry Date........................................... Nationality ........................................................................................................

Marital Status Single Married Gender: Male Female
Family in UAE Family Outside UAE No. of Dependents: ________________

RESIDENTIAL ADDRESS IN UAE

Owned Rented Company Building / Villa Name ...................................................................................................................................................................

Flat/House No:................................... Street Name / No:............................................................... Floor No: ............................................... Emirate: ........................................................................

Landmark ........................................................................................................................................................... Res. Tel. +971 .................................................................................................................................

Mobile 1: +971................................................................................................................................................ Mobile 2: +971 ...............................................................................................................................

Time in current address ............................................... No: Of years in UAE........................................................... E-Mail ................................................................................................................

Mailing Address ........................................................................................................................................... PO Box .................................................. Emirate...........................................................................

PERMANENT ADDRESS IN HOME COUNTRY
Address:.................................................................................................................................................................. City ........................................................ Country ........................................................................

ZIP Code: ......................................... Tel. No: ........................................................................ Country/Area Code No: ...........................................................................................................
ALTERNATIVE CONTACT DETAILS
Name ....................................................................................................................................................................................................... Relationship ...................................................................................................

Res. Tel: .................................................................................... Mobile .......................................................................................... Company Employed ..............................................................................

YOUR EMPLOYMENT
SALARIED:
Company Name ........................................................................................................................................... PO Box No: ........................................ Emirate .........................................................................

Office Address ..................................................................................................................................................................................................................... Off/Tel. Ext: ...........................................

Designation ...................................................... Date of Joining ............................................................... Department ...................................................................................................

Type of Business: 1. Sole Proprietor 2. Partnership 3. Limited Liability Co. 4. Others ..................................................................................................

NON-SALARIED:
Company Name ................................................................................................................................................................... Trade Licence No: ................................................................................................
First Issued: ............................................................................................................................ Valid Up To: .............................................................................................................

Type of Business: 1. Sole Proprietor 2. Partnership 3. Limited Liability Co. 4. Other ......................................................................................
Nature of Business: ...................................................................................................................................................................... No. Of Employees: ..................................................................................
INCOME DETAILS
Monthly Salary / Income (AED): Fixed ............................................. Allowances ...................................................................... Total Salary: ............................................................................

Other Regular Income (AED): ............................................................... Source of Income: .................................................................................................................................................................

OTHER BUSINESS INTERESTS OF APPLICANT
Name:...................................................................................................................................................................... Address: ............................................................................................................................................

Name:...................................................................................................................................................................... Address: ............................................................................................................................................

January 2015

Name:...................................................................................................................................................................... Address: ............................................................................................................................................

 HSBC RELATIONSHIP DETAILS
Current / Previous MEFCO Customer Yes No
HSBC Customer Yes No Main Bank Yes No
HSBC Bank A/C No. .......................................................................................................................................

Other Bank Name ................................................ Account No. ........................................................... Type ................................................................ Since ........................

EXISTING LIABILITIES IN UAE AND OVERSEAS (AED)

MONTHLY
LIABILITIES BANK/FINANCE CO. NAME INSTALLMENT LIMIT

Personal Loans
UAE ................................................................................................................................................ .................................................... ....................................................
Overseas* ................................................................................................................................................ .................................................... ....................................................

Car Loans
UAE ................................................................................................................................................ .................................................... ....................................................
Overseas* ................................................................................................................................................ .................................................... ....................................................

Credit Card (Total

Limits)
UAE ............................................................................................................................................... .................................................... ....................................................
Overseas* ................................................................................................................................................ .................................................... ....................................................

Overdrafts
UAE ................................................................................................................................................ .................................................... ....................................................
Overseas* ................................................................................................................................................ .................................................... ....................................................

Mortgages
UAE ................................................................................................................................................ .................................................... ....................................................
Overseas* ................................................................................................................................................ .................................................... ....................................................

Others
UAE ................................................................................................................................................ .................................................... ....................................................
Overseas* ................................................................................................................................................ .................................................... ....................................................

Total Liabilities .................................................................................................................................................. ..................................................... .....................................................

ASSET FINANCED
Make / Model: ........................................................ Year of manufacturing: ............................................................................................................................................................................

Colour: ......................................................................... Engine Number**: ........................................................................................................................................................................................

Chassis Number**: .................................................................................................... Registration / Number**: ........................................................................................................

Asset Price (AED) ....................................................................................................... Loan required amount (AED) ...............................................................................................

* Overseas liabilities repaid from UAE salary/income only.

** If this information is unavailable at the time of making the application, the Customer agrees that MEFCO will complete this information on behalf of the Customer using
the information as it appears on a registration card of the Asset.

CUSTOMER DECLARATION
I / We Hereby:
1 Confirm that the information above is true and complete, and agree that MEFCO has the right to verify all of the above
information, by any means it deems appropriate.
2 Acknowledge that all loans are subject to specific approval from MEFCO and MEFCO reserves the right to reject any
application without assigning any reason.
3 Authorise Al Etihad Credit Bureau and other credit bureaus or credit reference agencies as MEFCO chooses to use from
time to time for the purposes of obtaining or providing credit references and other information.

Customer / Authorised Signatory(ies) ...................................................................... Authorised Signatory by MEFCO ................................................................................

Company Stamp (where applicable)

Copyright. HSBC Middle East Finance Company Limited and its licensors - 2016 ALL RIGHTS RESERVED. No part of this publication may be reproduced, stored in a retrieval system, or transmitted,
on any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of HSBC Middle East Finance Company Limited and its licensors.
HSBC Middle East Finance Company Limited, P.O.Box 1956, Dubai, U.A.E regulated by the Central Bank of the U.A.E