Mu biu: MB01- HD.

SPBL/05

NGH VAY VN KIM PHNG N TR N (dnh cho sn phm th chp)

LOAN APPLICATION FORM/REPAYMENT PLAN (For secured loan applicants)
Knh gi: Ngn hng TMCP K thng Vit Nam (Techcombank)
To: Vietnam Technological and Commercial Joint- stock Bank ( Techcombank)
ngh Techcombank cp tn dng c ti sn bo m vi ni dung c th nh sau (phn c du * l thng tin bt buc khai bo):
I would like to apply for a secured loan with the following details ( (*) parts are mandatory):

A. MC CH, PHNG N S DNG VN V THNG TIN VAY VN - LOAN PURPOSE, PLAN AND INFORMATION *
1. Vay mua -t: i li Cho thu Kinh doanh Khc: ......................................................................................
Auto loan: Personal purpose For rent Business purpose Other purpose: ........................................................................
Loi xe/type: S lng/quantity: Gi tr/value:
2. Vay mua nh/t: Chung c Bit th Nh ph t Khc .......................................................................................
Mortgage loan: Apartment Villa House Land lot Other.......................................................................................
Mc ch/Purpose: /Residency Cho thu/For rent Khc/Other:
Din tch/Area: Gi tr/Value:
D n/Project: Ch u t/Developer:
a ch: S nh/House number: ng/Street:
Addres
s Phng/x/Ward: Qun/huyn/District: Tnh/Thnh ph/Province/City:
3. Vay th chp bt ng sn (c th mc ch vay): 4. Vay du hc
Home Equity (specify loan purpose) Study loan
Cp hn mc mi /New Limit
5. Cho vay ng trc ti khon c nhn c TSB (F1)
Secured overdraft (F1) Gia hn / Renew limit
Nng hn mc / Change current limit
6. Mc ch khc (ghi r):
Other loan purpose (specify):
S tin vay/Hn mc cp *:
THNG TIN VAY VN * Vn t c *: Loi tin: Thi hn vay *: thng
LOAN INFORMATION Owned capital Loan amount/Loan limit Loan tenor: months
Currency:
B. THNG TIN C NHN - PERSONAL INFORMATION
Giy t nhn thn *: S CMND/National ID S h chiu/Passport
H v tn (ch in hoa)/Full name (upper case)*:
ID number ........................................ ...................................
(H/FAMILY Ngy cp: Ni cp:
(M/MIDDLE NAME) (TN/GIVEN NAME) D D M M Y Y Y Y
NAME) Date of issue Place of issue
Ngy sinh/Date of birth *: D D M M Y Y Y Y Quc tch/Nationality:
Gii tnh/Gender*: Nam/Male N/Female TDD/Mobile No.: TNR/Home No.: ( ) Email:
a ch sinh sng *: S nh/House number: ng/Street:
Current living
address Phng/x/Ward: Qun/huyn/District: Tnh/Thnh ph/Province/City:
Thi gian c tr/ Living time: ........thng/months
a ch thng tr *: S nh/House number: ng/Street:
Permanent
residential address Phng/x/Ward: Qun/huyn/District: Tnh/Thnh ph/Province/City:
Trnh hc vn*: Di PTTH PTTH Cao ng/trung cp Tnh trng hn nhn*:
Education level Below high school High school Junior College Marital status
i hc Trn i hc Khc:................................................. c thn lp gia nh Ly hn, ga
Tertiary Postgraduate Other: ............................................... Single Married Divorced/Widowed
Hnh thc s hu nh /Type of Accommodation*: Loi phng tin i li/Type of transportation*:
2
Nh ring c din tch 100 m cng b m i thu t con (thuc s hu) Xe gn my
Private house 100m2 in area Live with parent(s) Rented house Private car Motorbike
Nh ring c din tch < 100 m2 nh bn b, h hng Phng tin giao thng cng cng Phng tin khc:...................
Private house < 100m2 in area Live at a friend/relatives house Public transportation Other:.......................................
C. THNG TIN NGH NGHIP EMPLOYMENT INFORMATION
Tn c quan hin ti/Current employer*: in thoi c quan/Work No.: ( ) Fax: ( )

a ch c quan*: S nh/House number: ng/Street:

Company address Phng/x/Ward: Qun/huyn/District: Tnh/Thnh ph/Province/City:
V tr cng tc*: Thi gian lm vic ti c quan hi n ti*: ................nm.............. thng
Position Time at current job year(s) month(s)
Thm nin cng tc/Working Experiences *:................nm/year(s) thng/month(s) Ngnh ngh hin ti/Current industry:
Hnh thc nhn lng/Type of salary payment *: Loi hp ng lao ng/Type of labour contract *:
Tin mt Chuyn khon qua Techcombank < 1 nm Khng xc nh thi hn
Cash Transfer through account at Techcombank < 1 year Permanent
Chuyn khon qua ngn hng khc (....................................................................) 1 -3 nm Khc (ghi r): .....................................
Transfer through account at other bank (specify:................................................) 1-3 years Other (specify):...................................
 Mu biu: MB01- HD.SPBL/05

Tn c quan trc y: Thi gian lm vic ti c quan trc y: ............. nm ............. thng
Previous employer Experiences at previous company year(s) month(s)
D. THNG TIN NGI LIN H (khng phi v/chng) REFERENCE INFORMATION (not- spouse)
H v tn (ch in hoa)/Full name (upper case)*: Quan h vi ngi vay/Relationship to borrower:
(H/FAMILY (M/MIDDLE NAME) (TN/GIVEN NAME) TDD/Mobile No.: TNR/Home No.: ( )
NAME)
a ch lin lc: S nh/House number: ng/Street:
Contact address Phng/x/Ward: Qun/huyn/District: Tnh/Thnh ph/Province/City:
Trng hp Ngn hng TMCP K thng Vit Nam (Techcombank) khng lin h c trc tip vi ti/chng ti thng bo cc thng tin cn thit, xin vui lng lin h vi
ngi c thng tin ni trn.
In case Techcombank could not directly contact me/us, please contact with the above person.
E. THNG TIN GIA NH (v/chng ngi vay) - FAMILY INFORMATION (spouse information)
Giy t nhn thn: S CMND/National ID S h chiu/Passport
H v tn (ch in hoa)/Full name (upper case):
ID number ........................................ ...................................
(H/FAMILY Ngy cp: Ni cp:
(M/MIDDLE NAME) (TN/GIVEN NAME) D D M M Y Y Y Y
NAME) Date of issue Place of issue
Ngy sinh/Date of birth: D D M M Y Y Y Y Quc tch/Nationality:
TDD/Mobile No.: TCQ/Company Tel No.: ( ) Email:
Tn c quan cng tc/Company name: Chc v/Job position:

a ch c quan: S nh/House number: ng/Street:

Company address Phng/x/Ward: Qun/huyn/District: Tnh/Thnh ph/Province/City:
a ch thng tr (nu S nh/House number: ng/Street:
khc a ch thng tr
ca ngi vay):
Permanent residential Phng/x/Ward: Qun/huyn/District: Tnh/Thnh ph/Province/City:
address
F. KH NNG TI CHNH - FINANCIAL ABILITY
1. Tng thu nhp* (A): VN/thng 2. Tng chi ph *(B): VN/thng
Total income (A) VND/month Total expenses (B) VND/month
Ngi vay V/chng ngi vay Ngi ng trch nhim - Chi ph sinh hot: VN/thng
Borrower Spouse Co-debtor Living expenses VND/month
Lng c bn - Chi ph hc hnh/o to: VN/thng
Salary Education expenses VND/month
Ph cp - Chi ph thu nh: VN/thng
Allowances House rental expenses VND/month
Thu nhp khc - Chi ph khc: VN/thng
Other incomes Other expenses VND/month
M t thu nhp khc: M t chi ph khc:
Other incomes information Other expenses information
Thu nhp tch ly hng thng* (A-B): S ngi khng c thu nhp trong gia nh* (ghi r):
Monthly accumulated amount (A-B) Number of family members without income (specify):
3. Tng thu nhp ngi khc trong gia nh: S ngi c thu nhp trong gia nh* (ghi r):
Total income of other family members Number of family members with income(specify):
4. Tng gi tr ti sn hin ti/Total value of current assets: VN

ng sn/Movables Gi tr/Value Bt ng sn/Real estates Gi tr/Value

1) 1)

2) 2)

3) 3)
Ti sn khc/Other assets Gi tr/Value
1)

2)

3)
G. TI SN M BO TIN VAY COLLATERAL INFORMATION
S lng ti sn bo m*: ................................... ti sn. Thng tin c th v tng ti sn nh sau:
Number of collateral:............................................................ Details of the collaterals are as follows:
Thuc s hu Hnh thnh Bo m bn th 3. Quan h gia bn th 3 vi ngi vay:
khch hng, t vn vay Under ownership of a third party which related to the borrower as:
v/chng Formed from B m Anh ch em rut Con rut Khc:...............
Ti sn 1*: khch hng this loan S ngi ng s hu*: ................. ngi
st Parent(s) Siblings Children Other: ..............
1 collateral Under ownership Number of co-owner:
of the B m rut ca chng/v Anh ch em rut ca v/chng
borrower/spouse Spouses Parent(s) Sibllings of wife/husband

Loi TSB S nh/House number: ng/Street:

Bt ng sn a ch:
Type of
Real estate Address Phng/x/Ward: Qun/huyn/District: Tnh/Thnh ph/Province/City:
collateral
 Mu biu: MB01- HD.SPBL/05

Loi bt ng sn*: Nh t Chung c

Type of real estate Housing Land lot Apartment
Giy t s hu*: C giy t s hu hnh thnh, cha c giy t s hu ang xy dng, cha c giy t s hu
Ownership certificate Certificate issued Certificates not been issued yet Under construction, do not have certificate
t Loi t*: t mi t mi nhp khu t c
Automobile Type of auto New car New, imported car Old car
Khc/Other: .....................................................................................................................................................................................................................................

Giy t s hu s/Ownership certificate number:

Tng gi tr c tnh/Estimated value*: V N

Giy t nhn thn *: S CMND/National ID S h chiu/Passport

H v tn (ch in hoa)/Full name (upper case)*:
ID number ........................................ ...................................
Ngy cp: Ni cp:
(H/FAMILY NAME) (M/MIDDLE NAME) (TN/GIVEN NAME) D D M M Y Y Y Y
Date of issue Place of issue
Ngi ng
s hu Ngy sinh/Date of birth *: D D M M Y Y Y Y Quan h vi ngi vay/Relationship to borrower:
(ngoi v Tnh trng hn nhn*: c thn lp gia nh Ly hn, ga
hoc Gii tnh/Gender*: Nam/Male N/Female
Marital status Single Married Divorced/Widowed
chng)/ Co- a ch thng
owner S nh/House number: ng/Street:
tr *:
informa- Permanent
tion (not Phng/x/Ward: Qun/huyn/District: Tnh/Thnh ph/Province/City:
residential address
spouse) a ch sinh S nh/House number: ng/Street:
sng *:
Current living Phng/x/Ward: Qun/huyn/District: Tnh/Thnh ph/Province/City:
address
TDD/Mobile No.: TNR/Home No.: ( ) Email:
Thuc s hu Hnh thnh Bo m bn th 3. Quan h gia bn th 3 vi ngi vay:
khch hng, t vn vay Under ownership of a third party which related to the borrower as:
v/chng Formed from B m Anh ch em rut Con rut Khc:...............
Ti sn 2: khch hng this loan Parent(s) Siblings Children Other: .............. S ngi ng s hu*: ................. ngi
2nd collateral Under ownership B m rut ca chng/v Anh ch em rut ca v/chng Number of co-owner:
of the
borrower/spouse Spouses Parent(s) Sibllings of wife/husband

Bt ng sn a ch:
S nh/House number: ng/Street:
Real estate Address
Phng/x/Ward: Qun/huyn/District: Tnh/Thnh ph/Province/City:
Loi bt ng sn*: Nh t Chung c
Loi TSB Type of real estate Housing Land lot Apartment
Type of
Giy t s hu*: C giy t s hu hnh thnh, cha c giy t s hu ang xy dng, cha c giy t s hu
collateral
Ownership certificate Certificate issued Certificates not been issued yet Under construction, do not have certificate
t Loi t*: t mi t mi nhp khu t c
Automobile Type of auto New car New, imported car Old car
Khc/Other: .....................................................................................................................................................................................................................................

Giy t s hu s/Ownership certificate number:

Tng gi tr c tnh/Estimated value*: V N

Giy t nhn thn *: S CMND/National ID S h chiu/Passport

H v tn (ch in hoa)/Full name (upper case)*:
ID number ........................................ ...................................
Ngy cp: Ni cp:
(H/FAMILY NAME) (M/MIDDLE NAME) (TN/GIVEN NAME) D D M M Y Y Y Y
Date of issue Place of issue
Ngi
ng s Ngy sinh/Date of birth *: D D M M Y Y Y Y Quan h vi ngi vay/Relationship to borrower:
hu (ngoi Tnh trng hn nhn*: c thn lp gia nh Ly hn, ga
v hoc Gii tnh/Gender*: Nam/Male N/Female
Marital status Single Married Divorced/Widowed
chng)/ a ch thng
Co-owner S nh/House number: ng/Street:
tr *:
informa- Permanent
tion (not Phng/x/Ward: Qun/huyn/District: Tnh/Thnh ph/Province/City:
residential address
spouse) a ch sinh S nh/House number: ng/Street:
sng *:
Current living Phng/x/Ward: Qun/huyn/District: Tnh/Thnh ph/Province/City:
address
TDD/Mobile No.: TNR/Home No.: ( ) Email:
Thuc s hu Hnh thnh Bo m bn th 3. Quan h gia bn th 3 vi ngi vay:
khch hng, t vn vay Under ownership of a third party which related to the borrower as:
v/chng Formed from B m Anh ch em rut Con rut Khc:...............
Ti sn 3: khch hng this loan Parent(s) Siblings Children Other: .............. S ngi ng s hu*: ................. ngi
3rd collateral Under ownership B m rut ca chng/v Anh ch em rut ca v/chng Number of co-owner:
of the
borrower/spouse Spouses Parent(s) Sibllings of wife/husband
 Mu biu: MB01- HD.SPBL/05

a ch: S nh/House number: ng/Street:

Address Phng/x/Ward: Qun/huyn/District: Tnh/Thnh ph/Province/City:
Bt ng sn Loi bt ng sn*: Nh t Chung c
Real estate Type of real estate Housing Land lot Apartment
Loi TSB
Type of Giy t s hu*: C giy t s hu hnh thnh, cha c giy t s hu ang xy dng, cha c giy t s hu
collateral Ownership certificate Certificate issued Certificates not been issued yet Under construction, do not have certificate
t Loi t*: t mi t mi nhp khu t c
Automobile Type of auto New car New, imported car Old car
Khc/Other: .....................................................................................................................................................................................................................................

Giy t s hu s/Ownership certificate number: V N

Tng gi tr c tnh/Estimated value*:

Giy t nhn thn *: S CMND/National S h chiu/Passport

H v tn (ch in hoa)/Full name (upper case)*: ID .................................
ID number ...................................
.......
Ngy cp: Ni cp:
(H/FAMILY NAME) (M/MIDDLE NAME) (TN/GIVEN NAME) D D M M Y Y Y Y
Date of issue Place of issue
Ngi
ng s Ngy sinh/Date of birth *: D D M M Y Y Y Y Quan h vi ngi vay/Relationship to borrower:
hu (ngoi
v hoc Tnh trng hn nhn*: c thn lp gia nh Ly hn, ga
Gii tnh/Gender*: Nam/Male N/Female
chng)/ Marital status Single Married Divorced/Widowed
Co-owner a ch thng S nh/House number: ng/Street:
informa- tr *:
tion (not Permanent Phng/x/Ward: Qun/huyn/District: Tnh/Thnh ph/Province/City:
spouse) residential address
a ch sinh S nh/House number: ng/Street:
sng *:
Current living Phng/x/Ward: Qun/huyn/District: Tnh/Thnh ph/Province/City:
address
TDD/Mobile No.: TNR/Home No.: ( ) Email:
H. PHNG THC TR LI V N VAY REPAYMENT PLAN
S ti khon/Account No.:
T ng tr ti khon/Auto-debit from account
Np tin mt hoc chuyn khon/In cash or by TT Tn ch ti khon/Account name: Chi nhnh/Branch:
nh k tr gc hng* : Thng Qu 6 thng Nm
Repayment frequency Monthly Quarterly Semiannually Yearly Ngun tr n chnh (ghi r): ..................................................................................................
Cui k Khc/Other: Main repayment sources: .......................................................................................................
At the end of loan tenor thng/months

I. THNG TIN GIAO DCH TI NGN HNG BANK TRANSACTION INFORMATION

Ti khon/Bank Account* Ti Techcombank/At Techcombank T chc tn dng khc/At another organization Khng c/None

Quan h Tn dng vi Techcombank/Credit relationship with Techcombank*: c quan h/Yes Cha c quan h/No

Cc khon vay ti Techcombank v cc T chc tn dng khc/Loan information at Techcombank and other credit organizations
Ngi vay Ngn hng Loi khon vay S tin vay D n cn li S tin phi tr/thng
Borrower Bank Loan type Loan amount Debt remain outstanding Monthly repayment

J. THNG TIN NGI NG TRCH NHIM (Ngi cng tr n - nu c) V CAM KT CO-DEBTOR INFORMATION (Co-borrower if any) AND COMMITMENT
S lng ngi ng trch nhim / Number of co-borrower: Giy t nhn thn *: S CMND/National ID S h chiu/Passport
H v tn (ch in hoa)/Full name (upper case)*: ID number ........................................ ...................................
(H/FAMILY Ngy cp: Ni cp:
(M/MIDDLE NAME) (TN/GIVEN NAME) D D M M Y Y Y Y
NAME) Date of issue Place of issue
Quan h vi ngi vay/Relationship to borrower
Ngy sinh/Date of birth *: D D M M Y Y Y Y B m Anh ch em rut Con rut Khc:...............
Parent(s) Siblings Children Other:
Gii tnh/Gender*: Nam/Male N/Female TDD/Mobile No.: TNR/Home No.: ( ) Email:
a ch thng tr *: S nh/House number: ng/Street:
Permanent residential
address Phng/x/Ward: Qun/huyn/District: Tnh/Thnh ph/Province/City:

a ch sinh sng *: S nh/House number: ng/Street:

Current living address Phng/x/Ward: Qun/huyn/District: Tnh/Thnh ph/Province/City:
Trnh hc vn*: Di PTTH PTTH Cao ng/trung cp Tnh trng hn nhn*:
Education level Below high school High school Junior College Marital status
i hc Trn i hc Khc:................................................. c thn lp gia nh Ly hn, ga
Tertiary Postgraduate Other: ............................................... Single Married Divorced/Widowed
Hnh thc s hu nh /Type of Accommodation*: Loi phng tin i li/Type of transportation*:
2
Nh ring c din tch 100 m cng b m i thu t con (thuc s hu) Xe gn my
Private house 100m2 in area Live with parent(s) Rented house Private car Motorbike
 Mu biu: MB01- HD.SPBL/05

Nh ring c din tch < 100 m2 nh bn b, h hng Phng tin giao thng cng cng Phng tin khc:...................
Private house < 100m2 in area Live at a friend/relatives house Public transportation Other:......................................
Tn c quan cng tc/Employer: in thoi c quan/Work No.: ( )

a ch c quan *: S nh/House number: ng/Street:

Company address Phng/x/Ward: Qun/huyn/District: Tnh/Thnh ph/Province/City:

Ni dung cam kt/Content of commitments:

Vi t cch l ngi thn ca Ngi vay vn theo Giy ngh ny, ti cam kt cc thng tin trn l chnh xc v cam kt
As a relative of the Borrower according to this Application, I commit the above information is correct and undertake:
1. ng cng thc hin vic tr cc khon n ca ngi vay vi Techcombank theo yu cu ca Techcombank khi ngi vay khng thc hin hoc thc hin khng ng,
khng y ngha v tr n (gm n gc, li trong hn, li qu hn, ph, cc khon phi tr khc) theo Hp ng tn dng, Kh c nhn n, Ph lc Hp ng tn dng
(nu c) v cc cam kt khc ca Ngi vay i vi Techcombank, k c trong trng hp ti khng k tn trn cc vn bn .
To agree with the repayment of the debts along with the borrower as requested from Techcombank when the borrower fails to perform or improperly, incompletely repay
(including principal and interest, overdue interest, fees and others) according to a Credit Contract, a debt receipt, or an appendix of the credit contract (if any) and other
commitments of the Borrower to Techcombank, even in cases I did not sign in those documents.
2. ng cho ngi vay dng mi ti sn thuc s hu chung/s hu chung ca ngi thn lm ti sn bo m cho ngha v tr n i vi Techcombank.
To agrees for borrower to use all assets under joint ownership/ joint ownership of family assets to secure repayment obligations to Techcombank.
3. Trong trng hp khng c kh nng tr n, ti cam kt s dng mi ngun thu v ti sn ca ti v gia nh tr n vay cho ngn hng
That in the case of inability to pay for the debt, I commit to use all sources of income and assets of mine and my family to repay the loan.
4. ng Techcombank yu cu ni chi tr lng v ngun thu nhp khc ca ti chuyn tr trc tip cho Techcombank hoc thc hin bt k bin php no khc thu
hi n. Theo y ti ng u quyn cho c quan/n v . trch tin lng, cc khon thu nhp hng thng v cc khon thu nhp khc (nu
c) chi tr cho Ngn hng. Vic y quyn ny ch ht hiu lc khi ngi vay hon thnh vic thanh ton tt c cc khon n gc, li, ph v cc chi ph khc pht sinh
ti Ngn hng.
To agrees with Techcombank on its request to organizations paying me salaries and other incomes to transfer directly to Techcombank or take any necessary measures to
recover the debt. I hereby agree to authorize the agency / organization ... ... ... ... ... ... ... ... ... ... ... .... to deduct wages, monthly earnings and other incomes (if any) to pay
for the Bank. This authorization only expires when the borrower completes all his repayment obligations of principal, interest, fees and other costs to the Bank.
5. Cam kt tr n ny c gi tr s dng cho nhiu ln cp tn dng ca Techcombank cho ngi vay v ch ht hiu lc khi ngi vay v/hoc ti hon thnh cc ngha v tr
n i vi Techcombank.
This repayment commitment is valid for multiple credit use of Techcombank for borrowers and only expires when the borrower and/or I complete the repayment
obligations to Techcombank.
6. Cam kt tr n ny c hiu lc k t ngy k, khng hu ngang.
This commitment is valid after signing and irrevocable.
Ngi ng trch nhim/Co-debtor
(K v ghi r h tn)/(Sign, full name)

K. CAM KT CA NGI VAY COMMITMENT OF THE BORROWER

Ti/Chng ti cam kt/I/ We undertake that:

1. Nhng thng tin trn y l ng s tht v ti/chng ti hon ton chu trch nhim v cc thng tin cung cp.
The above information is true and I / we am/are fully responsible for the information provided.
2. Ti ng v cho php Techcombank s dng bt k thng tin no trn Giy ngh ny chia s v trao i nhng thng tin lin quan n ti v khon vay ca ti;
ng thi ng v cho php Techcombank tm kim, xc minh, cung cp thng tin lin quan n ti v khon vay ca ti t/cho bt k bn th ba no khc theo cc qui
nh ca Ngn hng. Ngoi ra, ti cng ng rng Techcombank c quyn s dng cc thng tin trn Giy ngh ny cung cp, gii thiu, h tr cho ti v cc
thng tin lin quan n sn phm, dch v ca Ngn hng.
I/we agree and allow Techcombank to use any information on this application, including sharing and exchanging information related to me and this loan; agree and allow
Techcombank to search, verify information related to me from any other third party according to the regulations of the Bank. Besides that, I also agree that Techcombank
has the rights to use the information on this application form to introduce, support and provide me with the information related to the Banks products and services.
3. Ti sn bo m thuc quyn s hu hp php ca chng ti khng c tranh chp, khng nm trong khu vc gii to, khng b em cm c, th chp, chuyn nhng,
chuyn i, tng cho, cho thu, gp vn, nh ot di bt c hnh thc no hoc m bo cho vic thc hin bt k ngha v no khc. Ngn hng c ton quyn x
l ti sn bo m thu hi n vay trong trng hp chng ti khng thc hin hoc thc hin khng ng ngha v tr n cam kt.
Collateral belongs legally to us without dispute, is not in the cleared area, is not (being) taken to pledge, mortgage, transfer, exchange, donation, lease, contribute, dispose
of any kind ... or guarantee for any other obligations. The bank has full right to handle the collateral to recover the loan in case we do not perform or improperly perform
repayment obligations undertaken.
4. S dng vn ng mc ch vay. Tr gc v li y , ng hn.
Use capital as registered purposes. Pay principal and interest fully and on time.
5. Tun th ng cc quy nh khc ca Ngn hng lin quan n khon vay ca chng ti.
I/we comply with other provisions of the Bank related to our loans.
6. Trong trng hp chng ti vi phm nhng cam kt trn, chng ti xin hon ton chu trch nhim trc php lut.
In case we violate any of these mentioned commitments, we would bear full responsibility before the law.
Mu biu: MB01- HD.SPBL/05

............................., ngy ....... thng ........ nm .......... Khch hng vay/Borrower Ngi ng s hu/Co-owner
(Place, date) (K v ghi r h tn)/(Sign, full name) (K v ghi r h tn)/(Sign, full name)
 Mu biu: MB01- HD.SPBL/05
PHN DNH CHO NGN HNG/ FOR BANK USE ONLY

L. XUT CA CHI NHNH/PHNG GIAO DCH / BRANCH/TSO RECOMENDATION

Tn CVKH*/ Sale staff full name: S in thoi / Phone No:

S ti khon*/ Account number: Account officer (A/O)*:

H s cung cp y theo check list ca hng dn thm nh i vi H s trnh ngoi l (chi tit) / Exception (specify):
khch hng loi / Document fully provided based on customer type:
Tr gi khon vay/hn mc*/ Loan amount/limit: Bng ch*/ In word:
Ti sn bo m*/ Collateral:
Thi hn vay/hn mc*/ Tenor: C nh gi TSB trc khi ph duyt / No In Principle Approval (IPA)
Ph duyt v nguyn tc trc khi c nh gi TSB / In Principle Approval (IPA)
Chng trnh c bit / Special program:
Knh bn/ Channel:
CBNV Techcombank / Staff Loan
CVKH ti Trung tm Bn / Central Sale
Khc (chi tit) / Other (specify):
Chuyn vin bn hng qua in thoi / Telesale
CVKH ti CN/PGD (chi tit) / Branch/TSO (specify) :
Danh sch KH mua / Lead purchase
i tc thu ngoi (chi tit) / Sale agent (specify) :
Danh sch KH mua / Lead purchase .
Khc (ghi r) / Other (specify) :
S KH mua / Lead ID...
Li sut*/ Interest Rate: Phng thc iu chnh li sut/ Interest recaculation method:
C nh trong sut thi gian vay / Th ni theo ng quy nh ca TCB /
iu kin gii ngn/ Disbursement condition: Fixed rate Float rate
Phng thc gii ngn/ Disbursement method: Phng thc tr n/ Payment method: Ph (nu c) / Fee (if applicable):
Tn Ch u t/ Developer name:
Khon vay lin quan n nh/t thuc d n*/ C / Yes
lin kt. M d n*/ Contracted. Project code: Cha lin kt/ No contract
Collateral belong to development project:
Khng/ No
Khon vay c gii thiu* /Loan referer: Bo him TSB * /Insurance: Bo him ngi vay*/ Credit life
C / Yes Khng / No C / Yes Khng / No c t ng/ Gifted C / Yes Khng / No
n v cng tc/ Conpany information:
Tn Cng ty bo him Insurance company: Vi cc khon vay c cng trch nhi m tr n, ty l
Showroom c bo him ca khon vay (do KH ng k)/ If
Sn giao dch BS / PVI (Du Kh) LIBERTY there is/are co payer(s), insurance value is divided as
Real estate exchange floor bwloe:
Khc / Other Bo Vit PJICO (Xng Du) Chng/husband: ............% d n/outstanding loan;
Tn n v/ Comnapy name: V/wife: ...........% d n/outstanding loan
Bo Minh Khc:.......... (Ghi ch/Note: Tng ty l c bao him ca v v chng
a ch n v/ Company address: phai bng 100% d n/ lump sum of two above
percentage is 100%)
S ti khon n v/ Compnay account: H v tn cng tc vin Bo him/ Insurance agent Phng n tr ph bo him/ Insurance premium
name: payment method
Mua bng vn t c/ Customer pays
a ch c quan/ Company address:
H v tn cng tc vin khon vay/ Referer name: Mua bng vn vay Techcombank/ Borrow
S T CTV/ Insurance agent mobile no.: Techcombank

S T CTV/ Referer number: S ti khon CTV/ Insurance agent account:: c Techcombank tng/ Techcombank gives
customer
S ti khon CTV/ Referer account: Ti NH/ Bank name: ( Thi hn/tenor: .nm/year/s.......thng/months)

Chuyn vin khch hng ti chnh k tn di y xc nhn rng: ti thc hin kim tra i chiu bn gc, nh gi tnh xc thc ca thng tin, ti liu do khch hng cung
cp vi bn gc ca ti liu, thm nh khch hng. Ti k tn di y (i) thc hin kim tra, i chiu, nh gi tnh xc thc ca thng tin, ti liu do khch hng cung
cp vi Bn gc ca ti liu; (ii) thc hin kim tra, nh gi Khch hng, theo y Ti cam kt v khng nh rng cc thng tin, ti liu, d liu khch hng c cung cp
trn y l ng n, chn thc v c kim tra, kim chng tnh xc thc, ph hp vi thc tin theo ng qui nh, s tay nghip v, cc hng dn, o to, cnh bo
ca Techcombank v k nng, chun mc ngh nghip ca Ti.
Ti/ Chng ti - kim tra, kim sot cc ni dung c cung cp, trnh by trn y trc khi k vo xut cp tn dng ny.
Trn c s cc thng tin v h s ca khch hng, CN/TSO nhn thy khch hng iu kin c cp tn dng theo quy trnh ca Techcombank.
............................., ngy ....... thng ........ nm ............. ............................., ngy ....... thng ........ nm ............. ............................., ngy ....... thng ........ nm .............
Chuyn vin kinh doanh Lnh o phng kinh doanh/ Phng Giao dch Lnh o CN/G KV/G PFS Vng/G Vng/G PFS
(k v ghi r h tn) (k v ghi r h tn) (k trong trng hp c khc bit)