Loan Application
1
2
3
4
5
6
Spouse Information
7
SANTA FE
Trim/Option
Rp315.640.000.00
Premium Edition
Colour
Rp8.350.000.00
Clear White
Accessories
Rp0.00
Carbon Exterior
OTR
Rp323.990.000
KTP
NIK
Customer Name
Place of Birth
Date of Birth
Gender
Marital Status
Nationality
RT
RW
Address
Mother Maiden Name
Email
Phone Number
Please upload your KTP image for
identification
*Upload file type: JPEG/PNG/GIF etc (AOS, Adins available
format
discussion)
Consent