Loan Application

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Customer Information

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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
Customer Type
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
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