Loan referral service online application form
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2. Preview
3. Successfully submitted
Input information
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2
Successfully submitted
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Input information
Applicant(1)
Name*
ID card no.*
Date of birth
Contact Person*
Email*
Personal monthly income
HK$
Mobile number*
Office number
Applicant(2)
Name*
ID card no.*
Date of birth
Email*
Personal monthly income
HK$
Mobile number*
Office number
Property address
Please fill in below information in English or number
Flat
Floor
Block
Name of property
Street and district*
Loan information
Loan purpose ?
Purchased price
HK$
Date of transaction
Others Information
mReferral staff name
Name of referrer
Contact number of referrer
Answer below questions before submission
How did you know mReferral Service??
Newspaper
Website
Electronic
Magazine
Outdoor
Others
Terms and Conditions
1.
I am/We are not required to pay any fee to mReferral and I/we have the right to refuse any offer made by the lender(s) through mReferral.
2.
I/We confirm that the above information provided by me/us is true. I/We hereby authorize mReferral to refer or provide to the lender(s) selected by me/us any personal information relating to myself/ourselves so that the relevant lender(s) may contact me/us directly in completing the application procedure.
3.
I/We expressly agree and authorize mReferral to follow up on and to forward my/our application(s) to individual lender(s) on my/our behalf for referral purpose and to receive information on the progress of my/our application(s) from the individual lender(s). I/We also authorize individual lender(s) to accept referral from mReferral and to contact me/us directly using the personal data provided in this form and to release information on the progress of my/our application(s) to mReferral.
4.
I/We understand that the above application is subject to the final approval of the individual lender(s).
5.
I/We acknowledge and agree that upon my/our acceptance of loan from any lender(s), mReferral will receive a referral fee from the lender(s).
6.
Unless objection is raised by the option below, on drawdown of loan, only Applicant (1) will be granted with and agrees to accept the membership of Midland Club and I/we consent to mReferral using and/or transferring my/our personal data (including name, telephone number and email address) to Midland Club for processing application for membership and for the purposes of providing membership benefits, special offers, services, activities and/or rewards (details are outlined in the website of Midland Club www.midlandclub.com.hk) and/or to third parties set out in the Privacy Policy Statement (“third parties”) for direct marketing. I/We understand that even if I/we have given consent to mReferral to use and/or transfer my/our personal data to Midland Club and/or third parties, I/we may still have the right, at any time without charge, to request mReferral to cease to use and/or transfer my/our personal data to Midland Club and/or third parties for the purposes before mentioned (details are outlined in the Privacy Policy Statement posted in https://www.mReferral.com).
I/We object to mReferral:
Signature*
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*Mandatory field
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Applicant's information(1)
Name :
ID card no. :
Date of birth :
Email :
Personal monthly income :
Mobile number :
Office number :
Applicant's information(2)
Name :
ID card no. :
Date of birth :
Email :
Personal monthly income :
Mobile number :
Office number :
Property information
Property address :
(Flat)
(Floor)
(Block)
Loan purpose :
Purchased price :
Date of transaction :
Name of mReferral staff :
Modify
Terms and Conditions
1.
I am/We are not required to pay any fee to mReferral and I/we have the right to refuse any offer made by the lender(s) through mReferral.
2.
I/We confirm that the above information provided by me/us is true. I/We hereby authorize mReferral to refer or provide to the lender(s) selected by me/us any personal information relating to myself/ourselves so that the relevant lender(s) may contact me/us directly in completing the application procedure.
3.
I/We expressly agree and authorize mReferral to follow up on and to forward my/our application(s) to individual lender(s) on my/our behalf for referral purpose and to receive information on the progress of my/our application(s) from the individual lender(s). I/We also authorize individual lender(s) to accept referral from mReferral and to contact me/us directly using the personal data provided in this form and to release information on the progress of my/our application(s) to mReferral.
4.
I/We understand that the above application is subject to the final approval of the individual lender(s).
5.
I/We acknowledge and agree that upon my/our acceptance of loan from any lender(s), mReferral will receive a referral fee from the lender(s).
6.
Unless objection is raised by the option below, on drawdown of loan, only Applicant (1) will be granted with and agrees to accept the membership of Midland Club and I/we consent to mReferral using and/or transferring my/our personal data (including name, telephone number and email address) to Midland Club for processing application for membership and for the purposes of providing membership benefits, special offers, services, activities and/or rewards (details are outlined in the website of Midland Club www.midlandclub.com.hk) and/or to third parties set out in the Privacy Policy Statement (“third parties”) for direct marketing. I/We understand that even if I/we have given consent to mReferral to use and/or transfer my/our personal data to Midland Club and/or third parties, I/we may still have the right, at any time without charge, to request mReferral to cease to use and/or transfer my/our personal data to Midland Club and/or third parties for the purposes before mentioned (details are outlined in the Privacy Policy Statement posted in https://www.mReferral.com).
I/We object to mReferral:
Signature*
Modify
Others Information
Referrer
If yes, please fill the following column
mReferral staff name
Name of referrer
Contact number of referrer
How did you know mReferral Service??
Newspaper
Website
Electronic
Magazine
Outdoor
Others
Modify
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