Requisition of Hire Purchase Credit Application Form

The Borrower Information
Title
Name-Surname
Address

Contact Telephone

Career / Jobs
Company
Company Address
Position
Working Period (Years)
Total Income/Month (Baht)

Vehicle / Finance Amount
Make
Model
Year
Price (Baht)
Finance Amount (Baht)
Term

Asia Sermkij Leasing Public Company Limited / Bangkok Grand Pacific Lease Public Company Limited
24th Fl., Sathorn City Tower, 175 South Sathorn Rd., Tungmahamek, Sathorn, Bangkok 10120
Tel : (66) 0-2679-6226, (66) 0-2679-6262 Fax : (66) 0-2679-6241-3