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R&R Request Form.

This document is a request form from Shinkansen Ventures for a repayment arrangement due to cash flow problems. It includes company details, a declaration of ongoing business status, and confirms that the company is not undergoing insolvency proceedings. The approval of the request is at the bank's discretion and will only take effect upon notification of approval.

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Bunga Shinkansen
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4 views1 page

R&R Request Form.

This document is a request form from Shinkansen Ventures for a repayment arrangement due to cash flow problems. It includes company details, a declaration of ongoing business status, and confirms that the company is not undergoing insolvency proceedings. The approval of the request is at the bank's discretion and will only take effect upon notification of approval.

Uploaded by

Bunga Shinkansen
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

REQUEST FORM

SHINKANSEN VENTURES
Company’s Name : ……………………………………………………………
Address LOT 60883, JALAN SYED NORDIN WAFA
: ……………………………………………………………
KAMPUNG MANJOI
: ……………………………………………………………
30020 IPOH, PERAK.
: ……………………………………………………………
Company Phone No. +60-19-514 5078
: ……………………………………………………………
[Link]@[Link]
Company’s E-mail Address : ………………………………………………………..

Maybank
Region:
CBC :

Dear Sir / Madam,


REQUEST FOR R&R DUE TO:
(Root Cause of Cash Flow Problem)
Facility & Account Number details :
Account Num: _________________________

By submitting this form, I/We hereby confirm and declare that:


The Company is not wound up or subject to any existing winding up Petition.
The business of the company is still an ongoing concern.
There is no pending insolvency proceedings against any of its sole proprietors/partners/directors;
The company has the ability to generate income/Salary/Annual Income i.e. B/BE or e-Filling/Rental Income.
The Company’s loan/financing is presently not under rehabilitation with Credit Counselling and Debt Management
Agency (AKPK);
I am duly authorized to make this application and to submit this form on behalf of the Company and ;
i. The Company has obtained consent from the guarantor(s) / joint borrower/corporate guarantor for this request.
ii. Our guarantor is Credit Guarantee Corporation Malaysia Berhad (CGC) / Syarikat Jaminan Pembiayaan Perniagaan Berhad
(SJPP).
I/We understand that any approved repayment arrangement may be disclosed to Bank Negara Malaysia or such other authority
or body established by BNM or such other authority having jurisdiction over the Bank and that this repayment arrangement status
may reflected in the relevant reports.

I/We understand that the approval of this application and terms attached to the approval is subject to the Bank’s sole and absolute
discretion. I/We also understand that the deferment will take only effect upon the Bank’s approval and /or notification of the approval.

…………………………………… ……………………………………
(To be signed & stamped as per authorized under Company’s Resolution)
Name: NOOR ZARITH BINTI PUTEH Name :
I/C No: 840419095224 I/C No :
Date : 8/5/2026 Date :
Contact Num : +60-19-514 5078 Contact Num:

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