Application Form from Loan Shark

TAI EE LONG COMPANY
UN LICENSED MONEYLENDER

In order for us to expedite your loan application,
tell us a bit more about yourself:

Why are you applying for a loan?
[ ] English Premier League
[ ] Private hospital bills
[ ] SMS contest

When was your last visit to a highlands resort?
[ ] less than an hour ago
[ ] less than 24 hours ago
[ ] less than a week ago

Why did you come to us?
[ ] Credit card reached limit
[ ] Cannot re-finance car
[ ] Nothing left to pawn

How do you intend to settle the loan?
[ ] Blank post-dated cheques
[ ] Surrendering ATM card and password
[ ] No idea yet

Which part of your body do you think
requires remodeling?
[ ] The face
[ ] The torso
[ ] The limbs

How did you settle your previous loan?
[ ] Visited Michael Chong
[ ] Made a police report
[ ] Attempted suicide

Should collateral be required, which
of the following will you pledge?
[ ] Wife
[ ] Sister
[ ] Mother

How did you first hear about us?
[ ] Calling card in letterbox
[ ] Stickers on lamp posts
[ ] Neighbour's sudden death

Where do you normally hang out at 3am?
[ ] Mamak
[ ] Casino
[ ] Feng Thou discos

---------------------------------------------------------------------------

Office Use only:

Accept/Decline/Investigate

Additional documents required:
Passbook/Passport/Birth Cert/Utility Bills


NO COLLATERAL OR GUARANTOR
INSTANT APPROVAL
ATTRACTIVE INTEREST RATES
1 WEEK - 30% per day
1 MONTH - 50% per month
3 MONTHS & ABOVE - negotiable


This agreement is made between Tai Ee Long Co (herein known as TELCO) and the borrower (herein known as the client) under the following terms and conditions:

The client agrees to keep the loan active for a minimum continuous period of 12 months from the date of approval. Otherwise, an additional agreed fee of RM 500 shall be charged to the client.

All interests calculated on an hourly basis.

The interest for the first day/week/month will be automatically deducted when the client receives the loan.

The client agrees to declare/report any sudden windfall such as casino or lottery winnings to TELCO within 3 hours.

TELCO reserves the right to display client's picture and loan details in his or her neighbourhood, children's school, place of employment/ trading.

The client agrees to hold harmless TELCO for any harm inflicted upon the client and his or her family members in the event of payment delays.

TELCO reserves the right to collect all outstanding loan and interest from family members, relatives and friends upon client's sudden demise.


I, ____________________________ (the client and undersigned) hereby agree to all past, present and future terms and conditions as dictated by TELCO.

Loan amount:
Repayment period:
Alias:
Address:
MyKad/IC no:
Mobile phone no:
Name of children's school:
Wife/Husband's workplace:



_____________________________
Signature & fingerprints
Dated:

Please attach current passport size photographs:

Front View



Side View



Rear View








WARNING: LATE PAYMENT MAY RESULT IN INTERRUPTION OF AIR SUPPLY TO THE LUNGS

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