Form Pengajuan Kartu Kredit Danamon JCB

Simulation Results
Investment Goals	Future Investment
Komparasi Jenis Aset Konvensional :	Time Deposit
Komparasi Jenis Aset Investasi :	Small Mid Cap Equity Funds
Nominal Investasi Awal	0,00
Nominal Investasi Bulanan	0,00

Time Deposit	Small Mid Cap Equity Funds
Total Savings + Return 71.228.531,00	Total Savings + Return 78.729.940,72
Total Savings 70.000.000,00	Total Savings 70.000.000,00
Total Return 1.228.531,00	Total Return 8.729.940,72
Nilai Pertumbuhan % 1,76%	Nilai Pertumbuhan % 12,47%
Jangka Waktu Investasi 20 Tahunan	Jangka Waktu Investasi 20 Tahunan

Simulation
Property Prices	0,00
Down Payment	0,00
Investment Period	1 Year
Annual Interest Rate (%)	0%
Loan Amount	0,00
Monthly Installment	0,00

Simulation Results:
Your Loan Amount	0,00
Loan Period	1 Month
Monthly Interest Rate (%)	0%
Total Monthly Installment	0,00

Simulation Table
Type of Loan	Simple Working Capital
Type of Business	Service
Monthly Sales	0
Total Loans from Other Banks	0
Kebutuhan Modal Kerja	0
Total limit yang dapat diberikan	0

Simulation Table
Type of Loan	Complete Working Capital
Average monthly sales	0
Cost of goods sold	0
Siklus Modal Kerja	0
Piutang	0
Inventori	0
Hutang Dagang	0
Kebutuhan Modal Kerja	0

Thank you for applying Danamon JCB Precious Credit Card

Form for MUFG staff only. Please fill the form below with complete information

Form ID

Personal Information

Full name (according to identity card)

Mobile phone number

Personal email address

Identity Card Number

Gender

Danamon account number or credit card number

Date of birth

Residential address

RT Residential

RW Residential

Sub district

District

Kabupaten/Kota domisili

Current home phone/mobile phone

Postal code

Occupational Information

Company name

Employment status

Office sub district

Office district

Company address

Kabupaten/Kota kantor

Postal code

Mobile phone/ office number

Business type/Business field

Gross income per month (IDR)

Job position

Emergency contact

Name

Mobile phone number

Address

Relationship

Others

Card delivery address

Availability to be followed up by Danamon

Referral code /promo code (if available)

Sales/officer code

I give consent that all the data I provide is complete, correct and in accordance with the data registered in the Bank's system. To ensure the suitability of the data, please contact Hello Danamon 1 500 090

I agree to provide required data and to be contacted by Bank Danamon based on agreed schedule with Bank Danamon.

I give consent to the Bank to disclose my personal data/information to Bank company’s group (including its: controlling shareholders, parent company, affiliates, subsidiaries), and a companies who have partnership with Bank

I, then, have read and fully understand the terms and condition apply

Please click ✓ above boxes as acknolwedgment

Terms and condition for credit card application here

Terms and condition Danamon credit card membership here

Statement and authority letter here

**Mandatory to be filled

**Mobile phone number, Home phone, office phone are filled with different Mobile phone number