Form Pengajuan | Gadai ValueMax

Mobile Phone Number

Identity (select one)

KTP

Driver License

Passport

Identity Number (KTP / Driver License / Passport)

Full Name

Complete Address

Item Originates From

Business / Salary

Investment Earnings

Inheritance

Grants

Status of the Transaction

Yourself

Others (With Power of Attorney Letter)

Purpose of Transaction

Business / Working Capital

Investments

Purchase of goods / services

Celebration / Ceremony

Tuition Fees

Others

Method of Payment

Cash

Bank (Using a different name must come with an attached Warrant Letter)

Desired Timeframe

Gadai Credit (Max 16 Weeks (Maximum service time according to company regulations related to the type of collateral))

Excess Cash Collection Method

Through Bank

Arriving at the Store

Description of Goods

Upload Photos of Collateral (maximum 3 photos)

PAWN CREDIT REQUEST FORM