Application Form | ValueMax Pawn

Phone Number

ID Type (choose one)

KTP

SIM

Passport

ID Number (KTP / SIM / Passport)

Full Name

Full Address

Origin of the Item

Business / Salary

Investment

Inheritance

Gift

Transaction Status

Self

Other (Power of Attorney)

Purpose of Transaction

Business / Working Capital

Investment

Purchase of Goods / Services

Event / Ceremony

Education Expenses

Other

Payment Method

Cash

Bank (if using another person’s name, attach a power of attorney)

Desired Loan Term

Pawn Loan (Max 16 Weeks – Interest rate follows company policy depending on item type)

Receiving Excess Funds

Bank

In-Person

Item Description

Upload Item Photos (max 3)

PAWN LOAN APPLICATION FORM