AEON-XPRESS Easy Payment

AEON-XPRESS Easy Payment Application Form

We will contact you immediately upon receiving your application form.

AEON-XPRESS Easy Payment Information

Please choose one to progress application form Application Date
Applicant Information
Full name as in I.C.
New I.C. No                      Example: 851231-12-1234
Old I.C No.
Date of Birth                          Example: 31/12/1985
Marital Status
Email Address    Example:
Present Residential Address
Postcode                         State
Contact No. (1)                 Example: 012-7843282
Contact No. (2)
No of Occupants
Years of Stay
Name of Company
Office Address
Postcode                                    State
Office Tel-No                         Example: 07-3329282
Nature of Business
Net Monthly Salary
Salary Date
DD Mid month (if any)
Length of Service
Emergency Contact Person (Individual not staying with you)
Name                            Immediate Family or Relative
Residential Address
Postcode                                    State
Relationship with applicant
House Telephone No.
Handphone No.                                         Example: 012-7843282
Office Telephone No.
Motorcycles Order Information
Motorcycles Model
Installment Period
Installment Plan
Term & Conditions
Terms and conditions
We are authorised dealer of
Honda Motor
Copyright © 2020 Additional Growth Sdn Bhd. All Rights Reserved.
No 193 & 193A, Jalan Skudai Kiri, Bt 4 1/2, 81200 Johor Bahru
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