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Pre-Application Form_v2
Language
  • English (US)
  • Khmer
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  • 7
    /
    Pick a Date
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  • 8
    • Single
    • Married
    • Widow/Divorced
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    • Living in own house/Living in parents or relatives house
    • Living in rental house/room
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  • 16
    • Employee
    • Business Owner
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  • 18
    Please write it in Khmer
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  • 19
    Please write it in Khmer
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  • 23
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  • 24
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  • 25
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  • 26
    • Facebook Business Page
    • Maxima Facebook General
    • Good Neighbor Facebook Group
    • Pinih Pinus Facebook Group
    • Maxima Staff
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  • 27
    • Non-collateral loan
    • Collateral loan
    • Refinancing
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  • 28
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  • 30
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  • 35
    • Agriculture
    • Construction
    • Consumption
    • Education
    • Household Business
    • Service
    • Solar
    • Trade
    • Transportation
    • Other
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  • 36
    Please select at least tomorrow date except weekend and holiday in case you are doing this application in after 1PM.
    /
    Pick a Date
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  • 37
    Drag and drop files here
    Select files to upload
    Max. file size: 20.0MB
    Cancelof
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  • 38
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  • 41
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  • 42
    Please note this MID number for your future reference
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