Personal Loan Application Form
If you have got any question on the Form, contact us at
010 630 728 / 1 800 203 203
.
Contact Information
Full Name
*
Full Address
*
Email
Phone Number
*
Income Information
Are you self-employed?
Yes
No
Business Name
Monthly Income (USD)
Business Location
Banteay Meanchey
Battambang
Kampong Cham
Kampong Chhnang
Kampong Speu
Kampong Thom
Kampot
Kandal
Kep
Koh Kong
Kratie
Mondul Kiri
Oddar Meanchey
Pailin
Phnom Penh
Preah Sihanouk
Preah Vihear
Prey Veng
Pursat
Ratanak Kiri
Siemreap
Stung Treng
Svay Rieng
Takeo
Tboung Khmum
Loan Information
Loan Amount (KHR)
*
Preferential Branch Location
*
Banteay Meanchey
Battambang
Kampong Cham
Kampong Chhnang
Kampong Speu
Kampong Thom
Kampot
Kandal
Kep
Koh Kong
Kratie
Mondul Kiri
Oddar Meanchey
Pailin
Phnom Penh
Preah Sihanouk
Preah Vihear
Prey Veng
Pursat
Ratanak Kiri
Siemreap
Stung Treng
Svay Rieng
Takeo
Tboung Khmum
Loan Purpose
*
Home Loan
Car Loan
Refinancing from another institution
Other
Do you have an account with ABA?
Yes
No
Account Number
Enter the number below
Submit
