Application for loan restructuring

Surname

Name

Surname

IIN

Telephone

Applicant's email address

The essence of the question Restructuring Restructuring Other

Type of restructuring Deferment of payment of principal and (or) interest Deferment of payment of principal and (or) interest Changing the loan term to reduce the monthly payment Cancellation of accrued penalties

Duration (in months) 1 1 2 3 4 5 6

Requested new monthly payment (in thousand tenge)

Changing the loan term

Reduced monthly payment

Cause Leave without pay Leave without pay Termination of an employment contract Delay of wages Reducing wages Disease Other

Term Select value Select value 1 month 2 months 3 months 4 months 5 months 6 months

Description of the problem

Supporting document (.doc, .docx, .xls, .xlsx, .jpg, .png, .pdf)

I agree to carry out additional identifications via telephone; if identification is not completed, the application will be canceled

Consent tocollection and processing of personal data

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