致：Super Easy Finance Limited

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I ,________________________________ , holder of Hong Kong Identity Card No._____________________________

at 18/F, Toi Shan Centre, 128 Johnston Road, Wan Chai, Hong Kong refer to my application to you for a loan and hereby confirm that:

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(1)I /

* [ have entered into or signed an agreement with a third party]

* [ have not entered into or signed any agreement with any third party] for or in relation to the procuring, negotiation, obtaining or application of the loan, guaranteeing or securing the repayment of the loan (other than any agreement with solicitors instructed by me for the provision of legal services solely);

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(2) The name and address of the third party are as follows:

Name of third party 1:______________________________________________________________

Address of third party 1 :____________________________________________________________

Name of third party 2:_______________________________________________________________

Address of third party 2 :____________________________________________________________

Name of third party 3:_______________________________________________________________

Address of third party 3 :____________________________________________________________

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I hereby provide a copy of each of the agreement with the third party or parties and understand that such agreement(s) will be attached to the loan agreement.

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IMPORTANT NOTE:

Please note that it is an offence for a person to fraudulently induce a money lender to lend money by false or misleading statement or dishonest concealment of material facts.

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You should make full and honest disclosure of the above information on the involvement of any third parties in relation to the loan for the protection of your own interests.

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Signature : _____________________________

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Name : _____________________________

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HKID Card No : _____________________________

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Date : _____________________________

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*Delete where appropriate