Form Pengajuan Kredit

[contact-form to=’info@bprasa.co.id’ subject=’Pengajuan Kredit dari Website BPR ASA’][contact-field label=’Nama’ type=’name’ required=’1’/][contact-field label=’No.KTP’ type=’text’ required=’1’/][contact-field label=’No. Tlp’ type=’text’ required=’1’/][contact-field label=’Email’ type=’email’/][contact-field label=’Pekerjaan’ type=’select’ required=’1′ options=’Wiraswasta,Karyawan Swasta,PNS/TNI/Polri,Buruh,Pensiunan,Lainnya’/][contact-field label=’Status Pernikahan’ type=’radio’ required=’1′ options=’Menikah,Belum Menikah’/][contact-field label=’Alamat sesuai KTP’ type=’textarea’ required=’1’/][contact-field label=’Plafon Pinjaman (Rp.)’ type=’text’ required=’1’/][contact-field label=’Jangka Waktu (Bulan)’ type=’text’ required=’1’/][contact-field label=’Jenis Kredit’ type=’select’ required=’1′ options=’Modal Kerja,Konsumtif’/][contact-field label=’Jaminan’ type=’select’ required=’1′ options=’BPKB Kendaraan,Sertifikat,Simpanan,Lainnya’/][contact-field label=’Taksiran Nilai Jaminan’ type=’text’/][/contact-form]