You are applying for this card... You are applying for this card... You are applying for this card... Please select up to 3 categories that you would like to earn 10% Cash Back from. Are you an existing Skywards member? This field is mandatory. Yes No You will receive an Emirates Skywards Membership upon approval of your Credit Card. Enter Skywards Number (e.g. EK123456789) {{formCustom.skywardsNumber.$error.required ? "This field is mandatory." : "Field value is invalid." }} How would you like your name to be displayed on card? Some oversea retailers might use your passport to verify against the name above as an added security. {{ formCustom.nameOnCard.$error.required ? 'This field is mandatory.' : 'This field is mandatory.' }} Maximum 19 Characters Next
Your Financial Obligations Your Financial Obligations Your Financial Obligations Do you have any financial obligations with non-banks? e.g. retailers that provide credit sales or private money lenders Yes No This field is mandatory. Your total monthly installment is RM This field is mandatory. Previous Next
Where would you like your card to be delivered? Where would you like your card to be delivered? Where would you like your card to be delivered? Home Address Work Address This field is mandatory. Previous Next
Upload your documents now Upload documents below in PDF / PNG / JPEG format. Maximum 5 documents with total size of 3MB allowed. NRIC front Please upload PDF, PNG or JPG file only. Maximum file size is 3MB each only. NRIC back Please upload PDF, PNG or JPG file only. Maximum file size is 3MB each only. Latest Form B Please upload PDF, PNG or JPG file only. Maximum file size is 3MB each only. Latest 6 months company bank statement Please upload PDF, PNG or JPG file only. Maximum file size is 3MB each only. Other files Please upload PDF, PNG or JPG file only. Maximum file size is 3MB each only. This field is mandatory. FD Receipt No This is required. Cancel my FD Fledge Upload documents below in PDF / PNG / JPEG format. Maximum 5 documents with total size of 3MB allowed. NRIC front Please upload PDF, PNG or JPG file only. Maximum file size is 3MB each only. NRIC back Please upload PDF, PNG or JPG file only. Maximum file size is 3MB each only. Latest 3 months payslip Please upload PDF, PNG or JPG file only. Maximum file size is 3MB each only. Latest EPF statement Please upload PDF, PNG or JPG file only. Maximum file size is 3MB each only. Other files Please upload PDF, PNG or JPG file only. Maximum file size is 3MB each only. This field is mandatory. FD Receipt No This is required. Cancel my FD Fledge Previous Upload & Proceed
Please ensure your details are correct Credit Card details {{getReviewField('nameOnCard')}} Wise Benefit Categories {{getReviewField('creditCategory')}} Is Skywards Member? {{getReviewField('skywardsMemberLabel')}} Skywards Member ID {{getReviewField('skywardsNumber')}} {{getReviewField('addr_delivery')}} {{getReviewField('fullName')}} Personal details {{getReviewField('fullName')}} {{getReviewField('email')}} {{getReviewField('newIC')}} {{getReviewField('oldIC')}} {{getReviewField('mobileNumber')}} {{getReviewField('dateOfBirth')}} {{getReviewField('age')}} {{getReviewField('genderLabel')}} {{getReviewField('raceLabel')}} {{getReviewField('pribumiLabel')}} {{getReviewField('maritalStatusLabel')}} {{getReviewField('addr_home')}} {{getReviewField('monthlyEstimateCommitment')}} Employment Details {{getReviewField('occupationLabel')}} {{getReviewField('empTypeLabel')}} {{getReviewField('natureOfBusinessLabel')}} {{getReviewField('annualGrossIncome')}} {{getReviewField('companyName')}} {{getReviewField('officeGenerLine')}} {{getReviewField('addr_office')}} {{getReviewField('lengthOfService')}} Supporting Documents {{getReviewField('file1')}} {{getReviewField('file2')}} {{getReviewField('file3')}} {{getReviewField('file4')}} {{getReviewField('file5')}} I hereby declare that I have read and understand the Product Disclosure Sheet, Product Terms & Conditions and Privacy Policy. I also give my consent for Declaration for Application and Disclosure of Credit Card Information - Individual. I/We further acknowledge and agree that all personal data that arises as a result of the provision of services to me/us will be subjected to the privacy policy. I/We hereby agree and authorise the disclosure of my/our name(s) and other contact details to companies within HLB and/or Hong Leong Financial Group Berhad Group of companies for marketing and for promotional purposes. Privacy Policy, and I also authorise to contact me regarding this online application. More Details Less Details This field is mandatory. Proceed
Key in the 6-Digit OTPsent to your mobile {{ exceedLimit ? 'Your application form has been locked because you entered an incorrect One-Time Password (OTP) too many times. Please come back after 1 hour from now to continue your application. Click Resume Application on our Homepage (www.hlb.com.my). ' : (otpMandatory ? 'This field is mandatory.' : (otpError ? 'You’ve entered an invalid OTP. Please ensure you key in the correct OTP.' : ''))}} Did not receive TAC? Resend Now Submit
Thank You {{formCustom['fullName'].$viewValue}}! An email has been sent to you with details on this application. The reference number for your application is {{formCustom['applicationRefNumber'].$viewValue}}. Your chosen card: Thank You {{formCustom['fullName'].$viewValue}}! An email has been sent to you with details on this application. The reference number for your application is {{formCustom['applicationRefNumber'].$viewValue}}. Your chosen card: Thank You {{formCustom['fullName'].$viewValue}}! An email has been sent to you with details on this application. The reference number for your application is {{formCustom['applicationRefNumber'].$viewValue}}. Your chosen card: Bank at your convenience with Connect. Register with 4 simple steps! Enter your IC No and banking details Create your username and password Set your security picture and question You’re ready to bank on Connect! Register Connect Now Thank You {{formCustom['fullName'].$viewValue}}! An email has been sent to you with details on this application. The reference number for your application is {{formCustom['applicationRefNumber'].$viewValue}}. Your chosen card: Did you know that you can activate your new card on Connect? Login to Connect Online Banking Look for Activate Card under Other Services Follow the simple instructions You’re done! Login & Activate now. Thank You {{formCustom['fullName'].$viewValue}}! An email has been sent to you with details on this application. The reference number for your application is {{formCustom['applicationRefNumber'].$viewValue}}. Your chosen card: Activate and manage your new card on Connect. Just 4 simple steps to register. Enter your IC No and banking details Create your username and password Set your security picture and question You’re ready to bank on Connect! Register Connect now.
Your application has been locked! Your application form has been locked because you entered an incorrect One-Time Password (OTP) too many times. Please come back after 1 hour from now to continue your application. Click Resume Application on our Homepage (www.hlb.com.my). Back to Homepage
Your application has been cancelled! As a security measure, your application has been cancelled because of repeated invalid One-Time Password (OTP) entered. Please start a new application on www.hlb.com.my. Apply again
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