Now, let's get to know you

For your convenience, your application will be automatically saved when you click on 'Next'

Full Name (as per NRIC)

This field is mandatory.

Email Address

Field value is invalid. This field is mandatory.

NRIC No.

{{ formCustom.ic1.$error.required || formCustom.ic2.$error.required || formCustom.ic3.$error.required ? 'This field is mandatory.' : ( (formCustom.newIC.$error.format) ? 'Field value is invalid.' : processAgeErrorMessage('Your age must be between #MIN# years old to #MAX# years old') ) }}

Old NRIC No.

This field is mandatory. This is required if you were born before 1978.

Mobile Number

{{ formCustom.mobileNumber.$error.required ? 'This field is mandatory.' : 'Field value is invalid.' }} Your One-Time-Password (OTP) will be sent to this mobile number and is required to submit this application.

Date of Birth

This field is mandatory. Field value is invalid.

Age

This field is mandatory. Field value is invalid.

Gender

This field is mandatory.

Just a little bit more about yourself

Race

This field is mandatory.

Maritial Status

This field is mandatory.

Current Residential Address

This field is mandatory.

Postcode

{{formCustom.postcode.$error.required ? 'This field is mandatory.' : 'Please enter a valid postcode'}}

City

This field is mandatory.

State

This field is mandatory.

Country

This field is mandatory.

Here’s the card you have selected.

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.
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?

This field is mandatory.

Tell us a bit about your finances

Do you have any financial obligations with non-banks?

e.g. retailers / organizations that provide credit facilities or private money lenders
This field is mandatory.

What’s your total monthly instalment?

RM

This field is mandatory.

Tell us what you do for a living

Your field of work

Your Employment Type

Nature of Business

Your Annual income

RM

This field is mandatory. You need to have a minimum income of MYR 24000 per annum to be eligible for a credit card.

Tell us about your current employment

Your company name

This field is mandatory.

Your company contact number

Field value is invalid. This field is mandatory.

Your company address

This field is mandatory.

Postcode

{{formCustom.officePostcode.$error.required ? 'This field is mandatory.' : 'Please enter a valid postcode'}}

City

This field is mandatory.

State

This field is mandatory.

Country

This field is mandatory.

How long have you been with your company?

-

1 Year(s)

+

50 Year(s)

Where would you like your card to be delivered?

This field is mandatory.

Upload your documents now

Upload documents below in .pdf, .png, .jpeg or .jpg format only. Maximum 5 documents with total size of 3MB allowed.
Please upload file format in .pdf, .png, .jpg or .jpeg only. Maximum file size is 3MB each only.
Please upload file format in .pdf, .png, .jpg or .jpeg only. Maximum file size is 3MB each only.
Please upload file format in .pdf, .png, .jpg or .jpeg only. Maximum file size is 3MB each only.
Please upload file format in .pdf, .png, .jpg or .jpeg only. Maximum file size is 3MB each only.
Please upload file format in .pdf, .png, .jpg or .jpeg only. Maximum file size is 3MB each only.
This field is mandatory.
Upload documents below in .pdf, .png, .jpeg or .jpg format only. Maximum 5 documents with total size of 3MB allowed.
Please upload file format in .pdf, .png, .jpg or .jpeg only. Maximum file size is 3MB each only.
Please upload file format in .pdf, .png, .jpg or .jpeg only. Maximum file size is 3MB each only.
Please upload file format in .pdf, .png, .jpg or .jpeg only. Maximum file size is 3MB each only.
Please upload file format in .pdf, .png, .jpg or .jpeg only. Maximum file size is 3MB each only.
Please upload file format in .pdf, .png, .jpg or .jpeg only. Maximum file size is 3MB each only.
This field is mandatory.

FATCA Declaration

Under Foreign Account Tax Compliance Act (FATCA), we are required to collect and report certain information to the local tax authority on the status of our customers. Please take a moment to confirm the below information.

I am a Malaysian citizen ONLY and

a)    I am also a U.S resident or hold a U.S green card.

This field is mandatory.

b)    I confirm that ONE of the below applies to me.

  • I was born in the U.S
  • I have a current U.S residence or mailing address, including a U.S P.O Box address
  • I have a U.S telephone number
  • I only have ‘hold mail’ or ‘in care of’ address that is my sole address    
This field is mandatory.

Please ensure your details are correct before you proceed

Credit Card Details

{{getReviewField('nameOnCard')}}

Wise Benefit Categories

{{getReviewField('creditCategory')}}

Is Skywards Member?

{{getReviewField('skywardsMemberLabel')}}

Skywards Member ID

{{getReviewField('skywardsNumber')}}

Your card will be delivered to

{{getReviewField('addr_delivery')}}

Personal Details

{{getReviewField('fullName')}}

{{getReviewField('newIC')}}

{{getReviewField('oldIC')}}

{{getReviewField('dateOfBirth')}}

{{getReviewField('age')}} years old

{{getReviewField('genderLabel')}}

{{getReviewField('raceLabel')}}

{{getReviewField('maritalStatusLabel')}}

{{getReviewField('email')}}

{{getReviewField('mobileNumber')}}

{{getReviewField('addr_home')}}

Total monthly amount of your financial obligations with non-banks is RM {{getReviewField('monthlyEstimateCommitment')}}

Employment Details

{{getReviewField('occupationCodeLabel')}}

{{getReviewField('empTypeLabel')}}

{{getReviewField('natureOfBusinessLabel')}}

Your annual income is RM {{getReviewField('annualGrossIncome')}}

{{getReviewField('companyName')}}

{{getReviewField('officeGenerLine')}}

{{getReviewField('addr_office')}}

{{getReviewField('lengthOfService')}} years of service

Supporting Documents

{{getReviewField('file1')}}

{{getReviewField('file2')}}

{{getReviewField('file3')}}

{{getReviewField('file4')}}

{{getReviewField('file5')}}
This field is mandatory.

Key in the 6-Digit OTP sent 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.' : ''))}}

Thank You {{formCustom['fullName'].$viewValue}}!

An email has been sent to you with details on this application.

Your reference number for this application: {{formCustom['applicationRefNumber'].$viewValue}}

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).

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.

Your application is in progress!

We will send you an email with an updated status and more details. 

Your application has been saved!

We are unable to complete your application at the moment. An email is on its way to you with How-To instructions to resume uploading the necessary documents for your application later. 

Your application has been saved!

An email is on its way to you with How-To instructions on resuming your application later. 

Your application has been saved!

Sorry, something went wrong but we've saved your application! 

Please resume your application by clicking on 'Resume Application' on the Homepage later or refer to your email for 'How-to' instructions.