Now, let's get to know you

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

Now, let's get to know you

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

Now, let's get to know you

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

Salutation

Cik Datin Dato Datuk Dr Encik Madam Mr Mrs Ms Puan Tan Sri Tuan
This field is mandatory.

Full name (as per NRIC)

Full name (as per NRIC) is required

NRIC no.

{{ formCustom.ic1.$error.required || formCustom.ic2.$error.required || formCustom.ic3.$error.required ? 'NRIC no. is required' : ( (formCustom.newIC.$error.format) ? 'NRIC no. is not valid' : processAgeErrorMessage('Your age must be between #MIN# years old to #MAX# years old') ) }}

Old NRIC no.

Old NRIC no. is required This is required if you were born before 1978.

Email address

Email address is not valid Email address is required

Mobile number

{{ formCustom.mobileNumber.$error.required ? 'Mobile number is required' : 'Mobile number is not valid' }} 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

Male Female
This field is mandatory.

Just a little bit more about yourself

Just a little bit more about yourself

Just a little bit more about yourself

Race

Chinese Indian Malay Others Pribumi
Race is required

Marital status

Single Married Divorced Widowed
Marital status is required

Current residential address

Current residential address is required

Postcode

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

City

{{city.cityCodeLabel}}
This field is mandatory.

City

This field is mandatory.

State

{{state.stateCodeLabel}}
This field is mandatory.

State

This field is mandatory.

Country

This field is mandatory.

Here’s the card you have selected.

Here’s the card you have selected.

Here’s the card you have selected.

Essential (Visa) Essential (Visa) 0 818 /content/dam/hlb/my/images/News_Updates/revision-to-hong-leong-essential-credit-card/hlb-essential-credit-card-tnc-en.pdf Essential /content/dam/hlb/my/images/form-revamp/credit-card/1_Essential (1).png Essential (Visa)
GSC Gold (Visa) GSC Gold (Visa) 0 749 /content/dam/hlb/my/docs/pdf/Personal/CreditCard/GSC/hlb-gsc-hl-credit-card-tnc-en.pdf GSC /content/dam/hlb/my/images/form-revamp/credit-card/1_GSC_Gold_Visa.png GSC Gold (Visa)
GSC Platinum (Visa) GSC Platinum (Visa) 0 759 /content/dam/hlb/my/docs/pdf/Personal/CreditCard/GSC/hlb-gsc-hl-credit-card-tnc-en.pdf GSC /content/dam/hlb/my/images/form-revamp/credit-card/1_GSC_Platinum_Visa.png GSC Platinum (Visa)
I'm (Visa) I'm (Visa) 1 875 /content/dam/hlb/my/docs/pdf/Personal/CreditCard/ImCard/Terms%20&%20Conditions%20-%20EN.pdf Im /content/dam/hlb/my/images/form-revamp/credit-card/1_I'm.png I'm (Visa)
Infinite (Visa) Infinite (Visa) 0 828 /content/dam/hlb/my/docs/pdf/Personal/CreditCard/Infinite/infinite-card-tnc-en.pdf Infinite /content/dam/hlb/my/images/form-revamp/credit-card/1_infinite_Visa.png Infinite (Visa)
Sutera Platinum (Visa) Sutera Platinum (Visa) 0 721 /content/dam/hlb/my/docs/pdf/Personal/CreditCard/Sutera-Platinum/sutera-credit-card-tnc-en.pdf Sutera /content/dam/hlb/my/images/form-revamp/credit-card/1_Sutera_Visa_Platinum.png Sutera Platinum (Visa)
WISE Gold (Visa) WISE Gold (Visa) 2 816 /content/dam/hlb/my/docs/pdf/Personal/CreditCard/Wise-Card/Wise%20Credit%20Card%20Terms%20and%20Conditions%20-%20EN.pdf WISE /content/dam/hlb/my/images/form-revamp/credit-card/1_Wise_Visa.png WISE Gold (Visa)
{{creditCardAltText}}

Please select up to 3 categories that you would like to earn 10% Cash Back from.

Are you an existing Skywards member?

Are you an existing Skywards member is required
You will receive an Emirates Skywards Membership upon approval of your Credit Card.

Enter Skywards Number (e.g. EK123456789)

{{formCustom.skywardsNumber.$error.required ? "Skywards Number is required" : "Skywards Number is not valid" }}

How would you like your name to be displayed on card?

{{ formCustom.nameOnCard.$error.required ? 'Name on card is required' : 'Please use a name that is similar to or a variation of your actual name.' }}

Tell us a bit about your finances

Tell us a bit about your finances

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
Do you have any financial obligations with non-banks is required

What’s your total monthly instalment?

RM

What’s your total monthly instalment is required