Common Reporting Standard (CRS) Individual Self-Certification Form

Please enter your NRIC / Passport Number (as in Bank’s record)

NRIC/Passport

This field is mandatory.

NRIC Number

{{ formCustom.identifier.$error.required ? 'This field is mandatory.' : ( (formCustom.identifier.$error.format) ? 'Field value is invalid.' : processNationalityAgeErrorMessage('Your age must be between #MIN# years old to #MAX# years old') ) }}

Passport

{{ formCustom.passportIdentifier.$error.required ? 'This field is mandatory.' : ( (formCustom.passportIdentifier.$error.format) ? 'Field value is invalid.' : processNationalityAgeErrorMessage('Your age must be between #MIN# years old to #MAX# years old') ) }}

Notes:

•The Common Reporting Standard (CRS) is an internationally-agreed standard introduced by the Organisation for Economic Co-operation and Development (OECD) for the automatic exchange of financial information between participating countries / jurisdictions. Under the CRS rules, we are required to collect information on the tax residence of our customers. The CRS is effective in Malaysia from 1 July 2017.

•Individual account holder, sole trader or sole proprietor owned by an individual. For joint or multiple account holders, use a separate form for each individual person.

•Please note that this self-certification form is for CRS purposes only. If you are a US Person under the US Internal Revenue Service (“IRS”) regulations, you may also need to fill in an IRS W-9 Form, in addition to this form.

•As a financial institution, Hong Leong Bank Berhad (HLBB) / Hong Leong Islamic Bank Berhad (HLISB) is not able to provide tax advice to its customers. For more information on tax residence, please consult your professional tax adviser or visit http://www.oecd.org/tax/automaticexchange/crs-implementation-and-assistance/tax-residency/.  

Part 1 – Identification of Individual Account Holder / Owner of Sole Proprietorship

Part 1 – Identification of Individual Account Holder / Owner of Sole Proprietorship

Part 1 – Identification of Individual Account Holder / Owner of Sole Proprietorship

Salutation

This field is mandatory.

Full Name (as per NRIC / Passport)

Full name (as per NRIC) is required

NRIC Number

{{ 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') ) }}

Passport Number

Passport is required

Passport Expiry Date

This field is mandatory. Field value is invalid.

Date of Birth

This field is mandatory. Field value is invalid.

Current residential address

Current residential address is required

Country

This field is mandatory.

Postcode

This field is mandatory.

Mailing Address: (please only complete if different from the residential address shown above)

Current residential address is required

Country

This field is mandatory.

Postcode

This field is mandatory.

Are you ONLY a Malaysian tax resident?

Are you ONLY a Malaysian tax resident is required

Country/Jurisdiction of Tax Residence and related Taxpayer Identification Number or equivalent number (“TIN”)

Please complete the following table indicating (i) where the Account Holder is tax resident; and (ii) the Account Holder’s TIN for each country/jurisdiction indicated.

Country/Jurisdiction of Tax Residence and related Taxpayer Identification Number or equivalent number (“TIN”)

Please complete the following table indicating (i) where the Account Holder is tax resident; and (ii) the Account Holder’s TIN for each country/jurisdiction indicated.

Country/Jurisdiction of Tax Residence and related Taxpayer Identification Number or equivalent number (“TIN”)

Please complete the following table indicating (i) where the Account Holder is tax resident; and (ii) the Account Holder’s TIN for each country/jurisdiction indicated.

Please complete the following table with your tax residency details

Country/Jurisdiction of tax residence

1

This field is mandatory.

TIN

This field is mandatory.

If no TIN available, enter Reason A, B or C

This field is mandatory.

2

This field is mandatory.
This field is mandatory.
This field is mandatory.

3

This field is mandatory.
This field is mandatory.
This field is mandatory.

4

This field is mandatory.
This field is mandatory.
This field is mandatory.

5

This field is mandatory.
This field is mandatory.
This field is mandatory.

Reason A - The country/jurisdiction where the Account Holder is a tax resident does not issue TINs to its tax residents

Reason B - The Account Holder is otherwise unable to obtain a TIN or equivalent number

Reason C - No TIN is required. (Note: Only select this reason if the domestic law of the relevant jurisdiction does not require the collection of the TIN issued by such jurisdiction)

Please explain in the following boxes the reason you are unable to obtain a TIN if you selected Reason B above.

1

This field is mandatory.

2

This field is mandatory.

3

This field is mandatory.

4

This field is mandatory.

5

This field is mandatory.

Please ensure your details are correct before you proceed

Part 1 – Identification of Individual Account Holder / Owner of Sole Proprietorship

{{getReviewField('salutationLabel')}}

{{getReviewField('fullName')}}

{{getReviewField('newIC')}}

{{getReviewField('passport')}}

{{getReviewField('passportExpiryDate')}}

{{getReviewField('dateOfBirth')}}

{{getReviewField('residentialAddress')}}

{{getReviewField('residentialCountry')}}

{{getReviewField('residentialPostcode ')}}

{{getReviewField('mailingAddress')}}

{{getReviewField('mailingCountry')}}

{{getReviewField('mailingPostcode ')}}

Are you ONLY a Malaysian tax resident? {{getReviewField('taxResidentRadio')}}

Part 2 – Country/Jurisdiction of Tax Residence and related Taxpayer Identification Number or equivalent number (“TIN”)

Country / Jurisdiction of tax residence

TIN

Reason Type (If no TIN available)

Reason

{{getReviewField('taxCountry1')}}

{{getReviewField('tin1')}}
{{getReviewField('tinReason1Label')}}
{{getReviewField('tinExplanation1')}}

{{getReviewField('taxCountry2')}}

{{getReviewField('tin2')}}
{{getReviewField('tinReason2Label')}}
{{getReviewField('tinExplanation2')}}

{{getReviewField('taxCountry3')}}

{{getReviewField('tin3')}}
{{getReviewField('tinReason3Label')}}
{{getReviewField('tinExplanation3')}}

{{getReviewField('taxCountry4')}}

{{getReviewField('tin4')}}
{{getReviewField('tinReason4Label')}}
{{getReviewField('tinExplanation4')}}

{{getReviewField('taxCountry5')}}

{{getReviewField('tin5')}}
{{getReviewField('tinReason5Label')}}
{{getReviewField('tinExplanation5')}}

Reason A - The country/jurisdiction where the Account Holder is a tax resident does not issue TINs to its tax residents

Reason B - The Account Holder is otherwise unable to obtain a TIN or equivalent number

Reason C - No TIN is required. (Note: Only select this reason if the domestic law of the relevant jurisdiction does not require the collection of the TIN issued by such jurisdiction)

Please check the Disclaimer checkbox to proceed
Please check the Disclaimer checkbox to proceed
Please check the Disclaimer checkbox to proceed
Please check the Disclaimer checkbox to proceed
Please check the Disclaimer checkbox to proceed

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 ? '6-Digit OTP is required' : (otpError ? 'You’ve entered an invalid OTP. Please ensure you key in the correct OTP.' : ''))}} Did not receive OTP? Resend Now

Sorry, you’re not eligible for the selected card.

Instead, we’d like to recommend these cards for you.

Essential (Visa)

Essential (Visa)

Benefits

Get up to 1% cashback on insurance & other retail transactions with HLB Essential Credit Card!

Annual Fee

RM100

Income Requirement

24000

GSC Gold (Visa)

GSC Gold (Visa)

Benefits

  • Welcome offer: new platinum cardholders (ntc) enjoy 10 movie tickets
  • Welcome offer: new gold cardholders (ntc) enjoy 5 movie tickets
  • Rm6 off on movie tickets purchased online
  • 30% off on any popcorn buckets, snacks and drinks purchased online

Annual Fee

  • Platinum: RM300 (Principal), RM150 (Supplementary)
  • Gold: RM150 (Principal), RM75 (Supplementary)

Income Requirement

24000

GSC Platinum (Visa)

GSC Platinum (Visa)

Benefits

  • Welcome offer: new platinum cardholders (ntc) enjoy 10 movie tickets
  • Welcome offer: new gold cardholders (ntc) enjoy 5 movie tickets
  • Rm6 off on movie tickets purchased online
  • 30% off on any popcorn buckets, snacks and drinks purchased online

Annual Fee

  • Platinum: RM300 (Principal), RM150 (Supplementary)
  • Gold: RM150 (Principal), RM75 (Supplementary)

Income Requirement

24000

I'm (Visa)

I'm (Visa)

Benefits

  • Annual Fee waived for life
  • 1% savings on Bank Mark-up on foreign currencies

Annual Fee

Annual Fee waived for life

Income Requirement

24000

Infinite (Visa)

Infinite (Visa)

Benefits

  • No annual fee
  • Auto conversion to Enrich Points monthly from as low as RM2.20 spend per Enrich Point.
  • 4x complimentary plaza premium lounges access

 

Annual Fee

Waived for life

Income Requirement

150000

Sutera Platinum (Visa)

Sutera Platinum (Visa)

Benefits

  • Up to 8x HLB Reward Points for popular Online Spend merchants, Groceries & Essentials (including selected convenience stores), Dining and Overseas

Annual Fee

  • RM120 (Principal)
    RM60 (Supplementary)

Income Requirement

36000

WISE Gold (Visa)

WISE Gold (Visa)

Benefits

  • 8% cashback when you pay for popular Online Spend merchants, Groceries & Essentials (including selected convenience stores), Petrol and Dining on Weekends
  • Unlimited 0.25% cash back on other transactions 

Annual Fee

  • RM98 (Principal)
  • RM48 (Supplementary)

Income Requirement

24000

Benefits

Get up to 1% cashback on insurance & other retail transactions with HLB Essential Credit Card!

Annual Fee

RM100

Income Requirement

24000

Benefits

  • Welcome offer: new platinum cardholders (ntc) enjoy 10 movie tickets
  • Welcome offer: new gold cardholders (ntc) enjoy 5 movie tickets
  • Rm6 off on movie tickets purchased online
  • 30% off on any popcorn buckets, snacks and drinks purchased online

Annual Fee

  • Platinum: RM300 (Principal), RM150 (Supplementary)
  • Gold: RM150 (Principal), RM75 (Supplementary)

Income Requirement

24000

Benefits

  • Welcome offer: new platinum cardholders (ntc) enjoy 10 movie tickets
  • Welcome offer: new gold cardholders (ntc) enjoy 5 movie tickets
  • Rm6 off on movie tickets purchased online
  • 30% off on any popcorn buckets, snacks and drinks purchased online

Annual Fee

  • Platinum: RM300 (Principal), RM150 (Supplementary)
  • Gold: RM150 (Principal), RM75 (Supplementary)

Income Requirement

24000

Benefits

  • Annual Fee waived for life
  • 1% savings on Bank Mark-up on foreign currencies

Annual Fee

Annual Fee waived for life

Income Requirement

24000

Benefits

  • No annual fee
  • Auto conversion to Enrich Points monthly from as low as RM2.20 spend per Enrich Point.
  • 4x complimentary plaza premium lounges access

 

Annual Fee

Waived for life

Income Requirement

150000

Benefits

  • Up to 8x HLB Reward Points for popular Online Spend merchants, Groceries & Essentials (including selected convenience stores), Dining and Overseas

Annual Fee

  • RM120 (Principal)
    RM60 (Supplementary)

Income Requirement

36000

Benefits

  • 8% cashback when you pay for popular Online Spend merchants, Groceries & Essentials (including selected convenience stores), Petrol and Dining on Weekends
  • Unlimited 0.25% cash back on other transactions 

Annual Fee

  • RM98 (Principal)
  • RM48 (Supplementary)

Income Requirement

24000

Benefits

Annual Fee

Income Requirement

Benefits

Annual Fee

Income Requirement


Tell us what you do for a living

Tell us what you do for a living

Tell us what you do for a living

Your Occupation

Your Occupation Description

Your employment type

Employment Sector

Industrial Sector

Your annual income

RM

Your annual income is required You need to have a minimum income of MYR 24000 per annum to be eligible for a credit card. {{ "You need to have a minimum income of MYR 24000 per annum to be eligible for a credit card.".replace('24000', '12000') }}

Tell us about your current employment

Tell us about your current employment

Tell us about your current employment

Your company name

Your company name is required

Your company contact number

Your company contact number is not valid Your company contact number is required

Your company address

Your company address is required

Postcode

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

City

This field is mandatory.

City

This field is mandatory.

State

This field is mandatory.

State

This field is mandatory.

Country

This field is mandatory.

When did you start working at your current place of employment?

When did you start working at your current place of employment?

When did you start working at your current place of employment?

This field is mandatory.

Previous employer’s name

Previous employer’s name is required

Previous employer’s contact number

{{ formCustom.prevEmployerOffGenLine.$error.required ? 'Previous employer’s contact number is required' : 'Previous employer’s contact number is not valid' }}

Previous field of work

Previous field of work is required

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?

Card delivery address is required

Upload your documents

Upload your documents

Accepted formats: .jpeg, .jpg, .pdf or .png

Max file size: 5MB per document

Accept .pdf, .png, .jpeg or .jpg format only. Max file size: 5MB per document.

You may skip this for now and upload your documents later. 

You are so close to completing your application.

Just click below to upload a copy of your NRIC!

 

Accepted formats: .jpeg, .jpg, .pdf or .png

Max file size: 5MB per document

Please upload file format in .pdf, .png, .jpg or .jpeg only. Maximum file size is 5MB each only.
Please upload file format in .pdf, .png, .jpg or .jpeg only. Maximum file size is 5MB each only.
Please upload file format in .pdf, .png, .jpg or .jpeg only. Maximum file size is 5MB each only.
Please upload file format in .pdf, .png, .jpg or .jpeg only. Maximum file size is 5MB each only.
Please upload file format in .pdf, .png, .jpg or .jpeg only. Maximum file size is 5MB each only.
Please upload file format in .pdf, .png, .jpg or .jpeg only. Maximum file size is 5MB each only.
Please upload file format in .pdf, .png, .jpg or .jpeg only. Maximum file size is 5MB each only.
Please upload file format in .pdf, .png, .jpg or .jpeg only. Maximum file size is 5MB each only.
Please upload file format in .pdf, .png, .jpg or .jpeg only. Maximum file size is 5MB each only.
Document upload is required

FD Receipt No

This is required.

Cancel My FD Pledge

Accepted formats: .jpeg, .jpg, .pdf or .png

Max file size: 5MB per document

Accept .pdf, .png, .jpeg or .jpg format only. Max file size: 5MB per document.

You may skip this for now and upload your documents later. 

You are so close to completing your application.

Just click below to upload a copy of your NRIC!

 

Accepted formats: .jpeg, .jpg, .pdf or .png

Max file size: 5MB per document

Please upload file format in .pdf, .png, .jpg or .jpeg only. Maximum file size is 5MB each only.
Please upload file format in .pdf, .png, .jpg or .jpeg only. Maximum file size is 5MB each only.
Please upload file format in .pdf, .png, .jpg or .jpeg only. Maximum file size is 5MB each only.
Please upload file format in .pdf, .png, .jpg or .jpeg only. Maximum file size is 5MB each only.
Please upload file format in .pdf, .png, .jpg or .jpeg only. Maximum file size is 5MB each only.
Please upload file format in .pdf, .png, .jpg or .jpeg only. Maximum file size is 5MB each only.
Please upload file format in .pdf, .png, .jpg or .jpeg only. Maximum file size is 5MB each only.
Please upload file format in .pdf, .png, .jpg or .jpeg only. Maximum file size is 5MB each only.
Please upload file format in .pdf, .png, .jpg or .jpeg only. Maximum file size is 5MB each only.
Document upload is required

FD Receipt No

This is required.

Cancel My FD Pledge

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 ? '6-Digit OTP is required' : (otpError ? 'You’ve entered an invalid OTP. Please ensure you key in the correct OTP.' : ''))}} Did not receive OTP? Resend Now

We have received your CRS declaration. The details will be updated in the system within 30 days.

Reference Number : {{formCustom['reference_number'].$viewValue}}.

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!

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!

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!

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. 

Please complete your details to submit this application

Please complete your details to submit this application

Please complete your details to submit this application

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') ) }}

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.

Sorry, you are not eligible for this application.

You already have an active personal loan / financing application which is accepted for processing in our system. Please wait for us to process this first.

Sorry, you are not eligible for this application.

You already have an active credit card application which is pending documents from you. Please upload the documents via Application History in Connect Online.

We are sorry!

The Passport number entered could not match with our record.

Please click “CRS Form” button to download the CRS Self-Certification Form to confirm your tax status and submit to the Bank by 31 December 2023.

You may also email us should you have any questions.

Sorry, you are not eligible for this application.

You already have an active credit card application which is accepted for processing in our system. Please wait for us to process this first.

Sorry, you are not eligible for this application.

Sorry, your current credit card status does not allow us to proceed with this request.

Sorry, you are not eligible for this application.

We regret to inform you that we are unable to proceed with your application. Please contact your nearest branch for assistance.

We are sorry!

The NRIC number entered could not match with our record.

Please click “CRS Form” button to download the CRS Self-Certification Form to confirm your tax status and submit to the Bank by 31 December 2023.

You may also email us should you have any questions.

Sorry, you are not eligible for this application.

You already have an active personal loan / financing application which is pending your acceptance. Please do so via Application History in Connect Online.

Sorry, you are not eligible for this application.

You already have an active personal loan / financing application which is pending disbursement in our system. Please wait for us to process this first.

Sorry, you are not eligible for this application.

You already have an active personal loan / financing application which is pending documents from you. Please upload the documents via Application History in Connect Online.

Sorry, you are not eligible for this application.

Your current or savings account is not available.

Sorry, you are not eligible for this application.

We regret to inform you that we are unable to proceed with your application. Please contact your nearest branch for assistance.