Application for HLB / HLISB Payment Relief Assistance Plan

 

Please complete this form to apply.

* Full name as per NRIC / Passport
error

Individuals as per NRIC

* Mobile Phone number
error

* NRIC / Passport number
error

Individuals as per NRIC

* Email
error


error


error



* Please indicate your monthly income

* Monthly Income (6 months before application date)
error

* Monthly Income (current)
error



Please upload the following documents that are required to assess your application:

  • a) 1 payslip from 6 months ago, and
  • b) Latest month payslip

  • OR

  • a) Latest EPF Statement (Year 2021 only)

  • *Please expect a call or visit from a HLB/HLISB credit officer as part of our assessment process


* Loan / Financing Account No (1) e.g. 00xxxxxxxxx
error

* Loan/Financing Account Type
error

IMPORTANT- After the successful submission, you will receive a Supplementary Letter of Offer via email. You are REQUIRED TO ACCEPT the offer by following the instructions given to you in the email. If you do not accept the offer within 7 days of the date of the email, the offer will be cancelled.


Loan / Financing Account No (2)
error

If you have more than 1 account

Loan/Financing Account Type
error

IMPORTANT- After the successful submission, you will receive a Supplementary Letter of Offer via email. You are REQUIRED TO ACCEPT the offer by following the instructions given to you in the email. If you do not accept the offer within 7 days of the date of the email, the offer will be cancelled.


Loan / Financing Account No (3)
error

If you have more than 2 account

Loan/Financing Account Type
error

IMPORTANT- After the successful submission, you will receive a Supplementary Letter of Offer via email. You are REQUIRED TO ACCEPT the offer by following the instructions given to you in the email. If you do not accept the offer within 7 days of the date of the email, the offer will be cancelled.


Loan / Financing Account No (4)
error

If you have more than 3 account

Loan/Financing Account Type
error

IMPORTANT- After the successful submission, you will receive a Supplementary Letter of Offer via email. You are REQUIRED TO ACCEPT the offer by following the instructions given to you in the email. If you do not accept the offer within 7 days of the date of the email, the offer will be cancelled.


By submitting this form, I hereby declare that*: 

I understand that*: 


If you require further details on the changes to your loan/financing obligations before confirming your submission, or are having issues submitting your form, please call 03-7959 1888, or Email PaymentRelief@hlbb.hongleong.com.my

By submitting this form, I hereby confirm that I have read and agreed to the contents of the Privacy Notice. I further acknowledge and agree that all personal data provided by me and/or acquired by Hong Leong Bank Berhad (“HLBB”) and Hong Leong Islamic Bank (“HLISB”) from the public domain, as well as personal data that arises as a result of the provision of services to me will be subject to the Privacy Notice.

I confirm that the mobile/fixed phone number provided herein is accurate and shall be used by you to calls, SMS and Whatsapp.