Yes, I wish to participate in the Industrial Hire Purchase Deferment Program and consent to the variation of the terms to my Industrial Hire Purchase agreement.

* Name (as per NRIC)
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* Email Address
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* NRIC Number
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Please key in without space or dash e.g. 864110141234







* Mobile number / Fixed Phone number
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Please key in without suffix, space or dash: 012123456 or 0377668899

* Retype Email Address
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* Vehicle Number
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Please key in without space e.g. BBC1234



6-digit code
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