HLB Individual Industrial Hire Purchase Deferment Form

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)

* Email Address

* NRIC Number

Please key in without space or dash e.g. 864110141234

* Mobile number / Fixed Phone number

Please key in without suffix, space or dash: 012123456 or 0377668899

* Retype Email Address

* Vehicle Number

Please key in without space e.g. BBC1234

6-digit code

I confirm that the mobile/fixed phone number and e-mail address provided herein are accurate and shall be used by you to contact me and/or to send correspondences to me, such as, electronic statements/letters/notices in relation to this account.

Agreement

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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)

* Email Address

* NRIC Number

* Mobile number / Fixed Phone number

* Retype Email Address

* Vehicle Number

6-digit code

Thank you for your enquiry.

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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)

* Email Address

* NRIC Number

* Mobile number / Fixed Phone number

* Retype Email Address

* Vehicle Number

6-digit code

Thank you for your enquiry.