Flood Relief Assistance Application



 

HLB/HLISB Flood Relief Assistance
Application for 6 months deferment of loan/financing payment

 

Please complete this form to apply.

* Full Name
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Individuals as per NRIC.

* Mobile Number (e.g.01x12345678):
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* Identification Number
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Individuals as per NRIC.

* Email:
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Address of location impacted by flood

* Address
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* Postcode
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* State
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* Loan / Financing Account No (1) e.g. 00xxxxxxxxx:
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* Loan/Financing Account Type
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Loan / Financing Account No (2):
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If you have more than 1 account requiring assistance

Loan/Financing Account Type
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Loan / Financing Account No (3):
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If you have more than 2 account requiring assistance

Loan/Financing Account Type
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Please upload photo of your related flood situation



Note: For customers who seek assistance for your Auto Loan/ Financing-i account or/and Personal Loan/ Personal Financing-i, you are REQUIRED TO ACCEPT the offer after successful application by following the instructions given to you in the email you will receive with a Supplementary Letter of Offer. 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 confirm that the information provided here is true and accurate. I also 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