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Application for HLB / HLISB Payment Relief Assistance Plan

 

Please complete this form to apply.

* Full Name
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Individuals as per NRIC/SMEs pls input contact person name

* Identification Number
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Individuals as per NRIC/ SMEs as per Registered Business Number

* Mobile Number (e.g.01x12345678):
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* Registered Business Name (For SMEs only)
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Please put dash (-) if not applicable







* Email:
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* Please indicate your monthly income

* Monthly Income (prior to 1 April 20)
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* Monthly Income (current)
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To support your application, please upload 1 or 2 of the following documents if available:

  1. HR Letter
  2. Payslip
  3. Bank Statement
  4. EPF statement

* Loan / Financing Account No (1) e.g. 00xxxxxxxxx:
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* Loan/Financing Account Type
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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):
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If you have more than 1 account

Loan/Financing Account Type
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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):
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If you have more than 2 account

Loan/Financing Account Type
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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):
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If you have more than 3 account

Loan/Financing Account Type
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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.

IMPORTANT- Your selection of the preferred plan may not be the final as it will be reviewed by HLB/HLISB. Our offer will be catered to your loan/financing type, your situation and the severity of your loss of income.

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.









Acknowledge & Confirm


You are about to submit your application for HLB/HLISB Payment Relief Assistance.

If we have no questions on the information and documents that you have submitted, the Supplementary Letter of Offer will be emailed to you in 5 working days.

If we have further questions, we will call you in 5 working days. Please expect our call.


FOR PLANS THAT REQUIRE YOUR ACCEPTANCE, PLEASE FOLLOW THE INSTRUCTION GIVEN IN THE EMAIL TO COMPLETE THE ACCEPTANCE PROCESS.