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Application for HLB / HLISB Payment Relief Assistance Plan
(For M40 Customers)

 

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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* 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.

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 contact me ie calls, SMS and Whatsapp.









Acknowledge & Confirm


You are about to make your submission for HLB/HLISB Payment Relief Assistance.
 

If we do not require further clarifications, the Supplementary Letter of Offer
will be emailed to you in 5 working days.
 

If we require further clarifications, we may call you for verification.



You are about to make your submission for HLB/HLISB Payment Relief Assistance.
 

If we do not require further clarifications, the Supplementary Letter of Offer
will be emailed to you in 5 working days.
PLEASE FOLLOW THE INSTRUCTIONS GIVEN IN THE EMAIL TO COMPLETE THE ACCEPTANCE PROCESS
 

If we require further clarifications, we may call you for verification.