Application for HLB / HLISB Payment Relief Assistance Plan
(Microenterprises)

 

Please complete this form to apply.

* Full Name
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Individuals as per NRIC/Microenterprise please input contact person name

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

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







* Email:
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Customer without a valid email are required to apply at any of our branches


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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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* 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.











You are about to submit your application 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 will call or email you in the next 5 working days.
Please expect our call and you may be required to provide additional documentation to support your application.

 

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

 

We will confirm your application status within the next 24 hours after your submission.

If we require further clarifications, we may call you in the next 24 hours.

 

For eligible applications, the Supplementary Letter of Offer will either be emailed to you or delivered

to you by your Relationship Manager in the next 5 working days.

PLEASE FOLLOW THE INSTRUCTION GIVEN TO YOU  IN THE LETTER TO COMPLETE THE ACCEPTANCE PROCESS.