Application for HLB / HLISB Payment Relief Assistance Plan

 

Please complete this form to apply.

* Registered Business Name
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* Mobile Number (e.g.01x12345678):
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* Registered Business Number
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* 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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* 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.








 

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 the next 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.