HLB Payment Relief Assistant Plan – Individual Form


 

Application for HLB/HLISB  Payment Relief Assistance Plan

 

Please complete this form to apply.

* Name
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* ID Type
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* ID Number
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* DOB
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* Mobile Number
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* Alt Contact Number
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* Email Address
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* State
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* City
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* Residential Status
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* Marital Status
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* No. of dependents
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* HLB/HLISB Loan / Financing Account No (1)
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* Loan/Financing Account Type
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Applicant

Employment Status
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* Monthly Gross Income (Current)
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* Monthly Net Income (Current)
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* Monthly Gross Income (Previous)
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Spouse

Employment Status
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* Monthly Gross Income (Current)
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Please upload the following documents that are required to assess your application:

  • *Please expect a call or visit from a HLB/HLISB credit officer as part of our assessment process


LOAN/FINANCING DETAILS WITH OTHER FINANCIAL INSTITUTIONS

* Bank
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* Facilities
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* Account Number
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Reset Facility
Add Facility
* Other Loan Commitment (Non bank)
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Note: In the event we are unable to provide the assistance you require, we shall refer your application to AKPK for further assistance.


For your mortgage / home financing, kindly note that all joint borrowers / applicants MUST accept the new Letter of Offer (which will be sent to you via e-mail) in order for the new plan to take effect. Please fill in your joint borrower(s) / applicant(s) information:

Joint borrower / applicant (1)

* Name
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* Mobile Number
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* ID Number
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* Email Address
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Joint borrower / applicant (2)

* Name
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* Mobile Number
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* ID Number
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* Email Address
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Joint borrower / applicant (3)

* Name
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* Mobile Number
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* ID Number
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* Email Address
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Joint borrower / applicant (4)

* Name
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* Mobile Number
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* ID Number
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* Email Address
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By submitting this form, I hereby declare that*: 

I understand that*: 


If you require further details on the changes to your loan/financing obligations before confirming your submission, or are having issues submitting your form, please call 03-7959 1888, or Email PaymentRelief@hlbb.hongleong.com.my

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.