Application for HLB/HLISB SME & Microenterprise Rescheduling & Restructuring Plans

 

Please complete this form to apply.

* Registered Company Name
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* Company Registration Number
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* Applicant Mobile Phone number
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* Email
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* Applicant Full name as per NRIC / Passport
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* Applicant NRIC / Passport number
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* HLB/HLISB Loan / Financing Account No (1)
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* Loan/Financing Account Type
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The Bank will conduct the requisite assessment on your request according to your affordability. Please expect a call or visit from a HLB/HLISB credit officer as part of our assessment process

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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* Employer Name
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* ID Number
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* Email Address
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* Monthly Income
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Joint borrower / applicant (2)

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

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

* Name
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* Mobile Number
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* Employer Name
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* ID Number
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* Email Address
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* Monthly Income
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Joint borrower / applicant (5)

* Name
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* Mobile Number
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* Employer Name
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* ID Number
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* Email Address
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* Monthly Income
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Please fill in your guarantor(s) details:-

Guarantor (1)

* Name
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* Mobile Number
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* Employer Name
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* ID Number
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* Email Address
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* Monthly Income
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Guarantor (2)

* Name
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* Mobile Number
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* Employer Name
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* ID Number
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* Email Address
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* Monthly Income
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Guarantor (3)

* Name
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* Mobile Number
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* Employer Name
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* ID Number
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* Email Address
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* Monthly Income
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Please upload the following documents that are required to assess your application:

  1. If we do not received full set of documents for our assessment, we shall cancel your application and refer your account to AKPK

(Accept .pdf, .png, .jpeg or .jpg format only. Maximum file size for all document is 22MB.)


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 CollsCustomerFeedback@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.