Application for HLB / HLISB Payment Relief Assistance Plan for SME

 

* Registered Business Name
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* Contact person name (as per NRIC / IC):
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* Mobile Number (e.g.01x12345678)
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* Registered Business Number
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* Business Location
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* Email:
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* Loan / Financing Account No (1):
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Loan / Financing Account No (3):
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If you have more than 1 account

Loan / Financing Account No (2):
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If you have more than 1 account

Loan / Financing Account No (4):
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If you have more than 1 account


By submitting this form we hereby declare that the information provided above is true and accurate. We further acknowledge and agree that we have obtained the consent of the person whose personal data is disclosed herein for the Bank’s collection, use and disclosure according to the Bank’s Privacy Notice. We also agree and understand that any statements, notices and/or communication to be given by the Bank pursuant to HLB/HLISB’s Payment Relief Assistance Plan for SME may be sent to the email address provided herein.