Application for Financial Management and Resilience Programme (URUS Flood)

 

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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Selection of URUS Flood Package
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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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We will verify your eligibility based on your submitted documents. If you are NOT eligible for the URUS program, we are still here to help. You can select from the following Payment Relief Assistance Plans (PRAP), which will take effect upon the expiration of your current plan.

Note: In the event we are unable to provide the assistance you require, we shall refer your application to AKPK for further assistance.


By submitting this form, I hereby declare 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.