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Application for HLB / HLISB Payment Relief Assistance Plan

Please complete this form to apply.

* Full name as per NRIC / Passport

Individuals as per NRIC

* Mobile Phone number

* NRIC / Passport number

Individuals as per NRIC

* Email

* Please select the industry that you work in:

Accommodation, Food Services and F&B

Retail, Repair Shops, Wholesale

Professional and Technical

Construction

Manufacturing

Transportation and Storage

Real Estate

Education

Aviation and Tourism

Others

* Please select your reason for seeking assistance:

>50% Income or Cashflow Reduction

25-50% Income or Cashflow Reduction

<25% Income or Cashflow Reduction

Unemployed/Loss of Job

No Pay Leave

Business closure

Others (Please describe your reason in the field below, E.g. spouse or joint borrower/customer income problems/unexpected medical expenses/ loss of rental income)

* Please indicate your monthly income

* Monthly Income (6 months before application date)

* Monthly Income (current)

Please upload the following documents that are required to assess your application:

a) 1 payslip from 6 months ago, and
b) Latest month payslip

a) Latest EPF Statement (Year 2021 only)

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

(Accept .pdf, .png, .jpeg or .jpg format only. Maximum file size for all document is 7MB.)

* Loan / Financing Account No (1) e.g. 00xxxxxxxxx

* Loan/Financing Account Type

* Preferred Payment Relief Assistance Plan:

3-month deferment of instalments/moratorium

50% reduction of instalments

for 6 months period

for 12 months period

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)

If you have more than 1 account

Loan/Financing Account Type

* Preferred Payment Relief Assistance Plan:

3-month deferment of instalments/moratorium

50% reduction of instalments

for 6 months period

for 12 months period

Loan / Financing Account No (3)

If you have more than 2 account

Loan/Financing Account Type

* Preferred Payment Relief Assistance Plan:

3-month deferment of instalments/moratorium

50% reduction of instalments

for 6 months period

for 12 months period

Loan / Financing Account No (4)

If you have more than 3 account

Loan/Financing Account Type

* Preferred Payment Relief Assistance Plan:

3-month deferment of instalments/moratorium

50% reduction of instalments

for 6 months period

for 12 months period

By submitting this form, I hereby declare that*:

My loan/financing is presently not under rehabilitation with Credit Counselling and Debt Management Agency (AKPK);

I am not an undischarged bankrupt or subject to a bankruptcy proceeding; and

I understand that*:

Normal interest/profit will continue to be charged during the deferment period;

I have the option to engage the Bank to revise the monthly repayment/payment amount and/or schedule if my financials improve to reduce overall financing/borrowing costs;

I agree to furnish the Bank with additional information/supporting documents as may be required after my Payment Relief Assistance has been approved;

Where required, I will be notified by the bank via email or call to sign relevant documents/ accept my Payment Relief Assistance plan to complete the legal documentation, including those related to guarantors or joint accounts and/or variation agreements for Hire Purchase/ Fixed rate loan/financing

The Bank reserves the right to modify/rescind the Payment Relief Assistance if I am found to have made false, misleading or incomplete representation in this application

If I have missed my instalments that are due and unpaid by more than 90 days at the date of application, I agree for the bank to offer me a customised solution that is more suitable for my financial circumstances or to share my loan/financing details with AKPK for further financial advice on managing my debt and allowing AKPK to access my CCRIS information

I declare that the information provided here is true and accurate

Please read the Privacy Notice carefully before clicking Agree.

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.

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