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Test Survey Form A-en

 

Please complete this form if you wish to apply for a reschedule and restructure of your HLB/HLISB loan / financing.

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NRIC as per IC 身份证

NRIC after 1978

Mobile Number

Email address:

Confirm Email address:

Monthly income in MYR: (e.g. 5000.00)

Loan / Financing Account No (1):

Loan / Financing Account No (2):

Reason for loan reschedule & restructure:

Nature of business:

 

By submitting this form I hereby declare that the information provided above is true and accurate, and that I consent to the Bank’s collection, use and disclosure of my Personal Data according to the Bank’s Privacy Notice.

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