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You are applying for this card...

You are applying for this card...

Please select up to 3 categories that you would like to earn 10% Cash Back from.

Are you an existing Skywards member?

This field is mandatory.
You will receive an Emirates Skywards Membership upon approval of your Credit Card.

Enter Skywards Number (e.g. EK123456789)

{{formCustom.skywardsNumber.$error.required ? "This field is mandatory." : "Field value is invalid." }}

How would you like your name to be displayed on card?

Some oversea retailers might use your passport to verify against the name above as an added security.

{{ formCustom.nameOnCard.$error.required ? 'This field is mandatory.' : 'This field is mandatory.' }}

Maximum 19 Characters

Your Financial Obligations

Your Financial Obligations

Your Financial Obligations

Do you have any financial obligations with non-banks?

e.g. retailers that provide credit sales or private money lenders
This field is mandatory.

Your total monthly installment is

RM

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Where would you like your card to be delivered?

Where would you like your card to be delivered?

Where would you like your card to be delivered?

This field is mandatory.

Upload your documents now

Upload documents below in PDF / PNG / JPEG format. Maximum 5 documents with total size of 3MB allowed.
Please upload PDF, PNG or JPG file only. Maximum file size is 3MB each only.
Please upload PDF, PNG or JPG file only. Maximum file size is 3MB each only.
Please upload PDF, PNG or JPG file only. Maximum file size is 3MB each only.
Please upload PDF, PNG or JPG file only. Maximum file size is 3MB each only.
Please upload PDF, PNG or JPG file only. Maximum file size is 3MB each only.
This field is mandatory.

FD Receipt No

This is required.

Cancel my FD Fledge

Upload documents below in PDF / PNG / JPEG format. Maximum 5 documents with total size of 3MB allowed.
Please upload PDF, PNG or JPG file only. Maximum file size is 3MB each only.
Please upload PDF, PNG or JPG file only. Maximum file size is 3MB each only.
Please upload PDF, PNG or JPG file only. Maximum file size is 3MB each only.
Please upload PDF, PNG or JPG file only. Maximum file size is 3MB each only.
Please upload PDF, PNG or JPG file only. Maximum file size is 3MB each only.
This field is mandatory.

FD Receipt No

This is required.

Cancel my FD Fledge

Please ensure your details are correct

Credit Card details

{{getReviewField('nameOnCard')}}

Wise Benefit Categories

{{getReviewField('creditCategory')}}

Is Skywards Member?

{{getReviewField('skywardsMemberLabel')}}

Skywards Member ID

{{getReviewField('skywardsNumber')}}

{{getReviewField('addr_delivery')}}

{{getReviewField('fullName')}}

Personal details

{{getReviewField('fullName')}}

{{getReviewField('email')}}

{{getReviewField('newIC')}}

{{getReviewField('oldIC')}}

{{getReviewField('mobileNumber')}}

{{getReviewField('dateOfBirth')}}

{{getReviewField('age')}}

{{getReviewField('genderLabel')}}

{{getReviewField('raceLabel')}}

{{getReviewField('pribumiLabel')}}

{{getReviewField('maritalStatusLabel')}}

{{getReviewField('addr_home')}}

{{getReviewField('monthlyEstimateCommitment')}}

Employment Details

{{getReviewField('occupationLabel')}}

{{getReviewField('empTypeLabel')}}

{{getReviewField('natureOfBusinessLabel')}}

{{getReviewField('annualGrossIncome')}}

{{getReviewField('companyName')}}

{{getReviewField('officeGenerLine')}}

{{getReviewField('addr_office')}}

{{getReviewField('lengthOfService')}}

Supporting Documents

{{getReviewField('file1')}}

{{getReviewField('file2')}}

{{getReviewField('file3')}}

{{getReviewField('file4')}}

{{getReviewField('file5')}}
This field is mandatory.

Key in the 6-Digit OTP
sent to your mobile

{{ exceedLimit ? 'Your application form has been locked because you entered an incorrect One-Time Password (OTP) too many times. Please come back after 1 hour from now to continue your application. Click Resume Application on our Homepage (www.hlb.com.my). ' : (otpMandatory ? 'This field is mandatory.' : (otpError ? 'You’ve entered an invalid OTP. Please ensure you key in the correct OTP.' : ''))}} Did not receive TAC? Resend Now

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An email has been sent to you with details on this application.

Your reference number for this application: {{formCustom['applicationRefNumber'].$viewValue}}

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Your application form has been locked because you entered an incorrect One-Time Password (OTP) too many times. Please come back after 1 hour from now to continue your application. Click Resume Application on our Homepage (www.hlb.com.my).

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As a security measure, your application has been cancelled because of repeated invalid One-Time Password (OTP) entered. Please start a new application on www.hlb.com.my.

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We are unable to complete your application at the moment. An email is on its way to you with How-To instructions to resume uploading the necessary documents for your application later. 

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