HSBC's Credit Card Referral Form

Start referring today! Please note that all fields are mandatory. * For full details, click here My personal details Title: - Please select - Mr Mrs Miss Ms Last name/Surname:  First/Given name:  First 4 and last 4 digit Credit Card number:   Email address:  Contact number:  Will it be convenient for us to mention your name when we call your friends/family?  Yes No My banking relationship with HSBC: Please Select Primary Credit Cardholder Supplementary Cardholder Bank Account Holder 1st introduction Title: - Please select - Mr. Mrs. Mdm. Ms. Dr. Name:    Contact number:    Email address:    2nd introduction Title: - Please select - Mr. Mrs. Mdm. Ms. Dr.   Name:    Contact number:    Email address:    3rd introduction Title: - Please select - Mr. Mrs. Mdm. Ms. Dr.   Name:    Contact number:    Email address:    4th introduction Title: - Please select - Mr. Mrs. Mdm. Ms. Dr.   Name:    Contact number:    Email address:    5th introduction Title: - Please select - Mr. Mrs. Mdm. Ms. Dr.   Name:    Contact number:    Email address:    The personal data which you are submitting is being collected for the purposes stated in the HSBC Data Protection Policy, a copy of which may be found at http://www.hsbc.com.sg/1/2/miscellaneous/privacy-and-security. Where the personal data I provide in this form was / is collected by me or from third party sources, I confirm and agree that the relevant consents provided to HSBC Bank (Singapore) Limited have been procured from all relevant individuals to whom the personal data relates for the purposes notified. I confirm and agree that I have read the terms and conditions of HSBC's Credit Card Referral Programme.