Premier Contact Us | HSBC Singapore

Salutation:*

Mr Mrs Miss Ms

Last name:*

First name:*

NRIC/ Passport no.:*

Date of birth:*

/ /

Nationality:*

Country of residence:*

Deposits, investment and/or insurance holdings:

US Dollars

Which of these apply to you:*

I am an HSBC Premier customer
I am an HSBC customer
I do not have an HSBC account

Which country is your primary banking relationship in:

Preferred contact time:

Preferred spoken language:

English	Mandarin
Bahasa	Others:

Your e-mail address:*

Subject:*

Details:

Home phone number:

Please provide country codes and/or area codes (where applicable)

Mobile phone number:

Please provide country codes and/or area codes (where applicable)

Office phone number:

Please provide country codes and/or area codes (where applicable)

Please notify me if there is any new information from HSBC: Yes No

By proving the information set out above and submitting this form, I/we consent to the collection, use and disclosure of the personal data provided in this form by HSBC Bank (Singapore) Limited, its agents and authorised service providers and as well as relevant third parties in order to fulfill your "contact me" request.

Thank you for visiting HSBC