HSBC’s Personal Loan Full / Partial Repayment Form

I understand that:

• A one-month notice period is required to repay my personal loan.

• Upon receipt of this repayment request, the Bank will send me, via post to my address on record, a Repayment Letter, indicating the exact amount/s and date/s that my payment/s should be made.

• If I fail to make the necessary payment/s on the stipulated date/s, this repayment request will be void, and I will need to issue a fresh repayment request where a fresh one-month notice period will apply.

• I am liable for an early repayment fee of

1) S$150 if my repayment date falls within 1 year from date of disbursement for personal loan account approved on or before 30 Nov 2015;

2) 2.5% of repayment amount for personal loan account approved on or after 1 Dec 2015

Upon completion, please address to:

Attention: HSBC Bank (Singapore) Limited Operations - Cards & Loans (Post Approval) Robinson Road P.O. Box 896 Singapore 901746

Personal Particulars

Full name

NRIC/ Passport no.

Contact no.

Personal Loan Particulars

Personal Loan Account no.

Repayment Account no.

Reason(s) for Repayment (Please tick (a) where applicable)

Applying for Mortgage Did not get applied loan amount Leaving Singapore

No longer need a personal loan Other banks offered better interest rates Others

Repayment Request (Please tick (a) where applicable)

Full Repayment Partial Repayment*

Please select one:

Please repay exactly S$ of my outstanding loan balance. I will pay my next repayment due separately.

I will be paying exactly S$ on the partial repayment date. This amount covers my next repayment payment and partial payment of my outstanding loan balance.

* Please note that your monthly repayment amount will remain unchanged, and the number of monthly repayment(s) remaining will be re-calculated.

* Please ensure that your signature matches that of your Personal Loan Repayment Account.

If you require further assistance, please contact our 24-hour Customer Service Hotline at 1800-HSBC NOW (4722 669)in Singapore or (+65) 6-HSBC NOW (4722 669) from overseas.

Effective 13 October 2016Issued by HSBC Bank (Singapore) Limited (Company Registration No. 201420624K).

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Data Protection Policy The personal data you are submitting is being collected for the purposes stated in HSBC’s Data Protection Policy, a copy of which may be found at http://www.hsbc.com.sg/1/2/miscellaneous/privacy-and-security.