One Bank Referral | UOB Malaysia

hiddenSubmissionId

Referral Date*

Refer a customer for the following UOB services*

Name of Customer (if Individual) / Company (if Company)*

I/C Number (if Individual) / Company Reg. No. (if Company)*

Contact Number*

(Contact number format: +60198887777)

Preferred Branch*

Product Type*

This lead has been assigned to*

Remarks

Staff Info:

Staff Name*

Staff ID*

(eg. 12345678)

Staff Branch*

Staff Business Unit*

Email Address

Mobile Number*

(Contact number format: +60198887777)
(Phone number registered with TNG e-wallet for fulfilment purpose)

Declaration*

By submitting the above referral info:

I agree to be bound by the referral Terms and Conditions; and
I hereby authorise United Overseas Bank (Malaysia) Bhd ("UOBM") to disclose my name as a referrer to my friend(s) and/or loved one(s); and
I warrant that my friend(s) and/or loved one(s) have consented to the disclosure of his/her information to UOBM and the relevant business he/she is interested to be referred to and to UOBM contacting him/her.

Form Title

*Required fields.

Declaration Checked

Internal Source

External Source

Hidden Email Address for sending customer email

Form Id