Contact Form

Kindly note that all fields with * are mandatory.

Title

Mrs

Miss

First name

Last name

City

Phone number

Email address

Are you an existing customer

Yes

Preferred contact time

Product

Preferred branch location

Comment

* I consent* to HSBC Group**, their agents and their authorised service providers collecting, using, disclosing and/or processing the personal data in this form, in order to inform me about the products/services which I have specified in this form:

* I confirm and agree that my consents granted herein are solely in relation to the referral activity requested, for one-time use only and do not supersede or replace any other consents which I may have previously provided to HSBC Group in respect of my personal data, and are additional to any rights which HSBC Group may have at law to collect, use or disclose my personal data.

**HSBC, its affiliates, subsidiaries and related corporations, including without limitation HSBC Insurance (Singapore) Pte Ltd, HSBC Global Asset Management (Singapore) Limited, and HSBC Bank (Singapore) Limited.

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.

| Step 2 of 3

Contact Form

Please confirm and submit the information.

Title

First name

Last name

City

Phone number

Email address

Are you an existing customer

Preferred contact time

Product

Preferred branch location

Comment

| Step 3 of 3

Contact Form

We will respond to your enquiry within the next 3 to 5 business days.

You can also reach us by calling 64722669 in Singapore or (65) 64722669 from overseas.

Service error, please try again later.

Thank you for contacting HSBC.