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ace UU To: HSBC Bank Malaysia Berhad Dey piven Ye —oos Dae + i Braneh LLL suitio Zelt [lee t CREDIT CARD CANCELLATION REQUEST FORM. Sera peptone Ti Piney NG AEH OAT 1 Ti supplementary | Crest Core Nombers) 7 | a - STAC) - Oey SLI LT en 2 t= =EEE T= | LA tn 3 C= =EET= Lo LL Tm wh n Pt == 1 7 m/w Pease til an cee vnicnevera eel. | Reasons for Canettion _ | } Neeru ee waver T] Not sates win Ban sev: | using cer ankcarts. Pro 1D] Dispute os ranatctone L. Crecit limit is too low Ly card trequentiy not usable at merchants cutlets localy / oversees Did not receive card / rep LD Payment inconvenience eerae not witen af D too tease cele rom Parmer Colavione writen of promised om the previous aus 1 eta cori tsecty hey have No Annual Fee card © piticulty Lower interest rate Gs aTits / problems not resolved in e timely mariner, Meck tauren A icant cesta El come ore ocany Cay aren Bene comer ander ( “oY he eS CAN RETAIN CARDISL_ Z Posse cancel my card as stated above (n speaking t an HSBC ra FS retain | ~ lexi iene svar esegcion adit wegenet | my card on fe long catone ene r 50% anal foe vsver (7 100% ann! fe vnver Bate Tarster with annual fee waver Conons spend fee waiver “Arya vor Tw ton a aly oe genny |] Others scion pase wea) TO BE COMPLETED BY APPROVING BRANCH For Replacement C ‘Check on 6 months outstanding / purchases ‘ranch Checklist, Ty Past ussansing / Spend amount: Cord Cocina: Ly canthldrs prises /request comeised aM = Mating aasross TB corahoisers sonature 1 BaonceTanster mount Fesirecraress (lease spect 1, ovaiat denitceton sorted veri [where appicable, use MyCard Reade Branch’s Confirmation / Manager's aM Balenos Tensfr Account No. fio be compere by Creat) Offcer/PB/PRB's Signature Nome sem a IB ek a Pa ope THEY cca

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